Teaching Teens How to Parent and Stop Having Children

Battling the highest teen pregnancy rate in the nation, Texas counselors have their work cut out

It's a Thursday morning at A. Maceo Smith High School, and the girls in parenting class are struggling to stay awake. There are six of them, freshmen and sophomores mostly, and not one had a full night's sleep. They are young mothers with babies, or they are in the final, uncomfortable months of pregnancy.

Crystal, who is sitting in the front row, is the resident expert on mothering. A short girl with bright eyes, she is a motormouth on the dos and don'ts of parenting. Crystal is 14 years old, with a 2-year-old at home with Grandma. According to experts, she stands a good chance of having another child before age 18.

Texas teens lead the nation in having babies, according to a recent study by the nonprofit group Child Trends. But even more alarming is the number of teenagers who are having more than one child before adulthood. According to the most recent statistics available, 24 percent of the state's teen births in 2004 were not a first delivery.

"That's the thing that I guess really surprised me," says Tracie Brewer, a counselor with the YWCA Young Parent Program in Oak Cliff. "For some reason, the message is just not getting through to these girls."

Brewer is on the frontlines of what she sees as a crisis in low-income areas in and around Dallas. Almost every work day, she meets with girls like Crystal. Some do not know how they got pregnant.

"It's sort of amazing to me that even after having a child, we meet with girls who do not understand the biological process," Brewer says. "There's one girl I'm working with who is 18 and has a 2-year-old, an 8-month-old, and is pregnant again."

Some experts wonder if Texas' abstinence-only sex education is part of the problem. The state's teen birth rate dropped 19 percent between 1991 and 2004, while in California, where contraception is taught in public schools and birth control is available without parental consent at doctors' offices and community clinics, the teen birth rate dropped by 47 percent during the same period.

In Texas, the problem is especially pronounced among Latinos. According to the most recent statistics available, Hispanics between the ages of 15 and 19 accounted for 61 percent of teen births in Texas in 2004, even though they made up just 39 percent of the state's adolescent population.

"Obviously, abstinence education isn't working," says Holly Morgan, director of communications for Planned Parenthood of North Texas. "We have the highest rate of teen pregnancy and teen birth in the nation, as well as the highest rate of a second teen birth in the nation.

"Anyone can look at the situation and use their imagination and figure out how much of a cost it's going to exert on our state's resources for children and families who are not prepared to have a child."

Brewer isn't sure what the answers are, and she makes a point of not offering up her personal opinions when she meets with teen mothers. Her job, she says, is to inform them of their options.

Back at A. Maceo Smith High, Brewer asks the girls how they have been. One says it is difficult to come to school and leave her baby behind at day care. Another says her boy has been unusually fussy lately.

Brewer passes around job applications and tells the girls that if they want a summer job, now is the time to apply. Then she hands out some fliers on a teen pregnancy class she hosts at the Y and pops in a videotape of an Oprah special on caring for a baby in the first three months.

Brewer says she understands what the girls are going through. Her mother had her first child at the age of 13, and of her four sisters, three gave birth in their teens.

"I saw the effect this has on families," she says. "In my family, I was the first one to graduate from college. For my nieces, I'm the only one they know who has done that. Their mothers didn't graduate from high school.

"The biggest factor in all of this is poverty, and then the cycle repeats itself."

When the Oprah video is over, she asks the girls what they learned.

"Do you guys talk to your babies, do you sing to them?" she asks.

The girls nod.

"When they cry, do you pick them up?"

Crystal, the girl in the front row, says she used to do this, but that it made her son spoiled. When she has her next child, she says, she won't pick her up unless the baby really needs something.

The bell rings, and the girls get up to leave. Brewer stops Crystal and in hushed tones asks her if she has some birth control. Crystal says no, and Brewer promises to bring some for her next time.

As Brewer walks down the hall, on her way to her next appointment, she finds one of the fliers she handed out on the floor. She shrugs her shoulders.

"All we can do," she says, "is let them know what their options are."

Sometimes this means a bus pass to a clinic to get birth control, sometimes it's the phone number for an adoption agency, and sometimes it's for a counselor who can talk about abortion.

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  • John G Pogue MD 04/24/2008 9:12:00 PM

    Boys take the initiative and use condoms? Are you kidding? We've been beat to death with the message that condoms prevent STD's, condoms prevent pregnancy blah, blah, blah since the early 1980's. The result? HIV, genital herpes, human papillomavirus, and unplanned pregnancies remain rampant. If boys wanted to use condoms, they would use condoms. They're giving them out free all over town! The fundamental problem here is that there are no consequences, or at least immediate consequences, to those who don't. Sire a baby, somebody else pays the bills; Get an STD, go to a free clinic somewhere. I am not naive about this problem. I work on the front lines where the consequences of this problem get really serious. I can tell you without any reservation that all of this education, counseling, and discussion when it comes to preventing unplanned pregnancy is a waste of precious resources. The fundamental problem is that irresponsible childbearing no longer carries a stigma and is, in fact, encouraged in many communities. When it comes to the male's role, it is often easy to identify the likely father early on and it is now technically possible to confirm paternity via DNA testing. When that father is an adult male who has impregnated and underage girl, send him to prison. In other cases make him get a job and support said child or go to prison, like divorced dads who don't pay child support do. Again, until we provide financial incentives for these people to practice reliable contraception, nothing will change.

  • Nia Balvanz 04/24/2008 4:22:00 PM

    As usual, no one is talking about the other part of this equation. Do you think these girls are going out and impregnating themselves? Yes, having an alternative to abstinence-only sex "education" is very important. It is also important to realize that these girls may not have the option of refusing sex when the alternative is getting beat up or something worse. Boys -can- take the initiative and insist on using condoms. Stop blaming the victims.

  • John G Pogue MD 04/23/2008 11:34:00 PM

    In keeping with the usual journalist mindset, you fail to mention one major factor that contributes to many so-called unplanned pregnancies to women of all ages: Public assistance. Stay in school and work hard and you get,well, nothing. Have a baby and you qualify for all sorts of things. Have another...and another! The taxpayer will foot the bill. Medicaid pays obstetricians handsomely for deliveries and cesarean sections, and a pittance for services such as family planning. Once a gynecologist laughed at me when I suggested that she encourage her 24 year-old patient who already had four children (all in foster care) to get a tubal ligation! One told me that he preferred Medicaid to private insurance because it reimbursed well and required less paperwork. A woman going in for prenatal care with insurance card in hand gets trampled as she leaves by the herd of Medicaid cows and their other spawn who don't have to stop at the desk to make a copay for their visits. You're probably right in that abstinence education is probably like trying to teach a pig to sing--It wastes your time and irritates the pig. But, give me a break! These girls know where babies come from! They just don't care because neither they nor their parents have to pay for them. They can give in to their biologic drive to reproduce and they don't have to give a second thought about the fact that the resources they and their offspring end up consuming were bought with the sweat off of the backs of those of us who work hard, pay taxes, and control ourselves. Medicaid and other public assistance programs need to stop footing the bill for such foolish and irresponsible behavior. I propose that Medicaid pay for only one delivery for each indigent woman on the program every ten years, but pay gynecologists well for tubal ligations. Do away with the prohibition on getting consent for permanent sterilization during active labor, too. Then we would see drastic reductions in unplanned pregnancies among teens and poor, unmarried women! If you think that is sexist, then I say give each new mother on Medicaid the option of identifying the father of the child and providing a coupon to him for a free vasectomy and $500 cash, receivable after he gets the procedure done. Trust me--it would save the taxpayers millions, if not billions of dollars. Money well spent, I say!

 

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