Does your child have ADHD?

If you suspect that your youngster has ADHD, it might help to ask yourself some questions about his/her behavior. In fact, if you've talked with your doctor about your youngster's behavior, your doctor may have already asked you some of these questions:

1. Am I primarily angry with my youngster or am I primarily frustrated? It's normal for moms and dads to get irritated and even to get angry with their kids from time to time. Most moms and dads can sense when their kids misbehave on purpose. The hyperactivity of kids with ADHD is irritating, but moms and dads can sense that their youngster simply can't (as opposed to won't) sit still or quiet down. This is frustrating.

2. Can my youngster stick to activities, or is the house littered with a trail of unfinished games and projects? Kids with ADHD often lose interest in an activity in five minutes or less. They go from one activity to another. You may ask your youngster many times to clean up, but he/she will not even be able to focus long enough to do that!

3. Has disciplining my youngster worked? Moms and dads of ADHD kids usually have "tried everything" …from ignoring their youngster's misbehavior …to "time-outs" …to spanking – but nothing seems to work.

4. How long has my youngster been too active? Hyperactive ADHD kids have had problems with hyperactive, impulsive behavior since before age six. Mothers of ADHD kids sometimes even remember that their baby was hyperactive in the womb. Also, kids with ADHD are often described by their moms and dads as being fussy and difficult to quiet in infancy. Sustained restlessness, even when eating or at bedtime, is characteristic of these kids.

5. Is my youngster's restlessness and impulsivity a problem in several different settings? ADHD is less likely to be present if your youngster only shows behavioral problems at home, but not in other places (e.g., school, grocery store, etc.). ADHD problems often become worse in settings where there is more activity and noise.

6. My youngster can watch cartoons on television for a long time. Does this rule out ADHD? Kids with ADHD are often able to keep their attention on the fast-paced world of cartoons and video games. If your youngster's attention stays glued to the screen for programs such as cartoons, suspect ADHD. Often, such kids will keep their eyes on the screen, but will be constantly fidgeting their legs and arms.

7. When my youngster is misbehaving, is he off in a world of his own or is he looking over his shoulder to see if I'm watching him? Kids with ADHD can’t control at least some of their hyperactive, impulsive behavior. Suspect ADHD if your youngster appears "off in a world of his own" and does not respond to you when, for example, he is climbing on a table, jumping on the sofa or misbehaving in some other way. Kids who misbehave on purpose often will look over their shoulders to see how grown-ups react to their misbehavior. You can tell by the look on your youngster's face.

It might be hard for your doctor to tell if your youngster has ADHD, particularly if he is not hyperactive. For this reason, the doctor may want you and your youngster to see someone who has a great deal of experience working with ADD/ADHD (since there are many conditions that can look like ADD/ADHD). Many kids with ADHD aren't hyperactive, and those who are may not be hyperactive in the doctor's office. Information about your youngster's behavior needs to be collected from different people who know him/her, including your youngster's teachers or anyone else who is familiar with his/her behavior.

Kids with attention-deficit hyperactivity disorder, or ADHD, may have signs of hyperactive behavior, a lack of attention and difficulty concentrating.

Signs of hyperactive behavior:

• Always "on the go"

• Always playing too loudly

• Blurting out answers to questions in school

• Cutting in line or unable to wait for a turn in activities

• Fidgeting and restlessness, almost constantly

• Interrupting others

• Not sitting in the same seat for any length of time

• Running or climbing inappropriately

• Talking too much

Signs of a lack of attention:

• Appearing disorganized

• Appearing very distractible

• Being forgetful

• Being unable to plan ahead effectively

• Difficulty following instructions

• Frequently losing things needed for school or at home

• Not being able to focus attention on activities

• Not being able to pay attention to details

• Not seeming to listen to moms and dads or teachers

Most kids with ADHD show signs of both hyperactivity and attention problems. Some kids, though, may have only signs of inattention. They may have trouble concentrating and paying attention, but they may not show signs of hyperactivity. This kind of problem used to be called attention-deficit disorder (ADD). ADD is now thought of as a form of ADHD.

