Pregnancy in Adolescence: Important Tips for Parents

Pregnancy in adolescence is often a crisis for a young lady and her family, as well as the child's dad and his family. Common reactions include anger, guilt and denial. Your adolescent might also experience anxiety, fear, shock and depression. Talk to your teenager about what she's feeling and the choices ahead. She needs your love, guidance and support now more than ever.

A pregnant adolescent (along with her mom and dad, the father of the child and his mom and dad) has a variety of options to consider:

• Terminate the pregnancy. Some pregnant adolescents choose to end their pregnancies. If your teenager is considering abortion, discuss the risks and the emotional consequences. Keep in mind that some states require parental notification for a legal abortion.

• Give the child up for adoption. Some pregnant adolescents choose to give their child up for adoption. If your teenager is considering adoption, help her explore the different types of adoption available. Also discuss the emotional impact of giving a child up for adoption.

• Keep the child. Many pregnant adolescents keep their child. Some marry the child's dad and raise the child together. Others rely on family support to raise the child. Finishing school and getting a good job can be difficult for an adolescent parent, however. If your teenager is thinking about keeping the child, make sure she understands the challenges and responsibilities involved. In addition to talking to you, encourage your teenager to talk about the options with her health care provider or a specialist in pregnancy counseling. 

 

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Pregnant adolescents and their children are at higher risk of health problems than are pregnant females who are older. The most common complications for pregnant adolescents (especially those younger than age 15 and those who don't receive prenatal care) include a low level of iron in the blood (i.e., anemia) and preterm labor. Some research suggests that pregnant adolescents might be more likely to develop high blood pressure as well. Children born to adolescent moms are more likely to be born prematurely and have a low birth weight. A pregnant adolescent can improve her chances of having a healthy boy or girl by taking good care of herself. 

If your teenager decides to continue the pregnancy, encourage her to do the following:

• Avoid dangerous chemicals. Alcohol, tobacco, marijuana and other illicit drugs are off-limits during pregnancy. Even moderate alcohol use during pregnancy can harm a developing child. Smoking increases the risk of premature birth, problems with the placenta and low birth weight — and drugs your adolescent takes can pass from her to her child, sometimes with devastating effects. Even prescription and over-the-counter medications deserve caution. Remind your teenager to clear any medications or supplements with her health care provider ahead of time.

• Maintain a healthy diet. During pregnancy, your teenager will need more folic acid, calcium, iron, protein and other essential nutrients. A daily prenatal vitamin can help fill any gaps. In addition, your teenager might need extra calcium and phosphorus because her own bones are still growing.

• Gain weight sensibly. Gaining the right amount of weight can support the child's health — and make it easier for your adolescent to lose the extra pounds after delivery. A weight gain of 25 to 35 pounds is often recommended for females who have a healthy weight before pregnancy. Pregnant adolescents may need to gain more weight. Encourage your teenager to work with her health care provider to determine what's right for her.

• Get tested for infections. Sexually transmitted infections (e.g., gonorrhea, Chlamydia, syphilis) can increase the risk of miscarriage, premature birth, low birth weight, birth defects and other pregnancy complications. If your adolescent has a sexually transmitted infection, treatment is critical.

• Get prenatal care. During pregnancy, regular prenatal visits can help your teenager's health care provider monitor her health and the child's health.

• Exercise. Regular physical activity can help ease or even prevent discomfort, boost your adolescent's energy level and improve her overall health. It also can help her prepare for labor and childbirth by increasing her stamina and muscle strength. Encourage your teenager to get her health care provider's permission before starting or continuing an exercise program, especially if she has an underlying medical condition.

• Take child birth classes. These classes can help prepare your teenager for pregnancy, child birth, breast-feeding and being a parent. If your teenager lacks the finances or transportation needed to obtain prenatal care — or needs help continuing her education — a counselor or social worker might be able to help. 

 

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Pregnancy in adolescence often has a negative impact on an adolescent's future. Adolescent moms are less likely to graduate from high school and to attend college, are more likely to live in poverty, and are at risk of domestic violence. Adolescent dads tend to finish fewer years of school than do older dads. They're also less likely to earn a livable wage and hold a steady job. In addition, kids of adolescent mothers and fathers are more likely to have health and cognitive conditions and are more likely to be neglected or abused. Females born to adolescent moms and dads are more likely to experience teen pregnancy themselves.

If your teenager decides to continue the pregnancy, address these challenges head-on. Discuss her goals for the future and how she might go about achieving them as a mother. Look for special programs available to help pregnant adolescents remain in school or complete course work from home. Encourage your teenager to take parenting classes, and help her prepare to financially support and raise a youngster. Whatever choice your teenager makes, be there for her as much as possible. Your love and support will help her deal with pregnancy and the challenges ahead.

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Dealing with Difficult Teen Behavior: 40 Tips for Parents

Helping a teenager become a caring, independent and responsible grown-up is no small task. The teenage years can be a confusing “time of change” for adolescents and moms and dads alike. But while these years can be tough, there's plenty you can do to nurture your adolescent and encourage responsible behavior.

