Information about our book "How To Survive Your Teen's Pregnancy: Advice for the Parents of a Christian Pregnant Single"

Topics in our book include:

  • -Hearing the shocking news
  • -The importance of first words
  • -Supporting my daughter as she makes decisions
  • -First steps to take
  • -The pregnancy resource center
  • -The doctor appointment
  • -Where will we be in a year?
  • -Restoring sexual integrity
  • -Completing school
  • -Trying to hide
  • -How will my church respond?
  • -Where is God in all of this?
  • -Talking with my husband
  • -Who is the pregnant single mother?
  • -What is my daughter feeling?
  • -Where does the baby's father belong in all this?
  • -Forgiving the baby's father
  • -Forgiving the young man's parents
  • -Sharing with family and friends
  • -Forgiving myself
  • -Forgiving my daughter
  • -Forgiving unkind acquaintances
  • -Beauty from ashes
  • -Should they marry?
  • -Teen marriage success
  • -The importance of a father
  • -Should she parent alone?
  • -Should we adopt the baby?
  • -Should she make an adoption plan?
  • -Our hope for the next five years
  • -Childcare responsibilities
  • -The baby is born
  • -Dedication service
  • -Single moms and church
  • -Parental authority over a minor
  • -Parental rights regarding abortion
  • -Discussion and decision checklist
Listen Online!
Hear author Linda Perry on "Beyond the Bandaide with Joyce Zounis" which aired on NPRL.net in May 2008. Listen & watch now by clicking here

Pregnant? Need help? Call OptionLine.

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Tuesday, October 14, 2008

Most teen pregnancies caused by adult men

In the news article linked to in the title of the post, there is a quote that says "Half of the time, a teen pregnancy does not even involve two teens close in age. The National Campaign to Prevent Teen and Unplanned Pregnancy estimates 52 percent of the fathers are three years or more older than the moms; and about two-thirds of the fathers are age 20 and over."

The statistic which says that "about two-thirds [66%] of the fathers are age 20 and over" includes 19-year old girls who are pregnant by 20 year old (and older) men. It also includes very young teens who are pregnant by men who are not teens themselves.

The other statistic above says that 52% of the time, a teen girl is pregnant by a male at least 3 years older than herself.

The article continues with an example, "In Illinois, the largest group of fathers involved in fathering a child with a teenage mother were between the ages of 20 and 24 -- that age group accounted for 48 percent of teen births during 2006, the latest year available. Only 10 percent of the fathers were under age 18."

Is an age difference of three years or more a big deal? For teens it definitely is:
"The older the partner, the greater the risk for abuse. One in five American teen girls has had sex with a sexual partner who is three or more years older, according to a report released in April by Child Trends, an independent research center that focuses on children and families. Even if the relationship is consensual, there is a significant power difference that puts the man in a controlling role. The risk of unplanned pregnancy and sexually transmitted disease increases significantly with older partners because they are less likely to use condoms, the report said."

If your teen daughter is pregnant by a male three or more years older than her, you may decide to talk to a lawyer about the statuatory rape laws for your state. Are your other children dating people that are too old or too young for them (a three year age difference or more)? If so, consider intervening in that relationship. And talk to all your teens about dating and sex. We posted previously about how you can talk to your kids to help them avoid teen pregnancy.

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Tuesday, August 19, 2008

"Is Marriage In Our Future?"

The topic of marriage has been on the minds of some of our readers recently, with queries such as "should pregnant christian people get married?", and "when daughter does not have blessing of marriage", among others. There is no single answer that fits all situations. Choosing to marry the baby's father is a decision that should be made with careful consideration, prayer, and outside counseling.

Family & Consumer Sciences at Michigan State University Extension created a free program called "Caring for My Family." One of the lessons in this program is called "Is Marriage In Our Future?". Consider printing out this lesson and discussing it with your pregnant daughter and her baby's father. Help your daughter and the baby's father to get outside counseling about their relationship and its future. Some of the main points from this lesson are as follows.

The lesson first lists a few facts about marriage:
"In 2000, 58% of all men and 54% of all women over the age of 15 were married. For people age 35 through 44, 69% of men and 71% of women were married. In 2000, 8.3% of all men and 10.2% of all women over age 15 were divorced."

"Many people have studied the effects of marriage on people and society. These experts found that people who are married:
• Are healthier, in general
• Live longer
• Tend to have more money and more financial security


They also found that children who live with their married parents:
• Get more education
• Have better marriages when they grow up
• Feel better about themselves and their lives

But healthy marriages are important. People with marital problems tend to be:
• More depressed
• Get sick more often
• Have children who get sick more often
• Have children who are not well adjusted

And if people divorce, their health suffers. For example:
• Divorced adults have a greater chance of dying earlier
• Children whose parents divorce live an average of four years less"


The lesson makes a good point that not everyone is a good candidate for marriage. You should not automatically get married just because you are pregnant. If your partner is abusive, you should get help to get away from them, not marry them. The lesson suggests these "yellow flags" as areas to get counseling about when considering a potential marriage partner:

Yellow Flags About Marriage:


  • If your partner is often very depressed, unsure of himself or herself, and very anxious.

  • If either of you ask over and over again, “Are you sure you love me? Do you really care about me?”

  • If you spend most of your time together arguing and disagreeing.

  • If your partner overreacts to simple problems or situations.

  • If you keep thinking, “Things will be better when we get married.”

  • If your partners wants to make all the important decisions and you resent it.

  • If you are feeling pressure to get married but don’t want to.

  • If you spend a day alone with your partner (not watching television), and you find you can’t stand it.

  • If your partner does things you cannot stand but you are afraid to tell him or her because he or she will get mad.
The lesson also suggests a few "red flags" and encourages you not to marry a person with these challenges until they have been resolved:

"Red Flags"

  • If your partner is an addict and not in recovery.

  • If your partner physically or verbally abuses you or your children.

  • If your partner is very controlling and you are fearful of him.

  • If your partner demands that you drop all your friends and not see your family.

  • If your partner gets angry easily and can’t control his or her temper.

  • If your partner takes money that is needed to buy food and other necessities.

With your daughter, each of you write out a list of the positive traits a good marriage partner should have, and a list of the negative traits they should not have. Compare your lists. Then discuss how your daughter matches these lists and how the baby's father matches these lists. No one is perfect and each person will have a mix of positive and negative marriage traits. Try to be realistic and thorough.

The lesson suggests some questions to ask yourself:
• Do you believe that your future husband or wife will change if you get married? The facts show that most of us do not change very much or very quickly.
• Do you believe that you will be different when you get married? Do you hope that getting married will give you a fresh start and you can leave your problems behind? Most of us bring “baggage” with us into our marriages. If we had unhappy childhoods or don’t get along well with our parents, we will carry these problems into our marriage.
• Do you struggle with depression, anxiety, anger, being overly sensitive to criticism, or having frequent mood swings? Get help with these problems before getting married. Work on building your relationship with your own parents.
• Are you closing your eyes to your own or your partner’s faults? Most of us tend to not see our partner’s faults before we get married. Then after we are married we notice every fault.