==> My Out-of-Control Teen: Help for Parents

Top 20 Parenting Mistakes When Raising Teens

The truth is this: parenting adolescents is just plain tough! In this post, we will discuss the “top 20 parenting mistakes” that are commonly made by moms and dads today – and what they can do to correct these parenting mistakes.

Top 20 Parenting Mistakes When Raising Teens

1. Parents are not always approachable. Take an interest in what your youngster is up to and make this a two-way conversation by sharing bits of your own day with him. Also, never interrogate a youngster about where he has been and what he has been up to. By making this a normal part of everyday life, your youngster will then feel relaxed and confident about approaching you when he has a problem or needs advice.

2. Parents assume that educating is someone else's responsibility. All too often it is assumed that it is the role of the schools to not simply teach your adolescent reading and writing, but also all about the dangers of drugs, drinking, pre-marital sex and anything else you care to mention. This is not the case! The responsibility for educating your kids rests firmly at your door and, while the schools can certainly be extremely helpful to you in fulfilling this role, it is still up to you to sit down with your kids and talk to them about drugs, drinking, sex and everything else they will need to equip them for adult life.

3. Parents assume that good grades mean that all is well. Many moms and dads make the mistake of assuming that if an adolescent is doing well at school, then everything must be fine. A bright kid may however have little difficulty maintaining good grades, and knowing that this will keep you off his back gives him the opportunity to go out drinking, experiment with drugs, or anything else he chooses. Good grades are nothing more than an indication that the student is making satisfactory progress academically.

4. Parents cushion their kids from feeling certain emotions. Life is an emotional roller-coaster, and kids need to learn to handle emotions. For example, if your youngster has done something wrong and perhaps hurt somebody else in the process, then he should feel guilty. Experiencing emotions such as guilt and learning how to deal with them and to overcome them is a healthy part of growing up.

5. Parents don’t choose their battles wisely. Adolescents will always want to do things that you do not agree with, but you do more harm than good if life becomes a constant battleground. If Michael wants to grow his hair long, then it's not the end of the world – and it can always be cut short again later. However, if Sarah wants to get a tattoo, which she is going to have to live with for the rest of her life, then this is probably a battle worth fighting.

6. Parents don’t give adolescents some room to explore. Adolescents need to learn to stand on their own two feet, and that means allowing them an increasing degree of independence as time goes on. This does not mean that you should not keep an eye on them and steer them in the right direction, but do not be too quick to jump in.

7. Parents don’t have a set of rules and a system of discipline. Moms and dads need to first come to agreement themselves on the rules for their adolescents and the appropriate punishment for breaking these rules so that they are both reading from the same page. Thereafter, teens should clearly know and understand the rules so that there is no surprise when they find themselves being disciplined for infringing them.

8. Parents don’t have a system for staying informed. Adolescents need to have a degree of freedom, but you also need to have the peace of mind of knowing where they are and that they are safe. It is important to set up some sort of system for them to keep in touch with you and to get into the habit of, for example, calling when they are out for the evening to let you know that all is well.

9. Parents don’t invite their kid's friends to the house. Most moms and dads will have experienced their adolescents spending time with friends that you don't approve of, but almost as many parents make this judgment without ever having actually met these peers. There is also more than a little truth in the old saying that you should keep your friends close and your enemies even closer.

10. Parents don’t talk to their kids about risks. Nowadays adolescents are surrounded by temptation, and this very often brings with it considerable risk so, whether it's drugs, drinking and driving, premarital sex or anything else, your kids need to have their eyes opened for them before they venture out alone.

11. Parents don’t teach their kids how to deal risk. Having opened an adolescent’s eyes to the risks of the modern world, it is important that you also equip them to deal with those risks. For example, if the only way to get home from a party appears to be to climb into a car with a drunken friend, then they need to know not only that this is a risk which they are not to take, but that they can call you whatever the time to come and pick them up.

