The
Yale Child Study Center Guide to Understanding Your Child: Healthy
Development from Birth to Adolescence
by Linda C. Mayes, M.D. and Donald J. Cohen, M.D.
The
Decision to Become a Parent
The decision to become a
parent is momentous. It will affect your life more than almost any other
decision you will ever make. It will engage you in a lifelong
enterprise—shepherding and nurturing one or more human beings from birth
to adulthood. And it will affect how you think and feel and change who you
are in both your own eyes and those of others. Yet, in making this
decision, you probably didn't think of it in this way at all.
Perhaps, for you, it is the "next
step," according not only to your own expectations but to those of
family, friends, even the culture as a whole. It may be one decision among
others that you have made that have shaped your grown-up life: what
schools to attend, what kind of work to do, where to make your home, whom
to commit yourself to for a long-term relationship or marriage. Or
perhaps, overwhelmed by worry, depression, or poverty, or distracted by
the pressures of work, you and your partner have found yourselves pregnant
without seeing it as a choice.
Maybe, like many couples or single men and
women, you wanted a child in order to pass on some legacy from your own
lives: the strength of your relationship as a couple, a musical talent you
both share, the athletic prowess of one. You want to pass on genes,
values, energy. You want to share your expectations of how families and
communities look out for one another, along with the traditions and
stories of your parents, grandparents, aunts, and uncles. Ultimately, your
children will preserve a piece of you in the world, guaranteeing a bit of
immortality—as you have for those who came before you.
In these terms, the decision to have a
child is the beginning of a venture with enormously high stakes and risks.
In a sense, you are gambling with your genes, rolling a pair of biological
dice on the chance of extending your family and yourselves. Although
gambling may seem a trivial metaphor for an event as serious as having a
child, luck operates as powerfully in the one as in the other. As
carefully as a couple may plan a pregnancy and watch over the mother's
health, no one can be absolutely sure that the baby will be healthy. Nor
can anyone predict how a young child will grow and develop, through
whatever crises may arise, into an adult; or guarantee that your children
will share your talents or strengths—or weaknesses. The choice to have a
baby is based on the future you hope for. You decide today because of what
you want for yourselves and your children tomorrow. You are propelled
forward by your biology and your wishes. Deciding to become a parent is,
then, both conscious choice and true leap of faith.
Five Decisions for Parenthood
In the following five stories, a variety of
adults—two heterosexual couples, a gay couple, a single woman,
grandparents—make this choice through pregnancy, adoption, or both.
Common to all five sets of parents is the wish to give something of
themselves to their children and also to express through their children an
aspect of their own selves as nurturing, caring adults. Common to them as
well is the effort and desire to examine all their reasons for deciding to
take on the care of a child.
A Planned Pregnancy: Mary and Ethan
Mary awoke with a sense of expectation. The
day before, late in the afternoon, she and her husband had rushed from
their respective jobs to her obstetrician to find out whether they were
pregnant. Mary smiled at how she and Ethan thought of themselves as both
pregnant: having a child was something they would do not just as a man and
a woman but as a unit. And the doctor's news had been good: their first
child was coming in the spring. They had been so relieved, happy, shocked,
and worried that, in the rush of feelings, she could not quite remember
leaving the doctor's office.
In her mind, Mary tried to reassemble the
rest of the evening. They had walked slowly together, and she found
herself looking at every woman they passed. Had she been pregnant? Mary
wondered. Did she enjoy being a mother? Where are her children now? Mary
had seen the image of her own mother in the older woman sitting in the
coffee shop, and in the park she had imagined seeing her child. Mary
smiled again. In her mind, their child was already in second grade.
Mary and Ethan had spent many a long
evening together wondering about their first child. They had each
surprised the other with how strong their images were. Ethan seemed always
to see in his mind's eye a tall, brown-haired, brown-eyed girl. Mary had
realized many months ago that she always imagined a son with
brownish-blond hair, quiet but energetic, witty, gentle, and full of life.