Finally, the lesson suggests a three things that help make a marriage more successful:
"1) A marriage lasts when couples are able to solve the disagreements and conflict that are a part of every relationship.
2) A marriage must have at least five positive moments for every negative moment between the couple. In other words acts of kindness need to outweigh criticism and other negative behavior by a ratio of five to one.
3) But it is not a matter of just being nice. Instead, it is learning to calm oneself, to listen and respond nondefensively, and to stick together even when the going gets rough.
So, a healthy marriage involves more than marrying the “right person.” It also involves learning to manage conflict, to talk to each other and to stay committed during the tough times. It means becoming friends."

You may find it helpful to read the following chapters in our book "How To Survive Your Teen's Pregnancy": "Should they marry?", "Teen marriage success", "Should she parent alone?", "Where does the baby's father belong in all this?", "The importance of a father", and "Single moms and church".

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Thursday, August 7, 2008

Younger age at first intercourse may signal past abuse

Why do teens get pregnant? Some of them are the victims of sexual abuse. Some teens are pregnant directly by their abuser, and some are pregnant because of self-defeating behaviors that are a result of coping with abuse.

Sexually abused girls may initiate intercourse earlier than their peers and engage in a wide variety of high-risk behaviors, including substance abuse. The average age of first intercourse for abused girls is 13.8, in contrast to the national average of 16.2. If your daughter is pregnant or has been sexually active at an age lower than the national average, ask her if she has experienced sexual abuse.


How does child abuse affect teenage pregnancy and promiscuity? These statistics are from the Darkness to Light organization:

  • Children who have been victims of sexual abuse exhibit long-term and more frequent behavioral problems, particularly inappropriate sexual behaviors.
  • Women who report childhood rape are 3 times more likely to become pregnant before age 18.
  • An estimated 60% of teen first pregnancies are preceded by experiences of molestation, rape, or attempted rape. The average age of their offenders is 27 years.
  • Victims of child sexual abuse are more likely to be sexually promiscuous.
  • More than 75% of teenage prostitutes have been sexually abused.

Talk to all your daughters about these statistics, and ask them to tell you about any abuse they have recieved. If your daughter has been abused, get her medical assistance, counseling, and talk to authorities about reporting the abuse.

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Friday, July 25, 2008

Non-voluntary Sexual Intercourse

According to the Fertility, Family Planning, and Reproductive Health of U.S. Women: Data from the 2002 National Survey of Family Growth. (PHS) 2006-1977. 174 pp.

In 2002, 8% of sexually experienced women 18–44 years of age reported that their first sexual intercourse was not voluntary.

+ Younger age at first sexual intercourse was associated with higher reporting of nonvoluntary first intercourse. 20% of women who first had intercourse before 15 years of age reported their first intercourse as not voluntary compared with 4% of women who first had intercourse at 20 years or over. This relationship between earlier first intercourse and higher reporting of nonvoluntary first intercourse is seen across Hispanic origin and race groups.

Nearly 23% of women aged 18–44 in 2002 had been forced to have intercourse at some time in their lives, about the same as seen in 1995.
+ About 5% of women were first forced to have intercourse at ages younger than 15 years; another 6% were first forced at ages 15–17 years and 4% at ages 18–19 years.
+ Women who were not living with both parents at age 14 were more likely to have experienced forced sexual intercourse at some time (31%) than women who lived with both parents (20%).

Talk to your daughter about these statistics. How old was she when she first had intercourse? Did she participate willingly? If not, make sure she gets counseling to heal this emotional wound, and medical care to check for STDs and any physical damage. If your pregnant daughter currently plans to be a single mother, brainstorm with her about ways that she can increase the protection of her child.


+ Of the women who reported that their FIRST sexual intercourse was not voluntary, 19% reported that they had been ‘‘pressured into it by his words or actions, but without threats of harm,’’ and this was the most common type of force.
+ The other types of force asked about, for example: 9% had been given alcohol or drugs, 8% reported ‘‘yes’’ to the item ‘‘Did what he said because he was bigger or grownup, and you were young,’’ 5% had been ‘‘physically held down,’’ and 3% had been ‘‘physically hurt or injured.’’

Talk with all your children about how they could try to get out of situations where they are being pressured to have sex by their partner's words or actions. What should they say? What should they do? Who should they later talk to about what happened?

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Thursday, July 10, 2008

"Seven Steps to Forgiveness" by R.T. Kendall

The following is a summary/outline of the points made by guest R.T. Kendall on the Focus On The Family radio program "Finding True Forgiveness."

Seven Steps to Forgiveness

  1. Do not let anyone know what someone said about, or did to you.
  2. Do not allow anyone to be afraid of you or intimidated by you.
  3. Allow them to forgive themselves and not feel guilty.
  4. Let them save face.
  5. Protect them from their darkest secret and greatest fear.
  6. It is a lifelong commitment.
  7. Pray for them to be blessed.

What Forgiveness is Not

  1. Approval of what they did.
  2. Excusing what they did.
  3. Justifying what they did.
  4. Pardoning what they did.
  5. Reconciliation.
  6. Denying what they did.
There may be a lot of people you need to forgive when your single daughter is pregnant. You may need to forgive your daughter, the baby's father, his family, your friends and family for the way they react, yourself, and others.

How can we apply these steps to forgiveness to a Christian daughter who is single and pregnant?

1. "Do not let anyone know what someone said about, or did to you." Okay, pregnancy is going to be obvious at some point, and this sentiment is not a support of abortion. To apply this one, let's instead focus on perhaps not complaining to everyone about how much your daughter embarrassed you, hurt you, angered you, or shamed you. How about not complaining to everyone about your daughter's character, or the character of the baby's father? If you really need to vent your frustrations, pick a mature, trustworthy person such as a counselor or pastor who will not gossip about what you share.

2. "Do not allow anyone to be afraid of you or intimidated by you." Is your anger at your daughter a scary thing? Was she afraid to tell you she was pregnant because she guessed your reaction would be intimidating? Do you need to apologize to her for the way you've acted since discovering her pregnancy?

3. "Allow them to forgive themselves and not feel guilty." Your daughter may feel guilty about her sexual activity. If she willingly participated, this guilt could be the Holy Spirit prompting her that she has sinned and needs to confess. Once she has repented and asked forgiveness, guilty feelings may be unhealthy (meaning that they are no longer pointing out the need for confession). Corrie ten Boom used to talk about God's forgiveness by saying that He placed our sins at the bottom of the ocean and then put up a buoy with a sign that says "No Fishing." If your daughter has repented, don't keep bringing up her sin. Don't fish. Leave it alone.

