LadyLizard has given you some great advice. I just wanted to add that one of the babies in our coffee group is adopted, and it is such a positive outcome. The adoptive parents are unable to have children of their own and are the most wonderful, loving people who will give this child a great life. They feel incredibly blessed to have been lucky enough to adopt her, and I was greatly saddened to hear that they are not going to go back on the adoption waiting list (even though they would love to extend their family) simply because they feel that would be *greedy* ... when there are so many other couples on the list waiting to adopt their first child.
What I'm trying to say, rather unsuccessfully
, is that if your sister does choose to adopt her child out (which must be the most heartbreaking decision) it isn't necessarily a bad outcome.