Saturday, 30 November 2013
A time to wait
In the mix. As in, the phone call could come next month, or July, or the following year. We know how this game goes, we have had lots of practice at patience and humility. But we also have this confidence, this feeling. It will happen. God has set us on this path and this is it for us. So we are jumping in, not foolishly or without thought, but because we want to be faithful to the plan and put it out to the world. We are adopting our son or daughter. We are preparing a place for them to be part of our lives and our family.
The thought that our baby boy or girl is possibly being born right now fills me with intense love, longing and hope. I am praying for the birth parents who are making very difficult choices right now, and a child who is losing their first family, the only parents they have ever known. I am thinking of the grandparents and extended family who are also saying goodbye to this child. While it may be the best decision for them and the child, this is never easy.
There is no easy in adoption. The process is built on a first profound loss experienced by birth parent and child. That is not my story, but it is something that I constantly remind myself about. For as much as that phone call is going to be the most exciting day of our life, it will be the culmination of something much more difficult for someone else.
So now comes my burden. It is my time to wait. I've been waiting a long time already - 7.5 years of trying to conceive hasn't been easy. But if that is my burden, then I will gladly take it. It is worthwhile because I know I will be a mother. . I am not a patient person, but for this I need to be. So wait with me please. I need hands to hold and people to keep me excited and on the right path.
Monday, 11 November 2013
Preparing our adoption profile - the excitement continues!!!
So first, the adoption profile. Basically all approved applicants put together a 3-4 page document which is a way of showing birth parents who we are and the life we can give to a child placed with us. It's an opportunity to express our personality and parenting plans, and our commitment to a new family. We were given a draft profile to get an idea of the sort of things that we need to include. They are now also encouraging photos to be used in the profiles to get a feel for what we like to do eg playing sport, going on holidays, pictures of extended family etc.
The main things we need to cover in the adoption profile are:
- Introduction of who we are, what our house is like, our pets and why we are adopting
- Religion - what we believe and how that influences our lives
- Our personal details - cultural background, where we grew up, education and our jobs
- What we like doing together - sport, holidays, fun stuff
- Extended family - who else is in our life, family, friends etc
- Education - public/private school etc
- Childcare plans - Stay at home for first year, will you return to work part-time, who will look after the child when you work
- What we believe is important when raising a child - how will we discipline them, things that we hope to do with them
- Views on naming an adopted child - There is a very strong push to keep the first name of the child, but we can potentially add a middle name of our choice
- Wishes regarding the adoption plan - How often we want to have contact with the birth parents, what level of contact (letters/photos/face to face) etc
After chatting about the profile, we got the chance to ask some adoption related questions. The first thing we wanted to know was how many other approved applicants are currently in the pool for local adoption. There are currently around 40 approved applicants, which is a big drop from the 100 or so that existed when we first started this process in 2009. In addition to that, there is a much smaller second pool of applicants who are approved for children with special needs which includes us. There are a grand total of 5 approved applicants! Last year three of the six children that were adopted were considered to have special needs, which meant that our profile would have been shown to each of those birth parents had we been in the pool at that time. Those are amazing odds!
So what does 'special needs' mean. Really it can mean any child who has anything other than completely normal needs. It could mean they are slower to develop (developmental delay) such as crawling and sitting up at a later time than considered normal. They might need regular medication. One of the 'special needs' cases recently was a blood disorder that required twice-yearly visits for blood checks at hospital. That's it! Then at the other end of the spectrum there are children born with down syndrome, missing limbs, or significant intellectual disabilities. We have ruled ourselves out of a number of the higher care needs scenarios but there are still some significant care needs that we believe that we can cope with and provide great care for our child. With 6 children placed last year, that extrapolates out to 60% chance of a child with special needs within 12 months, or 8% of a normal care needs child within 12 months! Certainly better than our 'natural conception' odds!!!
We were told when we started the process that there were a segment of international students who place their children for adoption. The coordinator confirmed that this is still the case with some Indian, African and Asian children all placed locally from international students in the past few years. Often this is the result of pregnancy concealment or sometimes not being aware of the pregnancy until there were no other options available to them.
I also asked if many people change their minds and decide to parent themselves. Apparently up to half of the birth parents who initially start the process choose to parent the child themselves in the end. I'm kind of glad of that. It means that they are getting good advice and counseling, and not being pressured into anything.
