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A Piece of My Mind
October 15, 2008

Babies Having Babies

JAMA. 2008;300(15):1739-1740. doi:10.1001/jama.300.15.1739

Week by week I watch Sarah's belly grow. She is accompanied by her mother, and they are prompt for Sarah's prenatal visits. The 35-year-old mother and the 15-year-old girl sit side by side in the examination room chairs, Sarah getting bigger, rounder, and puffier week after week. Her mother listens earnestly to all of the instructions, sending sidelong glances at Sarah to punctuate the important information. Sarah's face is cherubic with big blue eyes and long lashes. She starts to waddle instead of walk. Her feet hanging off the examination table grow swollen, and she stops tying the laces of her sneakers.