4. "Let them save face." Ask your daughter what this would mean to her. Does it mean that she wants to tell people about the pregnancy instead of you doing it? Or does it mean she wants you to tell people instead of her doing it? Does it mean she would like to live with a relative during the pregnancy? What would 'saving face' mean to her in this situation? Are any of her ideas for this realistic possibilities? If they are possible, pray and talk about making them happen.

5. "Protect them from their darkest secret and greatest fear." Talk with your daughter about this. What is her greatest fear about being single and pregnant? What is her darkest secret about this pregnancy? Brainstorm together about what kind of protection can be offered. For example, if she is in an abusive relationship is she afraid for her safety and the safety of her baby?

6. "It is a lifelong commitment." Forgiving your daughter for a particular thing may take a lifetime of upkeep on your part. You may have unforgiving thoughts and feelings resurface that you must choose to deal with again. You may have to repeatedly choose not to "fish" around and bring up her past sins that you say you have forgiven. Perhaps she will make the same mistake again in the future and you will have to choose whether or not to berate her for her past mistakes again.

7. "Pray for them to be blessed." When you are in the midst of anger and pain, this kind of prayer can seem impossible. You may not feel like your daughter deserves blessing because of the things she has chosen to do. You certainly do not have to pray that her sin be blessed, because sin cannot be blessed. However, the consequences of sin can prompt someone to repent and turn their life around. This in itself may be a blessing to the person whose life is changed. Repentance and a changed life can open the door to other blessings, and that is hopefully something you can pray for your daughter to receive.

Forgiving your pregnant single daughter does not mean you must approve of her willing participation in sexual activity outside of marriage. You can love your daughter and hate her actions. Forgiving your daughter does not mean you must excuse her willing participation in sexual activity outside of marriage. Forgiving your pregnant single daughter does not mean you must pardon her willing actions: there may be consequences she needs to face, possibly even punishments depending on the situation. Forgiving your pregnant single daughter does not mean you must reconcile your relationship with her. For reconciliation to occur, you both have to be trustworthy people. You can forgive her even if she is not yet trustworthy for a relationship.

For more about forgiveness when your single daughter is pregnant, read the chapters in our book ("How To Survive Your Teen's Pregnancy") titled "Forgiving the Baby's Father," "Forgiving The Young Man's Parents," "Forgiving Myself," "Forgiving My Daughter," and "Forgiving Unkind Acquaintances."

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Wednesday, July 9, 2008

Teen Dating Abuse

A recent article on CNN.com, "Survey reveals abuse in teen relationships" summarizes a survey showing that teens and preteens endure a significant level of abuse in their dating relationships, and that most parents are unaware of the abuse. Go here on loveisrespect.orgto see a PDF with more details and more study results.

  • "69% percent of teens who had sex by age 14 reported some type of abuse in a relationship, with slightly more than one-third saying they had been physically abused."

  • About "10% of the teenagers surveyed said they had had sex by age 14, while 20 percent said they had sex between the ages of 15 and 16."

  • Nearly 50% of 11-14 year olds say they have been in a dating relationship. When did these very young people start dating? These dating relationships began at age 10 or younger for 9% of those surveyed, at age 11-12 for 28% of respondants, at age 13-14 for 35% of respondants, at age 15-16 for 25% of those surveyed, and after the age of 16 for 3% of those surveyed.

  • "20% of 13- or 14-year-olds in relationships say they know friends and peers who have been "struck in anger" by a boyfriend or girlfriend. 62% have friends who have been called stupid, worthless or ugly by their dates."

  • "About 51% say they are aware of the warning signs of hurtful dating relationship."

  • "54% said they would know what to do if a friend came to them for help."

  • "Data reveals that early sexual activity appears to fuel dating violence and abuse among teenagers."

  • More than 25% of tweens (age 11-14) AND parents say that sexual activity is a part of tween dating relationships. However, parents do not believe their own tween has engaged in these behaviors. 70% of parents who say they haven't talked to their tween about relationships say it is because their child is too young. However, take a look at the sexual activities tweens are engaging in:

    • 70% of tweens and 56% of parents say that kissing is a part of a tween (aged 11-14)dating relationship.

    • 49% of tweens and 39% of parents say that "making out" is a part of a tween (aged 11-14) dating relationship.

    • 37% of tweens and 31% of parents say that touching & "feeling up" is a part of a tween (aged 11-14) dating relationship.

    • 27% of tweens and 26% of parents say that oral sex is a part of a tween (aged 11-14) dating relationship.

    • 28% of tweens and 26% of parents say that sexual intercourse is a part of a tween (aged 11-14) dating relationship.

  • Among 11-14 year olds who have been in a dating relationship,
    • 62% say they know friends who have been verbally abused (called names, put down, or insulted, whether in person or over a cellphone, instant message, or social networking site) by a boyfriend/girlfriend. Among teens who had sex by age 14, 61% had been been abused verbally by their partner. Among teens who had sex at age 15 or 16, 47% had been abused verbally by their partner. Among teens who had sex after age 16, 36% had been abused verbally by their partner.

    • 36% say they know friends who have been pressured by a boyfriend/girlfriend to do things they didn't want to do.

    • 16% say they know friends who have been hurt (kicked, hit, slapped or punched) by an angry partner . Among all teens who had sex by age 14, 69% report experiencing one or more types of relationship abuse. 34% of these tweens say they were physically abused by an angry partner (hit, kicked, or choked). Among all teens who had sex at age 15 or 16, 20% report experiencing physical abuse by their angry partner. Among all teens who had sex after age 16, 9% report experiencing physical abuse by their angry partner.

    • 15% say they know friends who have been pressured into having sex when they didn't want to. Among teens who had sex by age 14, 34% said they had been pressured into sex when they didn't want to. Among teens who had sex at age 15 or 16, 22% said they had been pressured into sex. Among teens who had sex after age 16, 15% said they had been pressured into sex when they didn't want to.

    • 13% say they know friends who have been pressured into having oral sex when they didn't want to. Among teens who had sex by age 14, 36% said they had been pressured into having oral sex when they didn't want to. Among teens who had sex at age 15 or 16, 20% had been pressured into oral sex. Among teens who had sex after age 16, 15% had been pressured into having oral sex.

  • Being controlled by their dating partner is also reported.
    • 36% of teens report their partner wanted to know where they were all the time. 37% of teens report their partner wanted to know who they were with all the time. Among teens who had sex by age 14 (tweens), 58% report their partner wanted to know where they were, and 59% said their partner wanted to know who they were with all the time.

    • Other controlling behaviors included being told what to do, being pressured to do things they didn't want to to, the partner tried to prevent them from spending time with family and other friends, and the partner asked them to spend time only with him/her.

    • 23% of tweens know someone their own age who has had a partner threaten to spread rumors if they didn't do as they were told by the partner.

    • 29% of tweens know a peer who had a partner call to check up on them more than 10 times per day.

    • 24% of tweens know a peer who had a partner who texted to check up on them more than 20 times per day.

    • 18% of tweens know a peer who had a partner who called/texted to check up on them between the hours of midnight and 5am.