12. Parents don't follow through with consequences. The majority of moms and dads do not have any problem with laying down a set of rules for their adolescents and coming up with suitable consequences, but all too many have difficulty when it comes to enforcing the rules or handing out consequences. Your adolescent needs to be given boundaries and, perhaps more importantly, he needs to know that there will be disciplinary measures imposed if he breeches these boundaries. You are not doing your adolescent any favors if you end up teaching him that rules don't really matter and that it is okay to simply break them whenever he feels like it.

13. Parents don't keep up with modern teen behavior. It's only natural for you to look at your adolescent's development and compare it to your own days as an adolescent. But adolescents today are very different, and the changes from one generation to the next can be frightening. Take some time to educate yourself about modern adolescent life not simply by talking regularly with your adolescent kids, but also by looking at teen magazines, television and of course the internet. Some things will be seen as positive developments and others as negative but, whatever the changes, it is important to understand that this is the world in which your adolescents and their peers are growing up.

14. Parents expect only positive results. All too often we expect our kids to be well behaved and to achieve good grades in school and so do not praise good behavior or good results. At the same time we are all too quick to jump in and react to bad behavior or poor results. Kids do of course need to be disciplined for bad behavior and poor grades (assuming that their poor grades are the result of their own laziness), but they also need to be given praise for good results.

15. Parents forget that they are role models. Kids learn more by example than in any other fashion and your words and, more importantly, your actions will be extremely influential for your youngster's development.

16. Parents give in too quickly. Adolescents are very good when it comes to getting what they want and can be extremely creative when it comes to working out how to get you to say 'yes'. They will also rarely take 'no' for an answer first time out and will keep on you until they get their way. Let your adolescents play this game as it is part of the learning process, but hold your ground and be consistent. At the end of the day if the answer needs to be 'no' – then don't back down.

17. Parents ignore the need for family time. Because we all lead busy lives these days, it is often difficult to fit everything in and one of the first things to go is often family time. Setting aside some time every day for the family to eat together and to talk is essential to provide your kids with the opportunity to get advice, encouragement and feedback from you and for you to see whether everything is well or if there are problems looming on the horizon. Even if you cannot spare a great deal of time, 20 or 30 minutes sitting down to an evening meal as a family can be invaluable.

18. Parents ignore the obvious. When your adolescent suddenly starts doing such things as sleeping in, missing classes and missing curfew, you might be tempted to simply write it off as normal adolescent behavior. But could there be more to it than that? You don't want to over-react, but don't under-react either. If there is a problem now is the time to root it out. So, don't bury your head in the sand and wait for things to blow up in your face.

19. Parents lecture rather than discuss. If the adolescent is going to develop into a responsible grown-up who is capable of making decisions, then you need to teach him just how to go about making decisions. All too often it is easier to simply tell an adolescent what to do (and what not to do) rather than to take the time to sit down and discuss the options, pointing out the pros and cons, and showing them how to choose the right path. Not only does this not help your adolescent to develop the skills he needs, but it also often leads to unnecessary confrontation.

20. Parents set unreasonable goals. An important part of an adolescent's development is learning to set goals and then constructing a plan to achieve them. This means that you also need to set goals for your adolescent and teach and encourage him to meet them. However, if you set goals that are unrealistic, then you are simply setting your adolescent up to fail. Thus, be reasonable in your expectations.

==> My Out-of-Control Teen: Help for Parents

How To Get Your Child To Stop Cursing

My 13-year-old is picking-up on some terrible language. He has started dropping the “F” bomb on a frequent basis. Do you have any suggestions on how I can stop this cussing before it gets any worse?

Is your child starting to use some shocking words? And have your attempts to get it stopped angered your child – and made a bad problem worse? Then we need to talk...

Cussing is almost a developmentally normal behavior for kids during middle childhood and early adolescence. For these children, swearing is often a sign of being worldly (i.e., wise and unafraid to be a little "bad"). Profanity is used to impress peers and can become a part of peer-relationships. Quite frequently, younger kids do not know the meanings of the words they are using, but they will say them anyway simply because they have heard others use them.

