434 articles – 313 references  [version française]
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Adoption and fostering of babies with Down syndrome: a cohort of 593 cases.
Dumaret A.-C., De Vigan C., Julian-Reynier C., Goujard J., Rosset D., Aymé S.
Prenatal Diagnosis 18, 5 (1998) 437-45 - http://www.hal.inserm.fr/inserm-00354600
 (9621377) 
Adoption and fostering of babies with Down syndrome: a cohort of 593 cases.
Annick-Camille Dumaret () 1, Catherine De Vigan2, 3, Claire Julian-Reynier4, Janine Goujard2, 3, Dominique Rosset5, Ségolène Aymé6
1:  CERMES - Centre de recherche Médecine, Science, Santé et Société
http://www.vjf.cnrs.fr/cermes/
CNRS : UMR8169 – Université Paris XI - Paris Sud – École des Hautes Études en Sciences Sociales [EHESS] – INSERM : U750
Site CNRS - Bât C - aile Nord 7 rue Guy Môquet 94801 VILLEJUIF CEDEX
France
2:  Recherches épidémiologiques en santé périnatale et santé des femmes
http://ifr69.vjf.inserm.fr
INSERM : IFR69 – Université Pierre et Marie Curie [UPMC] - Paris VI
Centre de Recherche Inserm 16, Avenue Paul Vaillant-Couturier 94807 VILLEJUIF CEDEX
France
3:  Registre des Malformations Congénitales de Paris
Registre des Malformations Congénitales de Paris
Villejuif
France
4:  Epidémiologie et Sciences Sociales Appliquées à l'Innovation Médicale
INSERM : U379 – Université de la Méditerranée - Aix-Marseille II
Institut Paoli-Calmettes 232, Boulevard Sainte Marguerite 13273 Marseille Cedex 09
France
5:  DASES - Aide sociale à l'enfance de Paris
Aide sociale à l'enfance de Paris
Paris
France
6:  Cartographie du Genome Humain a des Fins de Recherche Clinique
http://www.orpha.net
INSERM : SC11 – Université Pierre et Marie Curie [UPMC] - Paris VI
Hopital Broussais 102, Rue Didot 75014 PARIS
France
Recently, professionals in France have noticed an increase in newborns with Down syndrome (DS) being placed for adoption. The aim of this study was to investigate DS babies given up at birth for adoption and to consider the possible determinants of this in order to assess social acceptance of DS. A retrospective cohort of all living DS babies was collected from two birth-defect registries (Paris: 1981-1990; Marseilles area: 1984-1990). Follow-up data were collected: characteristics of the baby, biological parents and maternity units, age when given up for adoption, and type of foster care. The results showed that 19.4 per cent of infants with DS (115/593) were rejected by their parents. Multiple regression analysis indicated that foreign origin of the mother, area of residence, no associated major malformation, maternal age (15-24 years), and birth rank (> 2) variables were significantly associated with a lower placement rate. Among the 115 abandoned infants with DS, 88 came from unknown parentage (76.5 per cent). For half of them, adoptive placement (88/115) occurred before the age of 6 months. Socio-cultural attitudes play a great part in these family decisions. Equally important is the manner in which professionals propose adoption as an alternative to these parents of DS babies. They should be encouraged to consider all options before making a decision, so that the best solution can be found for the interest of all.
Life Sciences/Bioinformatics and Systemic Biology
Computer Science/Bioinformatics
English
0197-3851

Article in peer-reviewed journal
Prenatal Diagnosis (Prenat Diagn)
Publisher Wiley-Blackwell
ISSN 0197-3851 (eISSN : 1097-0223)
international
1998-05
18
5
437-45

Down syndrome – human adoption – foster care
Adolescent – Adoption – Adult – Cohort Studies – Foster Home Care – France – Humans – Infant – Newborn – Maternal Age – Occupations – Retrospective Studies – Social Class
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