    • 9% of tweens know a peer who had a partner who shared private or embarassing pictures of them.

    • 8% of tweens know a peer who had a parter who made them afraid to not respond to a call/email/text message.


There is a LOT to talk about here!
  • What is your definition of dating? What is your daughter's definition of dating?
  • When does your daughter say she began dating? When did you think she began dating?
  • What does your daughter think is abuse in a relationship? What do you think abuse is?
  • What does your duaghter think are signs of power and control in a relationship? What do you think?
  • Does your daughter know someone in her age group who has been abused in a dating relationship?
  • Has your daughter been abused in a dating relationship? Is she currently being abused?
  • What sexual activity does your daughter think is appropriate in a dating relationship at her age? What are your thoughts?
  • Does your daughter know someone in her age group who has been pressured to do something they didn't want to do by a dating partner?
  • Has your daughter been pressured by a dating partner to do something she didn't want to do? Is she currently being pressured?
  • Does your daughter know a peer who has been pressured into having oral sex or sex when they didn't want to?
  • Has your daughter been pressured into having oral sex or sex when she didn't want to? Is she currently being pressured?
  • Does your daughter know a peer who has been controlled by a partner?
  • Has your daughter been controlled by a dating partner? Is she currently being controlled?

Brainstorm with your daughter about ways that she can spot an abusive relationship. What should she do, who should she talk to?

If your daughter has been abused, or is being abused, get her the medical attention and counseling she needs.

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Monday, July 7, 2008

Abusive Relationships

An article on ScienceDaily.com, "Teen Girls Report Abusive Boyfriends Try To Get Them Pregnant" summarizes a study "based on interviews with 61 girls from a variety of racial and ethnic backgrounds with a known history of intimate partner violence living in the poorest neighborhoods in Boston. The analysis included 53 girls between the ages of 15 and 20 who reported being sexually active and involved in relationships that included recurring patterns of physical, sexual or emotional abuse from a male partner. Twenty-six percent of these girls reported that their partners were actively trying to get them pregnant by manipulating condom use, sabotaging birth control use and making explicit statements about wanting them to become pregnant."

Talk to your daughter about the study mentioned above.
  • Has her partner ever hit, pushed, shoved, or otherwise physically hurt her?
  • Has her partner ever threatened physical violence against her?
  • Has her partner ever sexually abused her?
  • Has her partner told her he is trying to get her pregnant?
  • Has her partner emotionally abused her? For example, by calling her names or humiliating her in front of others?
  • Does your daughter need help escaping from this relationship?

If your daughter's partner is abusive, discuss with her what steps you both can take to improve her physical safety. Should a restraining order be sought against the partner? Also help your daughter get the counseling she needs so that she can address the mental wounds she has received and heal so that she does not find herself in another abusive relationship.

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Monday, June 30, 2008

The Secret Life of the American Teenager

This article on USAToday.com gives an overview of the upcoming new show "The Secret Life of the American Teenager". This could be a golden opportunity to talk about tough issues with your entire family.

Teenager, which Hampton calls "7th Heaven with sex," opens with Amy (Shailene
Woodley), a smart but vulnerable high school student, discovering she is pregnant after a first-time tryst at band camp. Her story opens the door to numerous character relationships involving students and their families. "It's a lot of people, but that means there's a lot of stories to pick and choose from," Hampton says. Amy would not have her baby until after the 10-episode first season, if Teenager is renewed. Ringwald, the '80s teen-movie queen (The Breakfast Club, Pretty in Pink) who plays Amy's mother, says her role illustrates the variety of stories. "One of the reasons my character, who is pretty intelligent and fairly liberal, doesn't pick up on something in front of her is that she's focused on the demise of her marriage." In addition to marital problems and unplanned pregnancy, Teenager will explore other tough topics, such as a student who tries to deal with childhood sexual abuse. Some teens will be sexually active; a main character is a Christian committed to abstinence.
Hampton says Teenager will handle sex "in a very clean way," although some topics may be too much for preteens. The show is "a love story, but also a very long and interesting cautionary tale." Teenager can deal with those topics and still fit the network's family-friendly approach, Lee says. "We're going to tell it in an optimistic, relatable way, and we're going to be responsible about it. Our story lines are going to resolve in a way that makes it quite clear what's the right thing to do." Many of Teenager's topics, including pregnancy, aren't that different from the days of Ringwald's earlier films, says the actress, who played a pregnant teen in For Keeps?. Some parents "are still really unwilling to talk about sex frankly with their kids," she says. "It's so much better to talk about it with your kids, and I hope this show opens that dialogue. It really is perfect for ABC Family."

Consider watching this with your family and using it as an opening for discussion. The article above says the show will "resolve in a way that makes it quite clear what's the right thing to do." See if your family agrees.

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Wednesday, June 18, 2008

Fathers: Anti-Drugs, and Protectors

When talking about pregnancy in the teen and college population we often focus solely on the pregnant young mother, neglecting the father. So let's spend this week looking at fathers a little bit, and think and talk about how the baby's father impacts your daughter, her child, and your family.

The National Fatherhood Initiative reports the following statistics:

Father Factor in Drug and Alcohol Abuse

- Researchers at Columbia University found that children living in two-parent household with a poor relationship with their father are 68% more likely to smoke, drink, or use drugs compared to all teens in two-parent households. Teens in single mother households are at a 30% higher risk than those in two-parent households.
Source: “Survey Links Teen Drug Use, Relationship With Father.” Alcoholism & Drug Abuse Weekly 6 September 1999: 5.

- In a study of 6,500 children from the ADDHEALTH database, father closeness was negatively correlated with the number of a child’s friends who smoke, drink, and smoke marijuana. Closeness was also correlated with a child’s use of alcohol, cigarettes, and hard drugs and was connected to family structure. Intact families ranked higher on father closeness than single-parent families.
Source: National Fatherhood Initiative. “Family Structure, Father Closeness, & Drug Abuse.” Gaithersburg, MD: National Fatherhood Initiative, 2004: 20-22.

- Of the 228 students studied, those from single-parent families reported higher rates of drinking and smoking as well as higher scores on delinquency and aggression tests when compared to boys from two-parent households.
Source: Griffin, Kenneth W., Gilbert J. Botvin, Lawrence M. Scheier, Tracy Diaz and Nicole L. Miller. “Parenting Practices as Predictors of Substance Use, Delinquency, and Aggression Among Urban Minority Youth: Moderating Effects of Family Structure and Gender.” Psychology of Addictive Behaviors 14 (June 2000): 174-184.

Father Factor in Child Abuse

- Compared to living with both parents, living in a single-parent home doubles the risk that a child will suffer physical, emotional, or educational neglect.
Source: America’s Children: Key National Indicators of Well-Being. Table SPECIAL1. Washington, D.C.: Federal Interagency Forum on Child and Family Statistics, 1997.