Use the following parenting skills to deal with the challenges of raising an adolescent:

1. As you allow your adolescent some degree of self-expression, remember that you can still maintain high expectations for your adolescent and the kind of person he or she will become.

2. As your adolescent demonstrates more responsibility, grant him or her more freedom. If your adolescent shows poor judgment, impose more restrictions.

3. Avoid disciplining your adolescent when you're angry.

4. Avoid reprimanding your adolescent in front of his or her friends.

5. Avoid setting rules your adolescent can't possibly follow. A chronically messy adolescent may not be able to maintain a spotless bedroom overnight.

6. Avoid ultimatums. Your adolescent may view an ultimatum as condescending and interpret it as a challenge.

7. Avoid using a sarcastic, demeaning or disrespectful tone.

8. Be consistent when you enforce limits. Whatever disciplinary technique you choose, relate the consequences to the broken rule and deliver them immediately.

9. Be prepared to explain your decisions. Your adolescent may be more likely to comply with a rule when he or she understands its purpose.

10. Be specific. Rather than telling your adolescent not to stay out late, set a specific curfew.

11. Before negotiating with your adolescent, consider how far you're willing to bend. Don't negotiate when it comes to restrictions imposed for your adolescent's safety (e.g., substance abuse, sexual activity, reckless driving, etc.).

12. Don't impose penalties you're not prepared to carry out.

13. Don't pressure your adolescent to be like you were or wish you had been at his or her age.

14. Encourage your adolescent to talk to other supportive adults (e.g., uncle, older cousin) for additional guidance.

15. Enforcing consequences can be tough — but your adolescent needs you to be his or her parent, not a pal. Being too lenient may send the message that you don't take your adolescent's behavior seriously, while being too harsh can cause resentment.

16. Focus on what you want your teenager to learn from a particular consequence - not whether or not he or she going to care.

17. Get to know the technology your adolescent is using and the websites he or she visits. If possible, keep the computer in a common area in your home. Remind your adolescent to practice basic safety rules (e.g., talk to a parent or trusted adult if an interaction or message makes you uncomfortable, don't text or chat on the phone while driving, don't share personal information online, don't share passwords, don't send anything in a message you wouldn't say face to face, don't plagiarize, don't get together with someone you meet online, and so on).

18. Give your adolescent some leeway when it comes to clothing and hairstyles. It's natural for adolescents to rebel and express themselves in ways that differ from their moms and dads.

19. Have plenty of time-outs (i.e., time away from your difficult teenager).

20. If your adolescent doesn't seem interested in bonding, keep trying.

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21. If your adolescent shows an interest in body art (e.g., tattoos, piercings), make sure he or she understands the health risks (e.g., skin infections, allergic reactions, hepatitis B and C). Also, talk about potential permanence or scarring.

22. Keep in mind that only reprimanding your adolescent and never giving him or her any justified praise can prove demoralizing. For every time you discipline or correct your adolescent, try to compliment him or her twice.

23. Keep your rules short and to the point.

24. Limit consequences to a few hours or days to make them most effective.

25. Listen to your adolescent when he or she talks.

26. Make sure you reprimand your adolescent's behavior, not the adolescent.

27. Make sure your adolescent knows early on that you won't tolerate tobacco, alcohol or other drug use.

28. Not sure if you're setting reasonable limits? Talk to your adolescent, other moms and dads and your adolescent's doctor. Whenever possible, give your adolescent a say in establishing the rules he or she is expected to follow.

29. On days when you're having trouble connecting with your adolescent, consider each doing your own thing in the same space. Being near each other could lead to the start of a conversation.

30. One of the most important parenting skills needed for raising healthy adolescents involves positive attention.

31. Punish only the guilty party, not other family members.

32. Put house-rules in writing. Use this technique to counter a selective memory.

33. Regularly eating meals together may be a good way to stay connected to your adolescent. Better yet, invite your adolescent to prepare the meal with you.

34. Remember, adolescents learn how to behave by watching their moms and dads. Your actions generally speak louder than your words. Set a positive example and your adolescent will likely follow your lead.

35. Respect your adolescent's feelings.

36. Spend time with your adolescent to remind him or her that you care.

37. To encourage your adolescent to behave well, identify what constitutes acceptable and unacceptable behavior at home, at school and elsewhere. As you establish appropriate rules, be sure to explain to your adolescent the behavior you expect as well as the consequences for complying and disobeying.

38. Use “active ignoring.” Tell your adolescent that you'll talk to him or her when the whining, sulking or yelling stops. Ignore your adolescent in the meantime.

39. When a consequence needs to be issued for misbehavior, ask the adolescent to suggest one. Your adolescent may have an easier time accepting a consequence if he or she played a role in deciding it.

40. While it's important to consistently enforce your rules, you can occasionally make exceptions when it comes to matters such as homework habits, TV watching and bedtime. Prioritizing rules will give you and your adolescent a chance to practice negotiating and compromising.

 

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