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Birth Control and Pre-Natal Health Care Access for Teens

By L. Lee Scott, published Apr 10, 2007
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My state legislature just passed a bill that requires pregnant teens to get parental consent before they can get prenatal care. That puts us in the minority, because 34 more enlightened states have laws that permit minors to get prenatal care without parental consent. Put yourself in the position of a teen with an abusive father. Would you want to say, "Hey, Dad, I'm pregnant -- can I go see the doctor?" Probably not. You'd probably get your a** kicked, at the very least.

At the same time, my state legislature passed a law banning abortion in the state. Now, that law won't take effect unless Roe v. Wade is overturned, but it says a lot about the mentality here. No unborn children will be saved by this law at this time, but they will certainly be endangered by the first one. Without early prenatal care, both mother and child are at risk, whether the mother is 16 or 26. I don't understand the mindset that would put knowing everything about your daughter's life above her health.

I just read today's (3/30/07) NARAL Choice Action Network's letter, in which they said "Birth control is not a controversial issue. Americans of all political persuasions support women's access to contraception and family-planning services." Maybe if the woman is over 18. I'm 48, but if I had a teen aged daughter, I would want her to have access to healthcare, whether she told me about it or not. If I'm not the first one to find out whether or not she's pregnant. I'm going to figure it out eventually, and in the meantime, I want her to be healthy. But she might not be, here in North Dakota. And family planning? Planned Parenthood offices are subject to almost daily protest in this great state, by people who think those offices are all about birth control and abortion, and don't get that they are also about fertility and infertility issues, and spacing pregnancies for the best health of both mother and child, and offer parenting classes to new or expecting parents.

Takeaways
  • Can minors get prenatal care without parental consent?
  • Sex education often consists of "Don't do it."
  • Until contraception and sex education are available to everyone, there will be unwanted pregnancies.
Comments
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I think a minor that is facing this should have the right to make her own choices about it. She should have access to prenatal care, by an ob/gyn, family practitioner, or midwife -- but it's hard to find one who will attend a young girl. They are going to be parents and have to grow up, so they don't need to be babied the whole time they are pregnant. Parents should be supportive but not controlling. If my daughter becomes pregnant she will decide what happens and I will be there. MOST abortions occur in women from 20-25; teenagers make up only a small portion. So why should we treat them differnetly? They need the help a lot more than older women who really ought to be mature enough to handle the consequences of their actions a lil better than teens.

Posted on 05/12/2007 at 7:05:00 PM

 
Summer, it sounds like you are being a wonderful and enlightened parent. I doubt that your children will ever feel like they can't tell you what's going on in their lives, or that you won't love and help them. I wish all children could have parents like you.

Posted on 04/27/2007 at 1:04:00 PM

 
I have a 10yo, an 8yo and a 3yo girl (s), I know that even my 3yo knows all about the birds and the bees. We teach from birth that your body and sex are not nasty things. Now don't get me wrong, I now have to teach my older girls that running out of the bathroom naked is no longer OK, but I will accept that as long as they are true people with no curiosity about sex driving them to make grown-up decisions before their time. (Hope this makes sense)

Posted on 04/27/2007 at 1:04:00 PM

 
I don't think I'd ever be brave enough to do unassisted birth, but homebirth is something I'm definitely considering the next time around (if there is a next time, my hospital experience made sure I'd severely question the thought of having another child). I have located a qualified midwife team in my state that does both home and hospital births and have found a lot of good feedback on them, but I live in NJ, so I don't have issues with a lack of supply of qualified providers or any of the issues rural areas would have.

Posted on 04/12/2007 at 7:04:00 PM

 
And Sharon, I agree with you. No matter what an individual's age, they should have the choice of whether they want ANY vaccine; I am opposed to mandatory vaccinations prior to starting school. If the child and parent agree, fine. But the law just shouldn't interfere in healthcare decisions, whether the individual is 1 or 101. (Don't tell my sister I said that....)

Posted on 04/12/2007 at 4:04:00 PM

 
Homebirth is allowed, to the best of my knowledge, but finding a qualified midwife or nurse-midwife is next to impossible, especially in the many small rural towns. It's very sad. If I had a normal pregnancy, no problems, baby in the right position, I would much rather give birth at home than at a hospital. But I don't want to do it without a midwife!

Posted on 04/12/2007 at 4:04:00 PM

 
Laurel1nd- Isn't homebirth allowed in your state?

Posted on 04/12/2007 at 6:04:00 AM

 
I also think 11-year-olds should have a choice regarding the Gardasil vaccine, and it doesn't look like that is going to happen.

Posted on 04/12/2007 at 6:04:00 AM

 
Agaric, I protested against those protesting abortion and Planned Parenthood in my more fertile years; I just wasn't on AC then. I'm not quite post-menopausal now, and my point is that no one but the individual in question has a right to make decisions about birth control, pregnancy, pre-natal care, or abotion -- not anybody else, regardless of gender, age, or political party. Unfortunately the law is not always on my side. Sharon, as the sister of an OB/GYN I have heard a great deal about pre-natal care. Whether a patient comes in at 8 weeks -- which is preferred at the clinic here -- or later should be her choice, and not her mother's, or anyone elses. My belief that qualified midwives or nurse-midwives should be able to perform deliveries in a patient's home puts me somewhat at odds with my sister, I might add. And there are other methods of birth control, ones more effective, than estogen pills, or multi-hormonal pills. Thanks for reading, all of you, and thanks for the comments

Posted on 04/11/2007 at 8:04:00 PM

 
thanks for such a great article...very well written

Posted on 04/11/2007 at 6:04:00 PM

 
Sorry, comment too long, so it was cut off. She's 4, and she has a general idea of what sex is. As someone who is somewhat anti-conventional medicine, I don't feel Planned Parenthood and conventional medicine tell us the whole story about birth control. It makes no sense to me that the effectiveness of hormonal birth control is a static percentage that doesn't take age into consideration. Teens are way more fertile than middle aged women, it would make sense that they can use hormonal bc and it might not work as well as it does for a 35-year-old female who has declining fertility anyway and is married to someone ten years older with a reduced sperm count.

Posted on 04/11/2007 at 6:04:00 PM

 
I don't agree with parents being able to make decisions about their teen's choice of healthcare (my article "Hello, Judge Jesse Demps" further illustrates my thoughts), so I'm not in favor of parents needing to okay prenatal care. At the same time, though, I think "prenatal care" as defined by conventional medicine is overrated. Keep in mind, that most OBs won't even see you until you are 14 weeks pregnant, and starting then you only go in once a month. I'm might be in the minority, but I don't think I'd be phased if my teen told me she was pregnant. (My dd is only 4 now, but when she becomes a teen.) I'm not saying I advocate promiscuity or sexual activity at a young age, but for many people giving birth is part of life, and I don't feel I have control over telling my teen (or any human) when she can procreate, so if she were pregnant as a teen, it wouldn't be because I failed to make sure she was fully informed about her body and reproduction. She's 4, and she has a general idea of w

Posted on 04/11/2007 at 6:04:00 PM

 
I love how birth control and abortion issues are decided by crusty old white men or post-menopausal women.

Posted on 04/11/2007 at 8:04:00 AM

 
I agree with you. Unfortunately the Country seems to be going back to the 1950's when it comes to family planning, birth control, abortion and health care. Believe me those were not good times. Great article.

Posted on 04/10/2007 at 5:04:00 PM

 
I agree with you. Unfortunately the Country seems to be going back to the 1950's when it comes to family planning, birth control, abortion and health care. Believe me those were not good times. Great article.

Posted on 04/10/2007 at 5:04:00 PM

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