Fortunately, cursing seems to lose its attraction as kids become more mature. Until then, however, children often delight in shocking their moms and dads with the swear words they have learned away from home. (Note: moms and dads who swear in the home are teaching their kids to do the same and should not be surprised when their children copy their behavior.)

Clearly, there is a smaller group of "defiant" kids who swear. In addition to cursing, they have many other difficulties, personally and socially. These children may be more prone to swear and rage at other people (a completely different situation than using a few swears words during times of frustration). Profanity directed at another person should never be tolerated.

Because some cuss words are more problematic than others, it is necessary to sort language into 3 categories: acceptable, unacceptable, and inappropriate.

1. Acceptable language is what we read in a magazine or hear in a news broadcast. It is a formal or conventional level of speech that we hope our kids will eventually learn and use.
2. Unacceptable language is that which must be forbidden for legal reasons. Unacceptable language includes harassment, libel, threats, gender or racial discrimination, and obscenity.
3. Inappropriate language is the gray area between acceptable and unacceptable language. It is language that depends heavily on context, because different contexts pose different standards or restrictions on language and behavior. What constitutes appropriate speech on the playground may not be appropriate within the classroom.

Moms and dads should anticipate kid’s dirty language. Most normal kids will experiment with dirty words and dirty jokes in the course of growing up. They will also repeat powerful or offensive words that they hear grown-ups use. Kids may even make up unique words to use as insults. Kids enjoy using language in jokes, puns, and stories that grown-ups find "gross". Kids will freely make references to body products (e.g., poop), body processes (e.g., fart), and body parts (e.g., butthole). As kids mature, they become more aware of social and psychological aspects of human interaction, and their name calling will show their new awareness when you hear them using words such as weirdo, retard, fatty, jerk, and chicken.

School-age kids learn appropriateness when they are intellectually able to appreciate the impact of language on listeners and can empathize with them. Egocentric kids do not fully comprehend why words are offensive to listeners, but can be trained not to use offensive words. One might simply tell a 2- to 3-year-old not to use a word without much explanation. 5-year-olds, on the other hand, can be given an explanation for language restrictions. The 8-year-old is capable of empathy and is able to see that words can hurt others' feelings.

The first question to ask a youngster who has cussed is, "Why did you say that?" In other words, determine what caused the incident in the first place. Is the youngster seeking attention, bullying another youngster, or expressing anger? Was the youngster provoked by a peer or was the cursing more spontaneous? You also have to distinguish kids who have problems with language from kids who have emotional problems with anger or aggression (i.e., kids who use cursing as a general way to express anger).

Cursing is evoked by a small and predictable set of variables. Some kids are positively reinforced by siblings or moms and dads for cursing. Giving kids attention, such as laughing or asking them to repeat a dirty word, is enough to increase cursing behavior. One common source of cursing is exposure to inappropriate adult role models, either parental figures or grown-ups in the neighborhood. Popular culture in the form of television, movies, and music lyrics are also common sources of bad language. Kids who are allowed access to media without restrictions or supervision are likely to use bad language.

What a youngster hears at home or in the neighborhood may get repeated at school. In this case, cursing may reflect the youngster's home life. Similarly, teachers must address moms and dads' perceptions that bad speech at school reflects school life. Moms and dads who believe their kids are learning bad language from someone at school will usually complain. Both school and home speech contexts affect a youngster's vocabulary.

Many grown-ups have trouble with bad language from time to time. Unfortunately, some moms and dads have difficulty controlling their kid’s inappropriate language. Hearing racist, sexist, or offensive language may be a common experience for some kids.

Some kids may exhibit cursing as a symptom of underlying, severe psychological problems, such as child abuse or physiological disorders. Kids with psychological problems or uncontrollable anger outbursts may need special attention or counseling. Determining the cause of cursing is the first step in a comprehensive behavior modification process.