Based on what our coordinator pointed out as important on the adoption profile, we also found out that the main thing that birth parents want is young parents. I am the youngest approved applicant in the pool at 27, and even Murray at 34 is on of the youngest, with a lot of applicants sitting at around 40 years old. That's really exciting for us, knowing that hopefully with a great profile showing who we are, along with people wanting younger adoptive parents, that we could really be in with a chance!!!
So once the profile is done, it could be any day now! Once we get the phone call to say that we have been chosen, we need to get into the agency office either that afternoon on the next day to start the adoption plan process. We will start the handover of care straight away with visits to the foster carers house, before slowly having longer visits at our house, and within two weeks, taking over full time care of the child. We are recommended to have an action plan ready to go with who will do what to help us get set up because of the quick turnaround. We are lucky that we have so much of the big stuff already such as a cot, pram, high chair etc thanks to friends and wishful thinking in our early IVF days. It's mainly the little things like clothes, blankets and setting up the nursery that will need to be done when the call comes through. That and of course finishing up at work!!!
So much to do - fertility treatment is just a dot in the background. We are focusing everything on this, and we really feel this is where we should be - just waiting for our son or daughter to arrive!
WA Public Fertility Clinic
The problem is that the hospital outsources its public IVF to Concept Fertility, and as of July they have suspended the program due to disagreement over costs. So essentially there is currently no publicly funded IVF program. The doctors are hoping that it should be resolved soon, but they initially thought it would only be for a few weeks and that has stretched out to four months at this point so I'm not holding my breath.
I asked about if we could do donor insemination in the meantime, and surprise surprise, the health department doesn't include DIUI under their public fertility services anymore. So really our options are just to keep trying naturally, however unlikely that is, and also to do every screening and diagnostic test under the sun to make sure nothing has been missed along the way. That means having a specialised 3D ultrasound to make sure that everything is perfect in my uterus and to monitor blood flow. I'm also getting tests done to check my blood clotting and insulin levels.
The one thing that they all agreed on is that I'm a different person now physically to what I was when we went through all of our other treatment cycles, and that we need to treat any fertility treatment from now on as a fresh start. Everything we have done in the past, while important, isn't nearly as relevant because it was essentially done on a different person.
The news about not doing IVF straight away isn't as devastating as it potentially could have been, thanks to a very positive adoption meeting that we had this morning. More coming on that very soon!!!
Sunday, 27 October 2013
The next steps - planning for placement
The first form is mainly about birth parents contact and adoption plans. How often do we want contact, what type of contact (email/phone etc), and what would be no-go's for us e.g. violence, partner in jail etc. This is something I've thought a bit about and we feel relatively comfortable that we could provide an open adoption with a reasonable amount of contact as long as it was safe for our child. We would also be happy to provide extended birth family members with contact with our child, once again on the proviso that it is a safe environment.
The second form we received is a little trickier for us to work through. As we have been approved for moderate special needs, we need to complete a checklist of different health issues that we will and wont be prepared to work with. This includes the parents alcohol/drug history while pregnant, through to intellectual and physical disabilities the child might have.
At this point, we sat down separately to do our lists so that we wouldn't influence each other. Our lists for the most part were very similar, although mine was slightly more inclusive whereas Murray made some strong arguments on some of the health conditions that I hadn't thought of.
It's terribly hard. A friend of mine recently had a baby with Down Syndrome, which was unknown prior to birth. I admire her for how she is handling everything, and I am hopeful that we would cope as well if we were to give birth to a child with DS, but if you had a choice, would you actively choose a child to parent with DS if you knew that in advance? Or Spinal Bifida, Muscular Dystrophy or Cerebral Palsy? Those are four of the conditions we have chosen not to be eligible for, however I doubt they would be considered 'moderate' special care needs anyhow.
Some of the things we have included in our special needs list include health conditions like Asthma, Albinism, physical birth defects eg missing a limb or cleft palate, hearing loss, global development delay, Hepatitis B Carrier, sleep apnoea, or at risk of childhood cancer.
We are lucky in the sense that if we adopt, this will be our only child, and we will be able to invest time and resources into getting our child the best assistance possible. Regardless of our child's health, we can't wait to be a part of it!
Monday, 21 October 2013
The legal side of things
52 . Prerequisites for CEO placing child for adoption
To place a child for adoption, we need to:
• Show that our marriage is stable
• recognises the value of, and need for, cultural and ethnic continuity for the child
• show a desire and ability to continue the child’s established cultural, ethnic, religious or educational arrangements
• can meet the wishes of the birth parents in relation to the child’s upbringing and the preferred attributes of the adoptive family
(ADOPTION ACT 1994 - SECT 52)
Another really interesting section is schedule 2 of of the act:
• A significant feature of the infancy stage is that the child needs to be able to trust others to care for and nurture the child. The child has the right to be cared for and nurtured; and to develop attachment to the adoptive family without undue disruption by the birth parents.
