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Help Pregnant Teens Know Their Options: AAP Policy Explained

​​​​Each year, more than a half-million U.S. girls in their teens or younger become pregnant. To help sort through the life-changing and emotional decisions they face, pregnant adolescents need straightforward information and judgement-free guidance and support.

For girls who find themselves dealing with the challenges of pregnancy, pediatricians and parents can be guideposts of knowledge, resources, and support.

In its policy statement, "Options Counseling for the Pregnant Adolescent Patient​," the American Academy of Pediatrics (AAP) explains how to help teens get prompt medical care and basic, accurate information about all their options—while respecting everyone's personal, spiritual, and cultural perspectives. These options usually include having and raising the baby, making plans for relatives or an adoptive family to raise the baby, or terminating the pregnancy.

When children have children...

Most teenagers who become pregnant decide to continue the pregnancy. It's important to connect them with early prenatal care and to encourage a healthy lifestyle—a well-balanced diet, daily exercise, and staying away from tobacco, alcohol, and drugs.

If the teen decides to have and raise the baby, she may need help identifying a strong support system. Teens and young girls who have babies can certainly achieve their personal life goals and raise healthy successful children, but often it will be considerably more challenging.  

Facts about teen parents:

  • Less than 40% of teenage girls who have a child before age 18 earn a high school diploma by age 22.

  • Nearly 2/3 of teenage mothers receive public assistance, and their chances of living in poverty increase as they enter adulthood. Most teen moms receive no child support from their child's father.

  • The challenges of teen parenting may last through generations. Children of teen mothers are more likely to perform poorly in school, repeat a grade, or drop out. The daughters of teen mothers are more likely to repeat the cycle and become teen mothers themselves.

Kinship care

In kinship care arrangements, which have become increasingly common in recent years, a grandparent or other relative serves as a parent to the infant. This may be through an informal, private arrangement or through child welfare systems, which vary by state.

Kinship care arrangements can give a teen an opportunity to be involved with raising his or her child, as well as the chance to take on responsibilities of parenthood in the future. Growing evidence also suggests that babies in kinship care arrangements fare better than those cared for by unrelated foster parents. However, kinship care arrangements face unique challenges.

If you are considering raising your grandchild, here are some things to keep in mind:

  • Most children living with relatives are in informal arrangements, and this creates a problem if the relatives do not have the authority to give legal consent for needed medical care, including immunizations and other non-emergency health services. Your pediatrician can help connect you with community legal resources to help you take steps to gain legal authority to help children get the medical care they need to stay healthy.

  • Older family caregivers who haven't parented an infant for several years may not be aware of changes to safety standards for sleep, car seats and injury prevention.

  • Raising an infant the second time around can be a deeply rewarding and invigorating experience. However, it's a good idea for older caregivers to have a plan in place for guardianship in the event they experience health declines.

Adoption

Adoption is another option for teens who want to have their baby but don't feel ready or able to become a parent. Over 2 million couples are currently waiting to adopt, love, and care for a baby in the U.S.—which translates into three dozen couples in line for every child placed for adoption.

The decision to place a baby with an adoptive family is legal and binding. However, most states do allow the birth mother anywhere from several days to several months after the child is born to change her mind. Information about adoption laws can be found on the Child Welfare Information Gateway, which is a service of the Children's Bureau in the U.S. Department of Health and Human Services. 

If your teen is considering adoption, here are some basic things to know:

The adoption process can take place through public or private channels and be closed or open.   

  • In public adoptions, the child is placed in a family by an agency operated or contracted by the state.

  • In private or independent adoptions, the birth parents may work with an attorney, physician, clergy member, or a licensed or unlicensed facilitator.

  • In closed adoptions, the names of the birth mother and the adoptive parents are kept secret from each other.

  • In open adoptions, the birth parent may choose to personally select the adoptive parents, meet with them, and even maintain an ongoing relationship. Open adoptions, research shows, may lessen feelings such as grief or guilt some birth parents who make an adoption plan for their child may experience.

Abortion

Because some pregnant teens will consider abortion, the AAP believes they should be offered accurate information free of judgment. The 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.

Teens who are willing to involve their parents in their abortion decision, as most are, usually benefit from adult experience, wisdom, emotional and financial support. Parental notification laws exist and vary from state to state. See Confidentiality for Teens Considering Abortion: AAP Policy Explained for more information.

If your teen is considering abortion:

  • Talk to your pediatrician about local laws affecting the pregnancy termination options and where to find trained and licensed providers. Medical and surgical abortions are safe when performed by licensed and experienced physicians.

  • Out-of-pocket costs for abortion services can be a barrier for pregnant teens and their families.  Lack of money can cause delays, which can lead to more complicated procedures further along in the pregnancy. Sources of financial assistance may be available in your community or state.

  • Use caution before speaking with a "pregnancy crisis center." Many of these offices have an agenda and may not offer accurate, non-judgmental counseling. For accurate information, it is best to talk with your pediatrician, or someone recommended by your provider. 

Remember, pregnant teens need access to all options available to them—not judg​ment.

Finding out they're pregnant is a sensitive and emotional time for a teen, her family, and her sexual partner. Whatever her decision—to become a parent, make an adoption or kinship care plan, or have an abortion—it will likely have life-changing consequences. Creating an accepting environment for a pregnant teen allows her to feel safe to explore her own feelings about the pregnancy and her future.

Additional Information & Resources:

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Last Updated
8/21/2017
Source
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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