- The overall rate of child abuse and neglect in single-parent households is 27.3 children per 1,000, whereas the rate of overall maltreatment in two-parent households is 15.5 per 1,000.
Source: America’s Children: Key National Indicators of Well-Being. Table SPECIAL1. Washington, D.C.: Federal Interagency Forum on Child and Family Statistics, 1997.

- An analysis of child abuse cases in a nationally representative sample of 42 counties found that children from single-parent families are more likely to be victims of physical and sexual abuse than children who live with both biological parents. Compared to their peers living with both parents, children in single parent homes had:
- a 77% greater risk of being physically abused
- an 87% greater risk of being harmed by physical neglect
- a 165% greater risk of experiencing notable physical neglect
- a 74% greater risk of suffering from emotional neglect
- an 80% greater risk of suffering serious injury as a result of abuse
- overall, a 120% greater risk of being endangered by some type of child abuse.

Source: Sedlak, Andrea J. and Diane D. Broadhurst. The Third National Incidence Study of Child Abuse and Neglect: Final Report. U.S. Department of Health and Human Services. National Center on Child Abuse and Neglect. Washington, D.C., September 1996.


Our book "How To Survive Your Teen's Pregnancy: Practical Advice for the Parents of a Pregnant Christian Single" has several chapters about the father of your daughter's baby: "Where Does The Baby's Father Belong In All This?", "Forgiving The Baby's Father", "Forgiving The Young Man's Parents", and "The Importance Of A Father." You may find this book helpful as you and your daughter make decisions and plans.

Talk with your daughter about the issues revealed in the statistics above.
  • Ask your daughter if she has smoked, drank alcohol or used drugs in the past. Is she using these substances now that she is pregnant? Were these substances related to her sexual activity? How many of her friends smoke, drink, and smoke marijuana?
  • Ask your daughter if she feels she has suffered physical, emotional, or educational neglect.
  • What are her dreams for her child? What kind of home environment does she want for her child?
  • What plans can your daughter make to provide for her child's physical safety? The child's emotional safety?
  • What plans can your daughter make to be actively involved in her child's life, to avoid neglect?
  • What about the baby's father: How will he help provide for the child's safety and the meeting of the child's needs?
  • If the baby's father will not be actively involved in raising her child, who will provide a father figure? Which man will help safeguard the child's physical and emotional safety?
As you and your daughter talk about an involved father for her child, try to determine who will play this role. It may be the child's father. If the child's father will not be involved for whatever reason, who in your current family could play this crucial role? If no one is available or acceptable, spend some time considering an adoption plan where the child would have the advantages of a father as the child grows.

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Wednesday, June 11, 2008

Benefits of Delaying Sexual Debut - Executive Summary

Obviously if your daughter is pregnant, she has engaged in sexual activity (whether she desired to be or not). But past sexual activity does not mean she has to continue to be sexually active. She can choose sexual integrity for her future actions. Sexual integrity encompasses much more than abstaining from sex outside of marriage. Sexual integrity also includes being faithful to her future spouse inside of marriage (both physically and mentally), staying away from things that can damage her sexuality and self-worth (like pornography, internet flirting, phone sex, internet sex, etc.), and practicing self control so that she is able to be pure at times when her future husband is sick or deployed or on business travel. Here is a recent press release (from the Institute for Youth Development) and Executive Summary of a review of medical literature reporting results from studies which show the benefits of waiting for sex until marriage.

Scientific Evidence Supports Sexual Abstinence as the Best Choice for Prevention

Review Emphasizes the Benefits of Delaying Sexual Debut for Youth

Washington, DC (May 30, 2008) With all of the sexually permissive messages aimed at today’s adolescents from the mass media, America’s parents have made it clear that they desire a strong abstinence message for their children’s reproductive health education. “When scientific evidence continues to reveal that sexual abstinence provides youth with the best physical, psychological, social, and financial health, it’s hard to disagree with the vast majority of parents,” said Shepherd Smith, President of the Institute for Youth Development. “Research shows us when teenagers delay sexual initiation they have better life outcomes. From academic achievement to healthy relationships, the data is clear: Abstinence is the best choice for youth.”

Christopher Doyle, Behavioral Research Analyst with the Institute for Youth Development and author of the Benefits of Delaying Sexual Debut, presents a compelling argument in this comprehensive review of scientific and medical research. “It presents a convincing argument for postponing sex, while encompassing some of the theories that have not received enough attention in the abstinence community, such as adolescent brain development and its consequences for decision making, society’s inconsistent messages on sexuality and how it affects teens’ behavior, the research behind self-control, and the importance of healthy relationships for successful marriage and well-being,” said Smith. “This comprehensive overview will undoubtedly benefit all those who work in the field of youth development.”

Here is the Executive Summary.
Today’s adolescents have an array of challenges before them that previous generations never faced. Fifty years ago, there were only a handful of STIs; today, sexually active teens are at risk for acquiring over two dozen. At the same time, the age at first marriage has steadily risen by 20-25 percent, cohabitations have increased 6.5 times, and sex before wedlock has become the norm, not the exception. If that’s not enough, combine the 24 hour media circus with a billion dollar internet pornography industry, Victoria’s Secret at every shopping mall, and Hollywood’s sex-saturated messages broadcast in your living room, and you have a sex-on-demand culture being digested by our children every day.

As this review of literature shows, the range of benefits that postponing sex offers young people is scientifically proven, but in order for adolescents to embrace this message, these concepts need to be communicated effectively and often within public education. Surveys indicate that parents desire an abstinence message for their children; however, U.S. culture is simply not reinforcing this value, making it difficult for youth to understand the reasons why they should wait for sex. Thus, educational strategies should focus on the following conclusions that can be drawn from the benefits of delaying sexual debut.

Premarital sex has a negative impact on the physical health of adolescents, and typically hurts girls more than boys. Although sexually active young men are at risk to acquire STIs, females (especially younger girls) are more vulnerable to these infections because of their biological makeup. Girls are also more likely to suffer physical abuse in sexual relationships, and research indicates that adolescent females have a higher probability of contracting an STI when their romantic partner is substantially older. Typically, girls do not report using condoms as consistently as boys; and neither gender’s brain is developed enough to make reasoned, future- oriented decisions about contraception. Girls also tend to pay a much higher price than boys when it comes to teenage pregnancy, as they are often left to carry and raise the child on their own.

Some of these physical consequences may also play a role in the psychological health outcomes of sexually active youth. For example, adolescent girls who are abandoned by their boyfriend after learning of a pregnancy may become depressed with the prospect of raising a child alone. Women also tend to make more of an emotional investment in romantic relationships, which could lead them down the path of seeking love through sex; this in turn may result in the vicious cycle of repetition/compulsion. On the other hand, boys typically suffer psychological symptoms only when combining sexual activity with other high risk behaviors, such as drug and alcohol use; and both genders are more likely to think about and commit suicide if they have initiated sex, especially those at a young age. However, if young people wait to have sex until marriage, they avoid these risks, and stand to benefit from the social and financial advantages that abstinence offers.

