Effects of adoption on the birth mother

Effects of adoption on the birth mother include stigma and other psychological effects a woman experiences when she places her child for adoption.
Psychological effects.
The decision to relinquish birth rights of a child is a heavy burden on the psychological makeup of a birth mother. She may feel a sense of loss for someone who is still alive or mourns the loss of her mothering role and may mourn for who her child may have become as her son or daughter. These feelings may resurface in later years, perhaps on the child’s birthday or other important milestone in the child’s life. Reports show that a birth mother feels grief when she has more children because this evokes the memory of the child she gave up. If she is faced with future infertility, she may believe it is a form of “punishment” for relinquishing her parenting rights over a child. 
Many birth mothers continue to mourn the loss of their child but with varying intensity.
Stages of grief.
It is not until a mother actually places her child for adoption that she experiences what Julie Axelrod believes is similar to the five stages of grief: denial, anger, bargaining, depression, and acceptance. Inspired by Elisabeth Kübler-Ross’s "On Death and Dying", the author attempts to show how those who have experienced the death of a loved one may be psychologically similar to a birth mother who has placed her child for adoption.
The following occurs in each stage:
Denial.
The overwhelming emotions that a mother feels making her feel numb to the situation. In this stage, reality has not set in.
Anger.
This emotion is a manifestation of reality, the understanding of how devastating an impact the mother's decision has made on her and her understandable vulnerability. This may cause the mother to lash out to those closest to her.
Bargaining.
The mother begins to rethink the decision she has made. She feels the need to regain control of her emotional state by attempting to bargain with a religious or psychological figure to get rid of her sense of guilt.
Acceptance.
There is no real timetable as to when or if a mother will ever be able to accept her decision, but at this stage, she begins to feel at peace with her decision. She still struggles with the reality of the adoption but understands and truly believes that she was acting for the child's well-being.
Identity issues.
Placing a child for adoption may also prompt identity issues in birth mothers. They may feel a desire to establish who the child will be in their lives and what role they will play in their lives. Birth mothers in open or mediated adoptions may be presented with more identity issues as they interact with the adoptive family. Placing a child for adoption does not mean a birth mother will never be able to contact the child. Adoption can include some communication between the birth mother and adoptive family. Both parties need to decide the level of openness for the adoption.
Forming relationships post adoption.
Some birth mothers may have difficulty forming and maintaining relationships post an adoption. This could be because of persisting feelings of loss and guilt, or due to the fear of becoming pregnant again and repeating the process. Some birth mothers may try to replace the loss quickly by beginning a new relationship, or giving birth again—without dealing with the grief of the adoption. For some birth mothers, the capacity to establish a successful long-term relationship may be conditional on the openness with which they can relate their past experiences of the adoption to their partner. The eventual acceptance of this loss does not mean that a birth mother has forgotten the child, but instead means that she has integrated the loss into her life.
Exploitation of birth mothers.
In underdeveloped nations, international adoption is commonly treated as a business where women and children are a commodity. This violates several standards and guidelines given by the United Nations. In many cases, reports from Argentina, Brazil, El Salvador, Guatemala, Honduras, Thailand, and other nations indicate that children have been placed for adoption after being purchased, indentured, or abducted from the birth mother. In one instance in Colombia, children were bought for $600 and sold for $10,000 with the use of illegal and falsified papers. In Honduras, it was found that to remedy inadequate prenatal care, many merchants pay teenage girls to get pregnant and monitor them to make sure they eat well and receive some kind of care. After the baby is born, $50 is paid to the birth mother in exchange for the healthy baby. While foreign adoptions provide several countries with much needed foreign currency, the exploitation of birth mothers raises several ethical and human rights issues. The lack of information on the circumstances involving the conception, birth, and the placement of a child poses a dilemma for women adopting internationally who have pro-choice views and yet quite possibly adopt from women who have little to no choice.
Typically these systems involve persons with the language and literacy skills, resources, and social positions to interact with first-world adoption agencies and prospective adoptive parents. These persons send out scouts or recruiters to target and take advantage of poor families and mothers. Birth mothers are often induced with false promises of money, continued contact with their child after adoption, or even immigration to a first-world nation. In instances such as this, many legitimate, licensed agencies in recipient countries such as the United States, Canada, and Europe, adopt through these illegal channels without their knowledge, thus contributing to the flow of funds and the illegal undertakings of child trafficking and the exploitation of birth mothers. 