Here are some suggestions to help parents manage the problem of swearing:

1. Because young kids are little language vacuum cleaners ready to collect and repeat what they hear, parents and teachers should be careful to attend to their own language so that they are good role models. Don't be caught off guard. Don't overreact or laugh when kids cuss. What you do when a youngster sends out a "test" bad word may have a lasting impact on the youngster. When a youngster cusses intentionally or accidentally, be sure to act in the youngster's best interest. Work to establish a warm, positive relationship with him/her, so that he/she will seek you out for information and advice about words.

2. Control the physical environment and you control the behavior in it. Change factors which cause conflicts or disputes. Eliminate frustrating situations such as having too few toys to share. Remove frustrating furniture and barriers. Create areas that provide for smooth transitions between activities and eliminate confusion and arguments.

3. If you feel it is appropriate, establish a rule that "no swearing will take place in our home." Do not - under any circumstances - tolerate swearing that is aimed at someone in anger. If this occurs, a youngster may be sent immediately to his room for a timeout.

4. Minor swearing in frustration is almost a natural human behavior. Although perhaps inappropriate, it is commonplace in some families. If that is your own personal style, you will find it hard to teach your youngster something different.

5. On occasion, you may feel that your youngster is using profanity in an attempt to provoke a response from you. In these instances, ignoring him may be the most effective strategy.

6. Reinforce good language skills in the context of broader character building lessons which teach respect, reason, and responsibility. Kids should learn that calling a person a name is both hurtful and disrespectful. The particular word used is a secondary issue; the act of verbally abusing another person is the main problem. Kids must learn to take responsibility for the language they use. What you say can get you in trouble at home or at school. Kids need to learn that there is a cost to breaking language rules. On a practical level, kids need to learn to use reason or good judgment regarding when and where to use offensive language, knowing that some name calling or insults may lead to physical retaliation against the speaker. Using bad language might make other listeners perceive cursing as a sign that the speaker is uneducated or out of control. Teaching good language skills and building character when kids are young help prevent problems from developing later on.

7. Reward your youngster for expressing his frustration appropriately without swearing. Star charts and money are helpful approaches. For example, use a jar of quarters that he can earn at the end of two weeks. For each day that he doesn't swear during this time, two additional quarters will be placed in the jar; but each time he swears, quarters will be removed. Your youngster will catch on quickly.

8. Some kids play well alone but have difficulty suppressing name calling and bad language when playing with particular peers. When two kids consistently get into trouble together, separate them as much as possible during free play periods.

9. When your child swears, do not overreact with your own outbursts of rage and cursing. Also, washing a youngster's mouth out with soap is clearly improper, extreme and ineffective.

10. Your goal is to eliminate unacceptable language while at the same time increasing the use of acceptable language. Give rewards in the form of positive comments for kid’s good speech. Comments such as, "I like the way you say that" and "You used a good word today" are effective reinforcers. Remember that while praise works, over-praise does not.

Cussing has been around since the beginning of language, and there is no reason to believe that it will disappear on its own. What moms and dads can do is to understand the nature of cussing and how the total language environment influences kid’s use of cuss words -- and our reactions to it.

==> My Out-of-Control Teen: Help for Parents

Taming Toddler Tantrums

Sometimes it's tough to reel in a toddler in the middle of a tantrum, but it can be done. And setting rules and limits now — when your youngster is learning what behaviors are acceptable — will help prevent bigger tantrums down the road. Here are some ways to help you keep your child from having a meltdown:

1. By now, you've figured out that your toddler wants to explore and investigate the world. Toddlers are naturally curious, so it's wise to eliminate temptations whenever possible. That means items like TVs, phones, and video equipment should be kept out of reach, as well as choking hazards like jewelry, buttons, and small items that children can put in their mouths. And always keep cleaning supplies and medications stored safely away where children can't get to them.

2. If you need to take a harder line with your youngster, timeouts can be an effective form of discipline. A 2- or 3-year-old who has been hitting, biting, or throwing food, for example, should be told why the behavior is unacceptable and taken to a designated timeout area — a kitchen chair or bottom stair — for a minute or two to calm down. As a general rule, about 1 minute per year of age is a good guide for timeouts. Shorter timeouts can be effective, but longer ones have no added benefit and can sometimes undermine your efforts if your youngster gets up (and refuses to return) before you signal that the timeout has ended.