One of the best social outcomes that results from abstinence is the occurrence of healthy relationships. When adolescents choose to wait, they avoid premarital sexual bonds with other partners. This in turn makes them far less likely to get involved in cohabitations, which is a major risk factor for future marital infidelity and divorce. Healthy marriages also benefit the well-being of each spouse (especially men), and provide a nurturing environment for children.

Another social benefit that stems from abstinence is increased financial stability. When adolescents avoid childbearing outside of marriage, they are able to focus their attention on educational pursuits and future careers, without having to sacrifice the time and money that a family demands. Although research has not demonstrated a clear causal relationship between early sex and delinquency, many studies show that when teenagers abstain, they are less likely to get enmeshed in a problem behavior syndrome that includes poor academic performance, substance use, and other risk behaviors. It may very well be that abstinence acts as a protective barrier, insulating teenagers from an array of harmful behaviors that have the potential to create future problems.

Although the data is not clear for every single outcome, research does demonstrate that delaying sexual debut has a significant impact on the physical, psychological, financial, and social health of young people. Parents and policy makers alike should continue to embrace abstinence as a primary message for sexual education, develop strategies based upon the existing data, while building upon new research that continues to evolve in adolescent sexual health.
--End of Executive Summary--

Read the entire review of literature HERE. (PDF file, Adobe Acrobat Reader required). I urge you to read this literature review and talk to your children about the research:
  • Has your daughter suffered physical abuse at the hands of her romantic partners?
  • Has your daughter been abandoned by the baby's father? If so, does the thought of raising her child alone make her feel depressed?
  • How much of an emotional investment does she feel she makes in her romantic relationships? Does she feel she could be seeking love through sex?
  • Has she combined sexual activity with other high risk behaviors, such as drug and alcohol use?
  • Was she the person who initiated sex? How old was she at her first sexual encounter? Has she felt guilt about her sexual activity? Has she thought about suicide?
  • What are her hopes and dreams about marriage?
  • Does she feel she has emotional bonds to her sexual partners? If so, what impact does she imagine that will have on her future marriage?
  • What are her thoughts and feelings about cohabitation, which is a major risk factor for future marital infidelity and divorce?

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Friday, May 30, 2008

A Generation at Risk

How Teens Are Coerced and Manipulated Into Abortion

by Amy Sobie & David C. Reardon

Editor's Note: The following article is excerpted from the Jan.-March 2000 issue of The Post-Abortion Review.

Gaylene was 14 when she became pregnant. Too embarrassed to go directly to her parents, she turned to her high school guidance counselor for advice. She writes:

[The school counselor] was sympathetic and understanding. He felt there was no need to worry my family. He also explained about having a child, how tough it would be on me and that I wouldn’t be able to do what I wanted to do. He said that the child would suffer because I was much too young to be a parent. He pointed out that the best thing for me to do was to abort the fetus at this stage so no one would be hurt. No mention was made of talking to my parents about this or carrying the baby to term. He indicated that adoption would be difficult and not an option for me.

. . . I felt as though I had no control over what was happening to me. I started to question what I was doing, but in my logic I’d refer back to what the counselor had told me, and then I would think he was right. But still today, I feel like I did not decide to have the abortion.1

Gaylene’s traumatic reaction to her abortion experience included suicide attempts, alcoholism, drugs, crime, involvement in a cult and a major break with her family.

Sadly, Gaylene’s story is not unique. For teens, the possibility of developing psychological and emotional problems after abortion is substantially higher than for more mature women.2 One reason that teenagers are more vulnerable is because their psychological defense mechanisms are not fully developed. Their emotional immaturity leaves them more susceptible to events and circumstances that can profoundly damage their view of the world, other people, and themselves. Consequently, abortion can be especially harmful for teens because this major, traumatic experience occurs at a critical time in the development of their self-identity.3

Researchers have found that teenagers who have abortions face a number of higher risks. For example, teens are more likely to feel pressured into abortion, to report being misinformed in pre-abortion counseling and to experience more severe psychological stress after abortion.4 They are also more likely to experience more intense feelings of guilt, depression and isolation after an abortion.5 In addition, while suicidal tendencies are higher for all women after abortion, teens are at an even greater risk for post-abortion suicide.6

Further, a study of teens with "unwanted" pregnancies found that teens who aborted were more likely to have subsequent trouble sleeping, to report using marijuana after abortion and to undergo treatment for psychological and emotional problems compared to those who carried to term.7

Deception and Misinformation


Many teens are simply not mature enough to understand the information they need to make such a life-impacting choice. As a result, in many cases they are not able to freely consent to an abortion.


Even some pro-abortion groups have acknowledged that teenagers need extra guidance when it comes to abortion. For example, a Planned Parenthood counseling guide stated that teenagers have few or limited problem solving skills; are more likely than adults to lack responsibility; are more vulnerable; are more anxious and distrustful; are lacking in knowledge; and have difficulty in communicating. As a result, “counselors need to be aware of and appreciate the fact that pregnancy counseling with teenagers can be very different from counseling adults . . . pregnancy counseling with teens is often a crisis situation.”8

Unfortunately, while Planned Parenthood counselors recognize the vulnerability of teens, they oppose laws that would give the parents of teens the opportunity to help them understand the risks of and alternatives to abortion. For counselors who seek to promote abortion as the best or even only solution, keeping teens away from loved ones who would counsel against abortion is an important part of maximizing their own influence.

This is why so many teens feel under such immense pressure to abort. Over and over, women who had abortion as teenagers use phrases like the following to explain how they ended up having an unwanted abortion.

My school counselor (Planned Parenthood counselor, teacher, pastor, boyfriend’s mom, etc.) told me that if I didn’t want my parents to find out, I would have to have an abortion . . .

My boyfriend threatened me if I didn’t abort.

Everyone told me I was too young to have a baby and that my only alternative was abortion.

Pressure to abort can also include coercion, emotional blackmail and violence from a sexual predator or even parents who want to make sure their daughter has an abortion.9

In addition, a secret abortion always disrupts family relationships. To protect their secret, teenagers must be constantly on the alert against any evidence or mood that may invite unwanted questions. They must hide feelings of depression, sadness, and even thoughts of suicide that might otherwise alert their parents to the problem. If they cannot repress these feelings, the source must remain hidden or their emotions transformed into anger and rebellion. This overarching need for secrecy accentuates their feelings of shame and will often lead to withdrawal from family intimacy and excursions into drugs, alcohol and destructive relationships.


Any of these problems can dramatically exacerbate normal family tensions. Kept in the dark, parents cannot know that their child is struggling to cope with his or her abortion experience. With no frame of reference for understanding their child’s disturbed behavior, parents are likely to become increasingly frustrated at being held at a distance. In turn, the parents’ frustrations are likely to fuel the distrust or rebellious nature of the teen because they “simply don’t understand” what he or she is going through.

