TRAVEL AND TRANSITION
THE POST-ARRIVAL VISIT TO THE PEDIATRICIAN
At long last, the new family is home. Many families are instructed by their adoption agency to be seen "immediately" by the child's physician after arrival in the U.S. Unless the child is ill, this is usually unnecessary and may add undue stress. Certainly a visit to the physician within the first 4-5 days is useful. At this time, the doctor should perform a physical examination to detect major problems and get a general sense of the developmental stats of the child. Vaccinations and blood tests are not warranted at the first visit, except under unusual circumstances.
A more complete evaluation should be performed 2-4 weeks after the child arrives home. At this time, the child should be thoroughly examined, remeasured to assess early signs of catch-up growth, and have screening blood tests performed. Vaccinations can be administered and a plan for completing needed vaccines made.
From THE HANDBOOK OF INTERNATIONAL ADOPTION MEDICINE by Laurie C. Miller. © 2004 by Oxford University Press, Inc. Used by Permission.