title: [Motivations for a consultation before adoption: A multicenter study].
abstract: BACKGROUND
  While the number of international adoptions in France is decreasing, adopted children are older and in poorer health than they used to be. This phenomenon has resulted in an increase in the demand for preadoption consultations over the past several years. This study analyses the reasons for these consultations.
  
  
  METHODS
  Prospective multicenter study conducted from 1 January to 31 December 2013.
  
  
  RESULTS
  Ten centers contributed to the study, i.e., 196 preadoption consultations. Seeking medical advice was the reason for 88% of the consultations, whether the advice was based on the study of an identified child's medical file (32%) or a country's healthcare characteristics, whether the country was identified (34%) or not (23%). In 6% of cases, the motive for preadoption consultations was social and familial, and in the last 5% it was to obtain general information about adoption and its procedures. In more than 40% of the cases, whether the child or the country identified, Russia is the subject of the consultation because of the complexity of the files and because of the dreaded but rarely mentioned fetal alcohol syndrome.
  
  
  CONCLUSIONS
  The deterioration of adopted children's health is an additional worry for future adoption applicants. To provide them with the best information possible without making choices for them, specialists should have substantial experience in adoption before going into these preadoption consultations.
authors.affiliation: Service de pédiatrie 1, hôpital du Bocage, CHU de Dijon, 21079 Dijon cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Thieblemont
authors.affiliation: Service de pédiatrie, hôpital Saint-Joseph, 13285 Marseille cedex 08, France.
authors.forename: P
authors.initials: P
authors.lastname: Francois
authors.affiliation: Service de réanimation néonatale et pédiatrique, CHU Estaing, 63003 Clermont-Ferrand cedex 1, France.
authors.forename: V
authors.initials: V
authors.lastname: Poirier
authors.affiliation: Service de pédiatrie, hôpital de la Timone, CHU de Marseille, 13385 Marseille cedex 05, France.
authors.forename: E
authors.initials: E
authors.lastname: Bosdure
authors.affiliation: Service de pédiatrie générale, CHU Morvan, 29609 Brest cedex, France.
authors.forename: M-R
authors.initials: MR
authors.lastname: Munck
authors.affiliation: Service de pédiatrie, hôpital d'enfants, CHU de Nancy, 54500 Vandœuvre-lès-Nancy, France.
authors.forename: A
authors.initials: A
authors.lastname: Borsa-Dorion
authors.affiliation: Service de pédiatrie, hôpital mère-enfant, CHU de Nantes, 44093 Nantes cedex 1, France.
authors.forename: I
authors.initials: I
authors.lastname: Hazart
authors.affiliation: Consultation adoption, hôpital Saint-Vincent-de-Paul, 59020 Lille, France.
authors.forename: M
authors.initials: M
authors.lastname: Moukagni-Pelzer
authors.affiliation: Service de pédiatrie, CHU de Reims, hôpital américain, 51092 Reims cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Brunel
authors.affiliation: Service de parasitologie, hôpital de la Croix-Rousse, 69317 Lyon cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Peyron
authors.affiliation: Service de pédiatrie 1, hôpital du Bocage, CHU de Dijon, 21079 Dijon cedex, France. Electronic address: jvm@chu-dijon.fr.
authors.forename: J-V
authors.initials: JV
authors.lastname: de Monleon
mesh_terms: D000300:Adoption; D002675:Child, Preschool; D005260:Female; D005602:France; D006304:Health Status; D006801:Humans; D038622:Internationality; D008297:Male; D009042:Motivation; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data*