• Before consenting to the child’s adoption, the child’s birth parents have the right to make an informed and unpressured decision about the child’s future. After consenting to the child’s adoption, the child’s birth parents have the right to negotiate as to the provision of information and the extent of any contact between the parties.
• There is no right to adopt a child. The adoptive or prospective adoptive parent with whom the child is placed with a view to the child’s adoption has the right to bond to the child.
If you are interested in how adoption in works in Western Australia, you can read the
Adoption Act 1994 which has all the details.
Sunday, 20 October 2013
Approved
- One child or a sibling group of no more than two children
- A child or children up to 36 months (3years) of age
- A child or children with normal or moderate care needs
- A child or children born locally in Western Australia
- An adopted child with normal care needs is defined as a child who requires a level of personal, emotional and physical care needs consistent with which would be expected for their age group and experiences.
- An adopted child with moderate care needs is defined as a child who because of disabilities or medical and/or psychological problems, requires a level of personal, emotional and physical care beyond which would be expected for his or her age group and experiences.
Saturday, 19 October 2013
Disbelief
Our usual coordinator doesn't work on Friday's so I spoke to the duty officer and practically begged to find out the result. I even offered to drive over there so that I could pick up the letter directly from them if that was what they needed. He told me he would call me back in half an hour. I was sitting in a training course on a new software program when the call came through, and so I ran out to a free meeting room to await the news.
First he made me verify my identity to confirm it really was us. Then, very casually, he said "Well, you're approved". I burst into tears, sobbing down the phone, unable to get a word out. The guy on the other end seemed really surprised by my reaction and asked if we didn't think we would be approved. I explained between sobs that we had to present to the committee and there were six different points that they were considering not approving us on. He then said that we must have done very well with our presentation because the committee doesn't often change their minds. I thanked him, and he said he would email through a copy of the letter for our peace of mind.
I just couldn't believe it. I couldn't stop crying, I was overwhelmed with so many emotions all at once: relief that we could stop trying to prove ourselves, joy that we might actually become parents, and utter amazement that this was happening, despite everything that we had gone through. Te only way I can compare the joy is that I felt as happy as the moment we got our positive pregnancy test. That moment of knowing that you are going to be parents. It's amazing.
Murray was in class teaching at the time so the only way I could contact him was to send an email and hope he looked at it during class, as he can't check his phone.
I simply wrote APPROVED!!!!!!!!
It seemed like an age before I could talk to him, but in reality it was only 20 minutes. I cried on the phone to him, and he had his workmates all around him cheering. It was such a precious moment. I also got to speak to my Mum and Dad who were thrilled to bits and overwhelmed with the news as well. I also told my friends at work and the whole department are so excited for me. Lets just say I spent a fair chunk of my afternoon with tears in my eyes!
We feel completely blessed, our prayers have been answered. There is still a long road ahead. Being approved doesn't guarantee that we will be placed with a child. Unlike international adoption where you are on a waiting list and eventually it will be your turn, local adoption is more like a pool of applicants. Then when a child is placed for adoption, the birth parents get input as to what environment they want their child brought up. For example they could say they want a young married couple who can't have kids - hey that's us! From that, the department decide on a couple of applicants to put forward and their profiles get shown to the birth parents who make the decision.
So although we are approved, we don't know if or when we will have a child placed with us. It could be six weeks away, or three years, or possibly never if there isn't a good fit for us. But equally, it could be any day. That thought fills me with joy. Our child could have been born today! Or even already to be alive and in foster care. I offer up silent prayers for the children, of which one may end up being our son or daughter.
Today is a joyous day.
Friday, 18 October 2013
Approved!
So much to say, but today we feel truly blessed. We might finally get to be parents!
Sunday, 13 October 2013
MIA
I have been busy completing all of the tests requested by the public IVF clinic before we meet with them in November. As expected I still have textbook PCOS ovaries, but my insulin levels are now perfect which is great news. Unfortunately Murray's sperm has degraded further with motility of only 2% and reduced count and morphology as well, which puts paid to any ideas of not using a donor. And finally, something called SHBG which is Sex Hormone-Binding Globulin is quite high, which is actually the opposite of what happens in PCOS, and increased levels can be as a result of long term calorie restrictions, which surprise surprise is from my weight loss surgery. In terms of impact on IVF, I believe this lowers testosterone and estrogen, which obviously would impact on fertility. I will have to wait and see what the doctor has to say before I get too concerned about it.
