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Confidentiality for Teens Considering Abortion: AAP Policy Explained

​​​​​As of January 2017, 37 states require that a minor seeking an abortion involve parents in the decision. In this time when so many policy decisions about abortion are being made, it's crucial that everyone understands the impact on adolescents. 

The American Academy of Pediatrics (AAP) respects the diversity of beliefs about abortion and encourages any teenager considering an abortion talk to a parent or trusted adult before making such a big decision. Most teens do this voluntarily.

The AAP believes laws requiring a parent's involvement in a teen's abortion are not effective, and may cause harm. And while there is a lot of disagreement and debate about these laws, there is one thing that all of us can agree on:

Abortion among teenagers should be made less necessary, not more difficult and dangerous.

That's why the AAP released an updated policy statement, "The Adolescent's Right to Confidential Care When Considering Abortion​," with all the latest research and information about this issue.

The AAP Believes Minors Should Be Encouraged, Not Required to Involve Parents in Decision to End Pregnancy

There is no law that can mandate healthy family communication. Laws requiring parental notice or consent actually may endanger the teens they intend to protect by increasing the possibility of:

  • Delayed access to medical care

  • Illegal and self-induced abortion

  • Family violence

  • Homelessness

  • Suicide

  • Riskier, later abortions

  • Unwanted childbirth

Teen pregnancy is 100% preventable. The AAP strongly supports health and sexuality education, abstinence, the use of birth control by sexually active teens, and the right to seek an abortion.

Mandating parental involvement does not solve the problems associated with teenage pregnancy. Along several other leading health professional organizations, the AAP believes a minor should be encouraged, but not required, to involve her parents in her decision to end a pregnancy. Current evidence shows that the harmful effects of parental consent and notification laws outweigh the benefits.

The AAP Believes Confidentiality for Teens Considering Abortion Protects their Health and Safety

Many young women are fortunate to have loving and supportive parents and these teens overwhelmingly include their parents in their reproductive health decisions. Teens who are willing to involve their parents in their abortion decision usually benefit from adult experience, wisdom, emotional support, and financial assistance (if the parents' health insurance policy covers pregnancy termination). However, pregnant teenagers also come from different backgrounds—some from dysfunctional or challenging homes—where they risk physical and emotional abuse when they tell their parents that they are pregnant or are terminating the pregnancy. 

According to multiple studies cited in the AAP's policy statement, adolescents who are strongly opposed to telling parents about their abortion plans tend to be correct about harmful family reactions.

In Hodgson v Minnesota, the majority of the U.S. Supreme Court agreed that mandatory parental involvement risks family upheaval and can be dangerous for minors in homes in which physical, emotional or sexual abuse occurs. Making matters worse, research on abusive and dysfunctional families shows that violence tends to escalate during a family member's pregnancy and as children go through adolescence.  

The AAP Believes Healthy Family Bonds Are Essential for Abortion Discussions

Teens are most likely to disclose a pregnancy to their parents if they have a history of good communication—one with warmth, understanding, and shared problem-solving.

Even when not required, most minors who seek an abortion voluntarily involve at least one parent in their decision. A review of parent involvement laws and parent-daughter communication showed that in states without parent involvement laws, 34% to 91% of minors told their parents about their plans to seek an abortion.

Teens who do not want to involve their parents in decisions about ending a pregnancy are urged to seek guidance and support from other trusted adults—those who may not be legal guardians but serve as parent figures. It is important to have a support system when making hard decisions—no matter what decision is made.

What Parents Can Do

Parents are encouraged to develop their listening, communicating, and nurturing skills as their child grows. Respecting and valuing your child's perspective increases the likelihood he or she will come to you when making adolescent decisions.

Additional Information & Resources:

Last Updated
Committee on Adolescence (Copyright © 2017 American Academy of Pediatrics)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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