Informational Resources Book of Choices

Hawaii Pro-Choice Adoption Resources

Another way of handling an unplanned pregnancy is to choose adoption.  There are two types of adoption: open adoption and closed adoption.  In an open adoption, you and the adoptive family can maintain contact as the child grows, through picture, letters, email, phone calls and visits. In a closed or traditional adoption, the records will be sealed and you will not have contact with your child or the adoptive family. You can, however, enroll with a “Reunion and Information Registry” so that your child can find you when he or she turns 18.

If you think you might want to choose adoption, you should begin planning and working with a reputable adoption agency while you are pregnant. Many women do not realize that it is important to begin planning with an adoption resource before the birth. Women who have left their infants in the hospital are considered to have abandoned their babies. Unfortunately, when this happens, the newborn is often placed into foster care and it can take years to be adopted into a good family.

It is possible to plan an adoption after the baby is born by informing the hospital social worker that you are considering adoption. You can also find an adoption agency to handle all the arrangements of placing the newborn with a family and making you feel comfortable and respected. The agency may also assist you throughout your pregnancy, including arranging for prenatal care and even helping with housing and transportation. In the following section is a list of common misconceptions about adoption and the “Birth Parent Bill of Rights,” which was prepared as a public service by Spence-Chapin, a nonprofit, licensed child placement agency.

For more information about the adoption process in Hawai‘i, go to or

If you are considering adoption, you may be concerned about the medical expenses involved with continuing your pregnancy. You should know that the adoption agency you choose to work with can help by arranging financial assistance to cover this essential medical care. You may also be eligible for coverage under Medicaid’s Quest program.


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