Targeting Teens

Unfortunately school counselors, social workers and others in positions of authority can exert tremendous influence over a vulnerable teenager, steering and even coercing her into an unwanted abortion.


For example, William Hickey, a high school guidance counselor in Hatboro , Pennsylvania , was sued by the parents of a 16-year-old girl for circumventing the state’s parental consent law by arranging for the teen to have a secret abortion in New Jersey . The girl’s parents, Howard and Marie Carter, subsequently filed a lawsuit against Hickey and the Hatboro-Horsham school district, charging that Hickey pressured their daughter to have an abortion despite her expressed doubts and beliefs against abortion.

The Carters said that Hickey “engaged in a course of conduct which was inherently coercive, was intended to and did exert undue influence upon [a minor], and ensured that she refrain from discussing with her parents her pregnancy and whether to obtain an abortion.” They said that when their daughter told Hickey she had doubts about undergoing an abortion, he told her, “Someday you’ll look back on this and laugh.”

The lawsuit also stated that school officials refused to cooperate when asked to investigate the situation. Instead, the Carters say they were told that the school district “has deep pockets” to defend itself from a lawsuit. The case was eventually settled out of court.9

Other examples of manipulation and coercion abound. In 2002, a judge found Planned Parenthood negligent for failing to report the case of an abortion performed on a 13-year-old girl who was being sexually abused by her foster brother. The 23-year-old man took the girl to a Planned Parenthood abortion clinic in 1998, but Planned Parenthood did not notify authorities until the girl returned six months later for a second abortion. A lawsuit alleged that the girl was subjected to repeated abuse and a second abortion because Planned Parenthood failed to notify authorities of possible abuse when she had her first abortion. Her abuser was sentenced to five years in prison and lifetime probation.10

Conclusion

Unfortunately, there are few safeguards currently in place to protect teenagers from coerced abortions. As we pointed out in a previous issue, in states where parental consent is needed for an abortion, the judicial bypass system is seriously flawed.

Without a mechanism to provide for cross-examination of witnesses and the introduction of witnesses who would testify that the abortion is not in the girl’s best interests, how can judges make an informed decision? How can we be sure that the adults seeking permission for the young girl to abort without notifying her parents are not themselves manipulating or pressuring the girl to choose abortion?

In addition, as the Carter case discussed above demonstrates, even in states that require parental consent, it is all too easy for those pushing abortion to simply transport the girl across the state line. The Child Custody Protection Act would make it a federal crime for anyone except a parent or legal guardian to take a girl out of state for an abortion in order to avoid involvement in the situation by the girl’s parents.