3. If your youngster throws a tantrum, keep your cool. Don't complicate the problem with your own frustration. Children can sense when moms and dads are becoming frazzled and this can just make their frustration worse. Try to understand where your youngster is coming from. For example, if your child has just had a great disappointment, you may need to provide comfort.

4. If your roving toddler does head toward an unacceptable or dangerous play object, calmly say "No" and either remove your youngster from the area or distract him or her with another activity. It's important to not spank, hit, or slap your youngster. At this age, children are unlikely to be able to make a connection between the behavior and physical punishment. The message you send when you spank is that it's OK to hit someone when you're angry. The American Academy of Pediatrics (AAP) discourages spanking, which is no more effective than other forms of discipline, such as timeouts.

5. Ignoring tantrums is one way to handle them — if the tantrum poses no threat to your youngster or others. Continue your activities, paying no attention to your youngster but remaining within sight. Children who are in danger of hurting themselves or others during a tantrum should be taken to a quiet, safe place to calm down.

6. Some children will have a hard time stopping a tantrum. In these cases, it might help to say, "I'll help you settle down now." But whatever you do, do not reward your toddler by giving into desires. This will only prove that tantrums are an effective tactic for getting what he or she wants. Instead, verbally praise your youngster for regaining self-control. As their language skills improve and they mature, children become better at handling frustration and tantrums are less likely.

7. When it comes to discipline, it's important to be consistent. Moms and dads who don't stick to the rules and consequences they set up don't have children who do either. For example, if you tell your toddler that a timeout is the repercussion for bad behavior, be sure to enforce it. Only issue warnings for things that you can follow through on. Empty threats undermine your authority. And don't forget that children learn by watching adults, particularly their moms and dads. So make sure your own behavior is role-model material. When asking your youngster to pick up toys, you'll make a much stronger impression if you've put away your own belongings rather than leaving your stuff strewn around the room.

8. Even the best-behaved toddler can have a tantrum from time to time. Tantrums are common during toddlerhood because children can understand more than they can express and this often leads to frustration when they can't communicate their needs. Toddlers get frustrated in other ways, too, like when they can't dress a doll or keep up with an older sibling. Power struggles can ensue when your toddler wants more independence and autonomy too soon. The best way to deal with tantrums is to avoid them in the first place, whenever possible. Here are some strategies that may help:

• Consider the request carefully when your youngster wants something. Is it outrageous? Maybe it isn't. Choose your battles; accommodate when you can.
• Give your toddler control over little things. This may fulfill the need for independence and ward off tantrums. Offer minor choices that you can live with, such as "Would you like an apple or banana with lunch?"
• Know your youngster's limits. If you know your toddler is tired, it's not the best time to go grocery shopping or try to squeeze in one more errand.
• Make sure your youngster isn't acting up simply to get attention. Try to establish a habit of catching your youngster being good ("time-in"), which means rewarding your little one with attention for positive behavior.
• When children are playing or trying to master a new task, offer age-appropriate toys and games. Also, start with something simple before moving on to more challenging tasks.

==> My Out-of-Control Child: Help for Parents

When Your Teenager Is Pregnant

If your adolescent is pregnant and planning to have the baby, many changes await your family. And though it's certainly not what most moms and dads expect, it happens every day – in fact, nearly 1 million teenage girls in the United States give birth every year.

If your adolescent is about to become a mother (or your son has fathered a child), it can be overwhelming for all of you. How can you support your youngster through the challenges that lie ahead?

If you have just learned that your adolescent is having a baby, you're probably experiencing a wide range of emotions, from shock and disappointment to grief and worry about the future.

Some moms and dads feel a sense of guilt, thinking that if only they'd done more to protect their youngster this wouldn't have happened. And although some parents are embarrassed by their adolescent's pregnancy and worried about how family, friends, and neighbors will react, others are happy about the news of a soon-to-be grandchild — especially if the adolescent is older and in a mature relationship.

