Roman Catholicism, Eastern Catholicism, Eastern Orthodoxy and Oriental Orthodoxy view confirmation as a sacrament. In the East it is conferred immediately after baptism. In the West, this practice is usually followed when adults are baptized, but in the case of infants not in danger of death it is administered, ordinarily by a bishop, only when the child reaches the age of reason or early adolescence. Among those Christians who practice teen-aged confirmation, the practice may be perceived, secondarily, as a "coming of age" rite.