Chris and Carrie brought their son home through a domestic infant adoptionWhen a couple begins to explore the idea of adoption, it’s easy for them to get quickly overwhelmed with information, questions, and decisions.

One of the first decisions they face is whether to seek a domestic adoption or international adoption. Many factors come into play during this decision, including wait time, cost, legal concerns, children available, and medical history.

Join us as we go into detail about these five factors, so that you can decide whether a domestic adoption or international adoption is best for your family!

Wait Time

How long it takes for an adoptive couple to bring their child home through domestic adoption or international adoption depends on many factors. If you adopt internationally, you wait for an agency to match you with a child and then wait again for international “red tape.” If you adopt within the US, you wait for a birth mother to choose you as the parents for her child.

While we can’t speak for other adoption professionals, the estimated wait time for families working with Lifetime Adoption is 6 to 18 months. There are many factors to take into account, including the couple’s openness in adoption preferences. For example, are they open to future contact with the birth family? Are they open to a variety of races? How open are they to substance usage?

The more open an adoptive couple is to certain circumstances, the more exposure their adoption profile will get, making their wait time shorter.

In international adoption, wait times also vary and depend on country-specific issues. For example, adopting a child from China may take more than four years. (source: The Adoption Guide)


Both international adoption and domestic adoption have similar costs, which usually range around $25,000 to $50,000. However, there are additional costs unique to each type of adoption.

Here’s an example: couples adopting with the US don’t have to include the cost of a visa in their adoption budget, unlike those adopting overseas. Also, those adopting internationally need to be prepared to travel to the country they’re adopting from and stay there up to several weeks. They may be required to make multiple trips to the country as well. If you’re thinking about international adoption, fully research travel requirements for the countries you’d like to adopt from.

If you’re adopting within the US, you need to be prepared to travel to the birth mother’s state for the baby’s birth. After your baby is born, you’re required to remain in the birth mother’s state until ICPC approval has been granted. ICPC stands for the Interstate Compact on the Placement of Children, and it ensures that children placed into an adoptive family outside of their birth state get the right support services. In domestic infant adoption, odds are a birth mother won’t deliver in your state.

international-adoptionLegal Concerns

Hopeful adoptive parents seeking an international adoption should research the adoption process required by each country. Before the adoption is considered final, each country has its own set of legal mandates that must be met.

A common domestic adoption concern is the myth that the baby’s birth parents will come back years later and reclaim their child. Some believe that any future contact with the birth parents will result in the birth parents’ desire to withdraw their consent, even after the adoption is final. Since there’s usually no contact with the birth parents in international adoptions, so many are led to believe that many think international adoptions are “safer.”

The truth is, once an adoption is legally finalized in U.S. court, the adoptive couple is recognized as the child’s parents by law. Post-adoption revocations are incredibly rare, and usually because of unsafe legal practices. Most people hear of revocations in highly-sensationalized media portrayals of adoption, which show birth parents coming back for their child. It can seem reassuring to adopt from a far away country, but adoption horror stories make for good TV and are not reality.

Are There Children Available?

According to the National Council for Adoption, private domestic agency adoptions have been steadily rising. In 1982, there were 14,549 adoptions, and in 2007, that number increased to 20,254.

As domestic adoptions continue to grow, international adoptions have undoubtedly been declining during the past several years. For example, in China, there were 7,903 adoptions in 2005. That number went down to 1,905 in 2017.

The age of the child you adopt depends on the type of adoption you pursue. Typically, a domestic adoption will result in the adoption of a newborn or infant. Depending on the country, children in international adoptions range in age from infant to teenager.

Medical History

The availability of medical history of the child and their birth parents is one of the major differences between domestic adoption and international adoption.

The medical records of children adopted overseas are usually minimal if they’re available at all. Birth family medical history, such as any possible prenatal exposure to alcohol or drugs, is often unavailable as well. The effects of exposure are usually not recognized until after the child is placed with an adoptive family.

It’s also important to note that those adopting a child internationally should be prepared for attachment disorders. If the child wasn’t provided regular care by a familiar person, which is often the case with orphanages, he or she might have a hard time forming a secure attachment with the adoptive parents.

In domestic adoption, the adoptive couple is usually provided the medical history of the baby and his or her birth parents. At Lifetime, we give the adoptive family the birth mother’s medical information so they can look everything over before they match. The adoptive family can accept or deny the match based on the information in her medical history.

With a domestic adoption through Lifetime, you can choose the circumstances you’re comfortable with. For example, if an adoptive couple isn’t comfortable adopting a child who was exposed to alcohol in the womb, they won’t be considered for those situations.

Domestic Adoption or International Adoption?

If you’re questioning whether private domestic adoption or international adoption is best for your family, there is a wealth of information available online. We suggest that you do thorough research and investigate several domestic adoption agencies and international adoption agencies so that you can make the best decision for your family.

To learn more about domestic infant adoption with Lifetime Adoption and what separates us from others, call us at
1-800-923-6784 today!


Mardie Caldwell, C.O.A.P.
Written by Mardie Caldwell, C.O.A.P.

Founder of Lifetime Adoption, adoptive mom, adoption expert, and Certified Open Adoption Practitioner (C.O.A.P).

Since 1986, adoption expert Mardie Caldwell has been dedicated to bringing couples and birth parents together in order to fulfill their dreams.

“Many years ago, I was also searching for a child to adopt. We didn’t know where or how to get started. Through research, determination, and a prayer, our dream of a family became reality. I started with a plan, a notebook, assistance from a caring adoption consultant and a lot of hard work; this was my family I was building. We had a few heartaches along the way, but the pain of not having children was worse!

Within weeks we had three different birth mothers choose us. We were overwhelmed and delighted. Many unsettling events would take place before our adoption would be finalized, many months later. Little did I know that God was training and aligning me for the adoption work I now do today. It is my goal to share with our families the methods and plans which succeed and do not succeed. I believe adoption should be affordable and can be a wonderful “pregnancy” for the adoptive couple.

I have also been on both sides of infertility with the loss of seven pregnancies and then conceiving by new technology, giving birth to a healthy daughter. I have experienced first-hand the emotional pain of infertility and believe my experience allows me to serve your needs better.

It is my hope that for you, the prospective parents, your desire for a child will be fulfilled soon.”

Read More About Mardie Caldwell

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