Whatever feelings you're experiencing, this is likely to be a difficult time for your family. The important thing is that your adolescent needs you now more than ever. Being able to communicate with each other — especially when emotions are running high — is essential. Adolescents that carry a baby to term have special health concerns, and your adolescent will have a healthier pregnancy — emotionally and physically — if she knows she doesn't have to go it alone.

So what can you do as the mother or father of an adolescent having a baby? Recognize your feelings and work through them so that you can accept and support her. Does that mean you don't have the right to feel disappointed and even angry? No. Such reactions are common. You might have a strong flood of emotions to deal with, especially at first. But the reality of the upcoming baby means that you'll have to get beyond your initial feelings for the sake of your adolescent and her youngster.

If you need help coping with your feelings about the situation, talk to someone you trust or seek professional counseling. A neutral third party can be a great resource at a time like this.

Just a short time ago your adolescent's biggest concerns might have been hanging out with her friends and wondering what clothes to wear. Now she's dealing with morning sickness and scheduling prenatal visits. Her world has been turned upside down.

Most unmarried adolescents don't plan on becoming pregnant, and they're often terrified when it happens. Many, particularly younger adolescents, keep the news of their pregnancies secret because they fear the anger and disappointment of their moms and dads. Some might even deny to themselves that they are pregnant — which makes it even more important for moms and dads to step in and find medical care for their adolescent as early in the pregnancy as possible. Younger adolescents' pregnancies, in particular, are considered high risk because their bodies haven't finished growing and are not yet fully mature.

Adolescent boys who are going to become fathers also need the involvement of their moms and dads. Although some boys may welcome the chance to be involved with their kids, others feel frightened and guilty and may need to be encouraged to face their responsibilities (the father is legally responsible for youngster support in every state).

That doesn't mean, however, that you should pressure your adolescent son or daughter into an unwanted marriage. Offer advice, but remember that forcing your opinions on your adolescent or using threats is likely to backfire in the long run. There's no "one size fits all" solution here. Open communication between you and your adolescent will help as you consider the future.

Even though most adolescent girls are biologically able to produce healthy babies, whether they do often depends on whether they receive adequate medical care — especially in those critical early months of pregnancy.

Adolescents that receive proper medical care and take care of themselves are more likely to have healthy babies. Those who don't receive medical care are at greater risk for:

• anemia
• fetal death
• high blood pressure
• labor and delivery complications (such as premature labor and stillbirth)
• low birth-weight infant

The earlier your adolescent gets prenatal care, the better her chances for a healthy pregnancy, so bring her to the doctor as soon as possible after finding out she's pregnant. If you need help finding medical care, check with social service groups in the community or at your youngster's school.

Your adolescent's health care provider can tell her what to expect during her pregnancy, how to take care of herself and her growing baby, and how to prepare for life as a mother or father.

Medical Care—

At her first prenatal visit, your adolescent will probably be given a full physical exam, including blood and urine tests. She'll be screened for sexually transmitted diseases (STDs) and for exposure to certain diseases, such as measles, mumps, and rubella.

Her health care provider also will discuss:

• how often prenatal visits should be scheduled
• how to deal with some of the uncomfortable side effects of pregnancy, like nausea and vomiting
• what changes she can expect in her body
• what she may be feeling physically and emotionally

Knowing what to expect can help alleviate some of the fears your adolescent may have about being pregnant. Her health care provider will probably prescribe a daily prenatal vitamin to make sure she gets enough folic acid, iron, and calcium. Folic acid is especially important during the early weeks of pregnancy, when it plays a role in the healthy development of the neural tube (the structure that develops into the brain and spinal cord).

Lifestyle Changes—

Your adolescent's health care provider will talk about the lifestyle changes she'll have to make for the health of her baby, including:

• avoiding excess caffeine (too much caffeine has been linked to an increased risk of miscarriage)
• avoiding risky sexual behaviors (such as having unsafe sex)
• eating right
• getting enough rest
• not drinking (alcohol causes mental and physical birth defects)
• not smoking (smoking while pregnant increases the risk of miscarriage, stillbirth, low birth weight, and sudden infant death syndrome)
• not using drugs (drugs are associated with pregnancy complications and fetal death)

If your adolescent smokes or uses alcohol or other drugs, her health care provider can offer ways to help her quit.

