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Pregnancy Without A  Due Date: Dealing With Preplacement Stress

By: Holly van Gulden &  Lisa Bartles-Rabb

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It may not be a physical pregnancy but adoptive parents without a doubt experience a time of “pregnancy in the sense of expectation and waiting. This pregnancy begins when you first receive and accept a referral and continues until your child arrives in your home and the adoption is finalized.

This time, while joyous, may also be highly stressful. Legal proceedings, gaining approval from the agency, birth parent, foreign government, or whoever else might be involved, and the general fear that something could go wrong are just some of the stresses you may encounter as a prospective parent. 
 
Unfortunately, such stresses don’t always disappear on placement day. Sometimes they carry over into the early months of parenting and the emotional reactions if experiences don’t match the parents’ expectations. By recognizing those things that create preplacement stress, understanding how each parent responds to stress, and finding healthy ways to cope. parents can prevent this process from affecting the relationship with their new child.

   Stress & Powerlessness
   While You Wait

As an adoptive parent you will probably face many of the same prearrival jitters that biological parents experience; but the preplacement wait in adoption also poses several unique issues and sources of stress. In particular, adoption often presents a greater a greater sense of powerlesness and unpridictability for the expectant parent than does pregnancy.

A pregnant woman can do many things to help ensure everything goes well with her pregnancy. She can take care of health through diet, rest, exercise and regular doctor visits. Both she and her partner can experience the reality and inevitability of the baby-to-be every time it kicks, makes her nauseous, or causes her body to change. Expectant adoptive mothers, on the other hand, often feel at the whim of agencies, courts, governments, and birth parents, not only for information and reassurance that all is moving along well, but also for ultimate “permission” to have a child.

Parenthood is one of the most adult roles we have in our society. Yet those of us who choose adoption often find ourselves at the direction of other adults, at least until the adoption is finalized The outside involvement in the normally intimate decision can be particularly poignant for infertile couples. These couples often have already undergone the unpredictability and invasivness of medical treatments aimed at enabling conception. They have also faced the ramifications of infertility, including what it means about their sexuality and how it affects their sense of mortality and immortality (“What will I leave behind when I am gone”).  If the grief and loss surrounding the infertility have not already been addresses and resolved, the stress posed by adoption can compound existing issues surrounding the infertility, often without the couple even knowing it.

The array of opinions pertaining to the type of child you wish to have and the method of adoption you wish to pursue, while offering a regained sense of control, can also be a source of confusion and stress. Biological parents don’t have all the choices. Biological parents indirectly choose their child’s potential genetic endowment when they choose a mate.

A pregnant woman and her partner might also opt for certain prenatal biotechnological test (amniocentesis or maternam serum alphafetoprotein testing) as potential safeguards against giving birth to a child with severe abnormalaties. But when it comes down to it, biological parents are not asked to choose a child or to decide-or have others decide for them-in advance whether they are
appropriately suited to raise a particular child.

Another potential source of stress is the relative uncertainty of the period between selection of a child and placement and finalization.The countdown in adoption is far more variable than the nine months of gestation. Once parent and child are paired for adoption, the process can take two months, two years, or even sometimes longer to complete, depending on the type of adoption and special circumstances that might be involved.

Each form of adoption (e.g. international or domestic involving openness or closed arrangements, agency-facilitated or private placement, and adoption based on voluntary or involuntary termination of parental rights) has its own average time frame, and each also has its own potential complications that can prolong the wait.


Upcoming articles:
Going and Growing Throught Grief And Loss: Parenting Traumatized Adopted Children.

Family Preservation: Vietnamese Style.

Normative Crisis In The Development Of The Adoptive Family: The stages for which families can prepare.

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