Grief resolution of birthmothers in confidential, time-limited mediated, ongoing mediated, and fully disclosed adoptions

This study examines grief resolution issues for 75 birthmothers who placed infants for adoption four to twelve years ago in confidential, time-limited mediated, ongoing mediated, or fully disclosed adoptions. Interview data from sets of birthmothers and adoptive families were analyzed. Birthmothers in each of the four adoption arrangements exhibited the continuum of grief resolution, from “very poor” to nearly “very good” resolution. However, birthmothers in fully disclosed adoptions had significantly better grief resolution than those with confidential and time-limited mediated adoptions, and those in ongoing mediated had better grief resolution than those with time-limited mediated adoptions. Implications of these findings for pre-placement planning as well as pre- and post-adoption services are discussed.