Nutrition—

Fast food, soft drinks, sweets — adolescent diets are notoriously unbalanced. Eating well greatly increases your adolescent's chances of having a healthy baby, so encourage her to maintain a well-balanced diet that includes plenty of fruits, vegetables, and whole-grain breads (use the U.S. Department of Agriculture's MyPlate as a guide).

Important nutrients include:

• calcium (milk and other dairy products)
• folic acid (green leafy vegetables, beans, peas, fortified cereals
• iron (lean red meats, spinach, iron-fortified cereals)
• proteins (lean meat, fish, poultry, egg whites, beans, peanut butter, tofu)

Drinking plenty of water is essential, too.

Pregnancy is not the time for your adolescent to go on a diet. When pregnant, some adolescents might be tempted to counter normal pregnancy weight gain by cutting calories or exercising excessively — both of which can seriously harm their babies. If you suspect that your adolescent has an unhealthy preoccupation with her weight, talk to her health care provider.

Exercise—

If your adolescent was physically fit before getting pregnant and is not experiencing any pregnancy complications, her health care provider will probably encourage her to continue exercising.

Most women benefit from getting some exercise during pregnancy, although they might have to modify their activity. Low-impact exercises, such as walking and swimming, are best. Have your adolescent discuss her exercise plans with her health care provider early on.

Stress—

Most adolescents enter parenthood unprepared for the stress a new baby brings, and many experience frustration, resentment, and even anger toward their newborns — which may explain why adolescent moms and dads are at higher risk for abusing and neglecting their babies.

You may want to talk with your adolescent's doctor to discuss ways you can help her manage her stress levels so that she can better cope with changes in her life. She also may want to spend some time with other moms and dads of newborns to get a better sense of what caring for a baby involves.

Prenatal Classes—

Your adolescent's health care provider will probably recommend that she take classes on pregnancy, giving birth, and parenting. These classes (some of which are held just for adolescents) can help prepare her for the practical side of parenthood by teaching skills such as feeding, diapering, youngster safety, and other basic baby care techniques.

Preparing for New Responsibilities—

Many practical issues must be considered. Will your adolescent keep the baby or consider adoption? If she keeps it, will she raise the baby herself? Will she continue to go to school? Will the father be involved in the baby's life? Who will be financially responsible for the baby?

The answers to these questions often depend on the support your adolescent receives. Some adolescents raise their youngster alone, some have the involvement of the baby's father, and some rely on their families for support.

As a mother or father, you need to think about your own level of involvement and commitment and discuss it with your adolescent. How much support — financial and otherwise — are you willing and able to offer? Will your adolescent and her youngster live with you? Will you help pay for food, clothing, doctor visits, and necessary items like a car seat and stroller? Can you assist with youngster care while your adolescent is at school and/or work? A social worker or counselor can help you and your adolescent sort through some of these issues.

If at all possible, it's best for adolescents that are pregnant to finish school so they can get better jobs and create a better life for themselves and their babies. This is no easy task — 60% to 70% of all pregnant adolescents drop out of school. And going back after quitting is especially hard, so try to offer your adolescent the support she needs to stay in school — both she and the baby will benefit. Check for school and community programs that offer special services for adolescent mothers, such as youngster care, rides, or tutoring.

Help your adolescent understand that as rewarding as having a youngster is, it isn't always fun — caring for a baby is a huge responsibility and a lifelong commitment. Prepare your adolescent for the reality that she won't have as much time for the things she used to do — that her life is about change and the baby will take priority.

As a mother or father, you can have a great impact on your adolescent's life and on her baby's. You may still wish that she had made different choices. But by supporting your adolescent, making sure she gets good prenatal care, and listening as she shares her fears and anxieties, both of you may find that you're better moms and dads in the long run.

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