In adoption news, we presented to the adoption applications committee on October 1 and now we are just waiting for the official word as to whether or not we are approved applicants or not. We went well over our assigned 20 minute slot and talked to most of the points in our report. I still am not sure one way or the other as to if we will get approved, but I can honestly say that we have done everything possible in this process. If we don't get approved, then that is what happens and I will try my best to accept that decision.
Tuesday, 17 September 2013
Our submission to the adoption panel
The report to the adoption panel is ready to go and will be submitted in the morning. W have an email from Murrays parents which confirms an inheritance that we will receive in the coming weeks from his recently deceased grandmother. We also have a letter from Murrays Dr about his current health with his kidneys and prognosis (ie he is perfectly fine). The report itself is 13 pages long and hopefully addresses every issue they have concerns about.
On Tuesday 1st October, I will be going to the adoption panel meeting to present for 20 minutes on why we should be approved as adoptive parents. It is our last attempt to be approved. Once that is done, all we can do is await the outcome and know that we did our best.
Murray asked me today what would happen if we don't get approved despite everything we've done. I can only hope that we will be strong enough to deal with it and accept it for what it is, whatever the outcome.
Monday, 9 September 2013
Adoption progress
The adoption process isn't over though which is amazing.
As expected we were given an outcome of 'considering not approving' us as adoptive parents. What surprised us was the reasons given for this decision. In the original assessment report, the only red flag raised was our finances. Well that wasn't a factor at all in the panels decision! They said that it was a concern but that our submission to how we would manage time off and money was well thought out and they were happy with that. Hooray!!! I was thrilled with that! What came next was a surprise.
The committee believed that we had demonstrated capacity to only meet 3 out of the 10 adoption competencies!!! Three!!! There were five areas of concern:
- Not enough evidence that demonstrated regular experience caring for young children either in a professional or personal capacity
- The committee questions our motivation to adopt as we have been so focused on IVF over the years
- Ongoing stress and tensions within my family (My brother and father)
- Ongoing treatment for depression
- Murray has a kidney disease which means that he may need a kidney transplant or dialysis in his 50's or 60's
The letter stated that we had three options that we could take up. The first was to attend a meeting with two of the panel members to clarify their concerns. The second is to complete a written submission to be given to the panel to address their concerns. The third is to attend the final panel meeting and make a presentation up to 20 minutes long basically talking to our submission, which I guess adds a human face and that extra explanation of difficult things.
We will be taking up all three options, and have already met with the panel members last Wednesday, which we were very apprehensive about going into it. After all, here are two people that just judged you and decided you weren't 'good enough' to be parents! But it was actually really helpful for us. Of all the issues raised, the one that is going to be hardest to sway them is Murray's kidney problems. He has Polycystic Kidney Disease (PKD) which basically means he has little cysts on his kidneys which turns into Chronic Kidney Disease later on in life. He has no symptoms and takes blood pressure medication which is standard treatment to help the kidneys cope, and we are lucky that he has known from early on as his Mum and Uncle also have the disease (hereditary condition). Although Murray hasn't needed to see a specialist, the panel want him to see one to get a report on his prognosis and what potential treatment options are available. I guess for them, it is important to know that he will be around to help raise our child, which we understand.
Anyhow, as I said, one day at a time. We are slowly working on our submission, and we have requested a copy of the minutes from the panel meeting which we can receive to see what specifically they were concerned about within those broad topics and where to focus our energies. Murray is booked in for his specialist appointment on October 15, and I am doing a million blood tests for our Public IVF clinic appointment on November 11. Everything is happening all at once!
I feel immensely grateful to God that we have been given this opportunity to address the issues raised and hopefully be approved to be adoptive parents.
Wednesday, 21 August 2013
Not a No, Not a Yes
So we are booked in on September 4th to meet two of the panel members. Hopefully it is a positive meeting and we are able to show who we are and convince them that we are suitable adoptive parents. I'm not pinning my hopes on it though. I'm making myself as numb as I can through this part of the process. If I have to process fully what this finding means for us, I'm not sure I would get through. Much easier that I allow myself to not think about anything too hard right now.