Adoptive Families, the award-winning national adoption magazine, is the leading adoption information source for families before, during, and after adoption.


Vision and Hearing Testing

It makes sense to have your child's vision and hearing screened as soon as you come home. By Edward M. Kolb, M.D.

When infants adopted internationally turn out to have medical difficulties, those difficulties are often related to hearing or vision. The American Academy of Pediatrics recommends hearing screening for all newborns and an eye exam in the first six months of life. In institutions abroad, however, neither hearing nor vision testing is routinely carried out for infants.  As a result, most adoption medical specialists recommend complete assessments of the senses after a child arrives home.

Simple Solutions May Prevent Hearing Loss
Hearing assessment may rule out problems as potentially serious as congenital deafness. More often, something as ordinary as an infant's untreated ear infection may put a child at risk for hearing losses, which in turn may impede speech, language, and cognitive development. Sometimes the solution can be as simple as draining the ear canal.

An audiologist skilled in evaluating young children can screen for hearing even in a child too young to fully cooperate with hearing testing. In addition, if a problem is suspected, more detailed tests are available to assess the neurologic pathways essential to hearing.

Vision Screening

Children who've spent time in orphanages may be at higher risk for eye conditions such as infections or abnormalities in processing visual information. Andrei, adopted in Russia, seemed to have a "lazy eye," a condition his mother feared might affect his ability to focus or read. She scheduled an appointment with a pediatric opthamologist as soon as they arrived in the U.S. Pediatric opthamologists can perform detailed eye examinations, including vision testing, even in infants.

Early Screening Is Key
It is essential to screen for problems with hearing or vision early in order to diagnose and treat any problems that emerge. A simple operation to drain fluid from the ears, or fitting with glasses to improve vision, may be all that's needed to enhance your child's ability to receive and respond to cues in a new environment.

Dr. Kolb is Medical Director of the Internationally Adopted Children's Clinic in Omaha, Nebraska.

Coping With Colic

 Colicky babies are unable to process the stimuli of life as a newborn. Whether it's because of hormone immaturities, hypersensitive digestive systems, or disturbed sleep patterns is unknown. What is clear is that a baby's clenched fists, pained expressions, arched back, flailing limbs, and inconsolable crying demand attention. Here's how to help:

  • Massage baby's tummy.

  • Swaddle the baby and get moving: in a car, stroller, or sling.

  • Get in the tub. Warm water is relaxing.

  • Burp the baby until you hear relief.

  • Pick a repetitive shushing noise and use it over and over as you rock your baby.

  • Use a pacifier, if you're game. Sucking is very important for colicky babies.

For more information, log on to, a helpful Web site designed by parents of a colicky baby.

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