Even this will only protect a few teens, however. Sadly, in many cases it is the parents who are pressuring or coercing their teenage daughters into abortion. Planned Parenthood, however, is remarkably silent regarding the problem of protecting teens from pressure or manipulation by parents who favor abortion. The only way to protect these teens is to pass laws that will make abortionists liable for failing to protect women, especially teens, from coerced abortions.

~~~

Originally published in The Post-Abortion Review 8(1) Winter 2000. Copyright 2000 Elliot Institute.

Citations

1. Reardon, D., Aborted Women, Silent No More ( Springfield , IL : Acorn Books, 2002) 37-38.
2. Rue, V. & Speckhard, A, “Post Abortion Trauma: Incidence & Diagnostic Considerations,” Medicine & Mind, 6: 57-75 (1991).
3. Deutsch, M., “Personality Factors, Self-Concept, and Family Variables Related to First Time and Repeat Abortion-Seeking Behavior in Adolescent Women.” Unpublished Doctoral Dissertation, Washington , D.C. : American University , 1982.
4. Franz, W. & Reardon, D., “Differential Impact of Abortion on Adolescents & Adults,” Adolescence, 27(105):162-172.
5. Biro, F., Wildey, L., Hillard, P., & Rauh, J., “Acute and Long-Term Consequences of Adolescents Who Choose Abortions,” Pediatric Annals, 15(10):667-672 (1986).
6. Mika Gissler, Elina Hemminki, Jouko Lonnqvist, "Suicides after pregnancy in Finland : 1987-94: register linkage study," British Medical Journal 313:14314, 1996; Campbell, N., Franco, K. & Jurs, S., “Abortion in Adolescence,” Adolescence, 23:813-823 (1988).
7. PK Coleman, “Resolution of Unwanted Pregnancy During Adolescence Through Abortion Versus Childbirth: Individual and Family Predictors and Psychological Consequences,” (2006).

8. Saltzman, L. & Policar, M., The Complete Guide to Pregnancy Testing and Counseling (Alameda, CA: Planned Parenthood, 1985) 113-114.

9. For more examples, see the book Giving Sorrow Words.
9. "Settlement announced in Pennsylvania Teen Abortion Case," press release from the American Center for Law & Justice, March 15, 2000.

10. "Planned Parenthood Found Negligent in Reporting Molested Teen's Abortion," Pro-Life Infonet, Dec. 26, 2002.

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Tuesday, May 27, 2008

Abusive Relationships

Based on the search keywords in our stat logs, many parents are searching the web for information about how to help your pregnant single daughter get out of an abusive relationship. You might have noticed warning signs about her relationship, such as:

  • unexplained bruises, broken bones, sprains, or marks

  • excessive guilt or shame for no apparent reason

  • secrecy or withdrawal from friends and family

  • avoidance of school or social events with excuses that don't seem to make any sense
First, talk with your daughter about what an abusive relationship is. Here's an article with info for teens in an abusive relationship, and an excerpt from that article:

Abuse can sometimes be mistaken for intense feelings of caring or concern. It can even seem flattering. Think of a friend whose boyfriend or girlfriend is insanely jealous: Maybe it seems like your friend's partner really cares about him or her. But actually, excessive jealousy and controlling behavior are not signs of affection at all. Love involves respect and trust; it doesn't mean constantly worrying about the possible end of the relationship.

Abuse can be physical, emotional, or sexual. Slapping, hitting, and kicking are forms of physical abuse that can occur in both romances and friendships. Emotional abuse (stuff like teasing, bullying, and humiliating others) can be difficult to recognize because it doesn't leave any visible scars. Threats, intimidation, putdowns, and betrayal are all harmful forms of emotional abuse that can really hurt — not just during the time it's happening, but long after too.

Ask your daughter is she is being slapped, hit or kicked. Ask her if she is being teased, bullied, or humiliated. Ask her if someone is threatening her or intimidating her, especially if there are threats that she will be harmed if she tries to leave the relationship. Ask her if the partner is trying to control her (what she wears, where she goes, who she talks to, etc.). Ask her if the person is making unwanted sexual advances, including saying things like "If you loved me, you would do ______."

Your daughter must first learn to realize that she is worthy of being treated with respect. She must learn to realize that the abuse is not her fault, that she does not deserve it. Listen to your daughter without judgement and ask her to explain the nature of her relationship. Affirm her that it takes courage to stop abuse and that she has your full support. Your daughter must learn to see that the relationship is dangerous for her. You will probably need a lot of patience in this process because many abused women are afraid to leave the relationship because of prior threats or because they are dependent on the abuser financially or emotionally. Is your daughter afraid that she will be judged by you (or friends or family) if she leaves this relationship? Is she afraid no one else can love her, so abuse is tolerable because of the positive moments? Help your daughter find the counseling she needs. Take her to the doctor for a physical examination, and to record any injuries. Together, seek counsel about her legal situation... should she press charges? Should she seek a restraining order?


For more information, look at the National Domestic Violence Hotline website, or call them at 1-800-799-SAFE (7233) available 24 hours a day. For teens, look at the National Teen Dating Abuse Helpline website, or call them at 866-331-9474.

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Wednesday, May 21, 2008

Baby Blues and Postpartum Depression

After your daughter gives birth, help her monitor her emotional state. As a parent yourself, you know how exhausting it is to be a new mother, and you know how your emotions swirl as your hormone levels change following childbirth.


The continuum of depressive disorders after delivery ranges from "baby blues" to PPD. Although "baby blues" is more prevalent, the symptoms of this disorder (baby blues), which occur within the first few weeks after delivery, are less severe and do not require treatment. PPD can occur up to a year after delivery, is more severe, and requires treatment by a physician. PPD has important consequences for the well-being of mothers and their children. For example, in a 2006 study, mothers who reported depressive symptoms were less likely to engage in practices to promote child development, such as playing with their infant. PPD also might also be associated with discontinuation of breastfeeding.

So educate yourself and your daughter about postpartum depression (PPD) so that you can get help if needed. Read this article about baby blues and postpartum depression for more information. Here's an excerpt:

What is the difference between “baby blues,”postpartum depression, and postpartum psychosis?

The baby blues can happen in the days right after childbirth and normally go away within a few days to a week. A new mother can have sudden mood swings, sadness, crying spells, loss of appetite, sleeping problems, and feel irritable, restless, anxious, and lonely. Symptoms are not severe and treatment isn’t needed. But there are things you can do to feel better. Nap when the baby does. Ask for help from your spouse, family members, and friends. Join a support group of new moms or talk with other moms.

Postpartum depression can happen anytime within the first year after childbirth. A woman may have a number of symptoms such as sadness, lack of energy, trouble concentrating, anxiety, and feelings of guilt and worthlessness. The difference between postpartum depression and the baby blues is that postpartum depression often affects a woman’s well-being and keeps her from functioning well for a longer period of time. Postpartum depression needs to be treated by a doctor. Counseling, support groups, and medicines are things that can help.


Postpartum psychosis is rare. It occurs in 1 or 2 out of every 1000 births and usually begins in the first 6 weeks postpartum. Women who have bipolar disorder or another psychiatric problem called schizoaffective disorder have a higher risk for developing postpartum psychosis. Symptoms may include delusions, hallucinations, sleep disturbances, and obsessive thoughts about the baby. A woman may have rapid mood swings, from depression to irritability to euphoria.



This CDC report in Jama for May 2008 discusses PPD. Here are some of the points made in the report:

  • Postpartum depression (PPD) affects 10%-15% of mothers within the first year after giving birth.
  • Younger mothers and those experiencing partner-related stress or physical abuse might be more likely to develop PPD.
  • Younger women, those with lower educational attainment, and women who received Medicaid benefits for their delivery were more likely to report postpartum depressive symptoms (PDS).
  • Possible risk factors for postpartum depressive symptoms included in the analysis were:

    • low infant birth weight
    • admission to a neonatal intensive-care unit (NICU)
    • number of previous live births
    • tobacco use during the last 3 months of pregnancy (Women who reported smoking one or more cigarettes on an average day)
    • physical abuse before or during pregnancy (were considered physically abused if they said that a current or former husband/partner had pushed, hit, slapped, kicked, choked, or physically hurt them in any way during the 12 months before or during the most recent pregnancy)
    • and experiencing emotional, financial, partner-related, or traumatic stress during the 12 months before delivery.


These are the questions asked in the survey for this report. The response choices were "always," "often," "sometimes," "rarely," and "never"; women who said "often" or "always" to either question were classified as experiencing self-reported postpartum depression symptoms. Discuss these with your daughter:

(1) "Since your new baby was born, how often have you felt down, depressed, or hopeless?"

(2) "Since your new baby was born, how often have you had little interest or little pleasure in doing things?"

Leave us a comment: What tips can you share about spotting the baby blues and postpartum depression? What steps have you taken that have helped cope with the baby blues or with postpartum depression?

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Thursday, May 15, 2008

Is your pregnant daughter safe?

News from Italy on May 14 tells of a 14-year-old possibly pregnant girl (autopsy not finished at time of this post) who was murdered by the three boys who might have been the father of the baby. The boy's were afraid she would tell people that one of them was the father. So they killed her.

Also 14-years-old, Chelsea Brooks of Kansas (9 months pregnant) was murdered by a hit man hired by the father of the baby. That trial will start soon.

This ABC News story from 2005 discusses "Why Pregnant Women Are Targeted", and cites two horrible statistics:

A study published in the March 2005 edition of the American Journal of Public Health found that homicide was a leading cause of death among pregnant women in the United States between 1991 and 1999.

A 2001 study published by the Journal of the American Medical Association said 20 percent of Maryland women who died during pregnancy were murdered. Researchers found the same trend in New York from 1987-1991 and in the Chicago area from 1986-1989. According to the CDC, approximately 324,000 pregnant women are hurt by an intimate partner or former partner each year.


Why do men kill their pregnant partners? "The usual reason when it involves a man is the [unborn] baby. The baby is causing a complication in his life," said Pat Brown, profiler and chief executive officer of The Pat Brown Criminal Profiling Agency."

Consider talking to the father of your daughter's baby (and his family, if possible). Does he see the baby as "obstacle to the life he wants to lead, a burden, a lifelong obligation of child support"? If so, consider your daughter's physical safety. The article mentions that if the baby's father is trying to control your daughter, that this is a warning sign to keep in mind. Another ABC News story adds to this line of thought:

Despite the various motives, experts say all these killings have a common denominator: a need for control. Pregnancy can make domineering husbands and
boyfriends feel like they are no longer powerful and in control, especially in abusive relationships. Murder is the ultimate demonstration of control. "What we find with men who are violent toward their intimate partner is that he feels that he's lost control or possession over her or her body," said Cates. "He feels that he is not getting the attention that he deserves. He often feels … that he's lost his place to the baby."


Other reasons the father's baby may try to hurt your daughter include:
  • He wants her to get an abortion, and she refuses
  • He wants to keep the pregnancy secret
  • He doesn't want to pay child support

Ask your daughter to be honest with you: Has her partner been abusing her verbally or physically? If so, get her the counseling and medical treatment she needs, and figure out what steps you need to take to keep her safe from the baby's father.

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