Get practical and ethical advice about what to expect when pre-adopters have been matched with expectant parents in an adoption plan, with a particular focus on what to expect at the hospital when a child is being placed for adoption. We will focus on how to manage the complex time when a child is born and the first/birth parent(s) are making the legal and emotional decision about whether to move forward with placing that child for adoption. The focus will be on how pre-adoptive parents can navigate their relationship with the first/birth parent(s) and the child while still in the hospital, including questions about when to arrive, medical choices, feeding choices, breast-feeding, and names. Utilize tools to begin talking with the expectant parents about a birth plan that includes sensitivity to the uncertainty that exists during the delivery and after the child is born. Understand the possible complexities that hospital staff and families are coping with while the decision is still being made (or re-made). How to create decisions and discuss, with the expectant parents and hospital staff, medical and feeding choices made for the baby. Navigate the legal complexities of the custody transfer and decision-making transfer from one set of parents to another when direct placement occurs.