She always saw him as taller than she, looking down patiently, if not a
bit puzzled. Funny how even when she wondered about the baby, he took the
shape of an older child. And that thought raised a question: Would she
know how to take care of the baby? Ethan seemed to pull resourcefulness
from a well deeper than the earth itself. In some ways she had married him
because she deeply believed he would be a good father. But could she keep
up?
Ethan was awake, too, silently imagining
his child to come. He thought back, feeling a little guilty, to his first
real girlfriend, and how for several weeks they had played a game of
imagining what their children would be like. They had come up with a large
family, at least four children, in a big house in the country. He would be
quickly successful in his writing, with an immediate bestseller, so he
could spend his days at home where they would raise the children together.
Ethan smiled at how young and naive they were. Just a few months after
they had broken up, he met Mary at a baseball game—in the early spring,
he recalled, right around the time of year when their baby would come.
As much as they both wanted children, Ethan
and Mary also wanted to establish themselves in their work. He was working
his way up in a publishing company, and the demands on his time were
extraordinary. Mary, too, was just starting her career in an investment
firm. For both, taking time off might mean an irrevocable setback in their
dreams for themselves and for their marriage. Ethan had always thought he
would be a very involved father, but now he was not sure he could be. As
special as this pregnancy was, suddenly their world felt turned inside out
and upside down. Yet Ethan knew, and was sure that Mary agreed, that their
life before the obstetrician's announcement had felt incomplete. While
there were still many uncertainties, somehow they both felt that the baby
they were just now beginning to imagine would fill in their lives
together.
A Single Mother Adopts: Joyce
Joyce was a successful defense attorney in
her late thirties. All of her adult life had been dedicated to the goal of
being a well trained, respected, and competent lawyer. Full of energy and
extraordinarily creative, she had worked long hours in volunteer
organizations during law school and still managed to be on the law review.
She headed a student-run advocacy group for poor families, worked in soup
kitchens, and helped poor mothers complete applications for welfare and
food stamps. She had even created a volunteer group of law students who
served as mentors to one or two local children every year. Joyce had taken
on three children and been their mentor all through her law-school years.
All three had stayed in touch with her, even fourteen years later.
After law school, Joyce had received many
offers to join various law firms. She had picked a prestigious firm that
specialized in defending individual rights. The hard work suited Joyce's
high energy. She lectured at the law school about advocacy work,
supervised students in a clinic that provided pro bono services to poor
families, and became involved in many volunteer organizations. Joyce had
made partner in her firm when she was thirty-six, and was securely placed
in her professional career. Her life was full and rewarding. Many
colleagues were sure she was on the track for a judgeship.
Joyce had a circle of close friends, both
from the law and from her volunteer work. She had had a number of
relationships, but none developed into marriage or a long-term
partnership. This was a private loneliness for Joyce. She was sure that
eventually she would meet someone with whom she might share a loving,
enduring life, but it had not yet happened. Meanwhile, her two younger
sisters were married and, in the last four years, had three children
between them. Joyce took great joy in being with her two nieces and her
nephew. She had always assumed that she too would have a family and be a
mother. Her own parents were teachers, a two-career family before the term
was fashionable, so she had a model for combining work and family.
But time seemed to be running out. Suddenly
Joyce was acutely aware that she was in her late thirties and that if she
was going to be a mother, she needed to begin thinking about whether she
wanted to keep waiting for the right circumstance or take action on her
own. Joyce was not someone who put her faith in chance. Yet she was also
not sure she was up to single motherhood. She had the financial resources,
but she agonized over whether that was the kind of family she wanted to
give a child. Joyce explored many options, including adoption and in vitro
fertilization. She wanted very much to have a child that was of her genes,
from her body, and to have the experience of being pregnant. But she also
realized that she would want to conceive a child with someone she loved,
not a donor.
In the end, Joyce chose to bring a baby
girl into her home. She tackled the adoption process with the same
thoroughness and energy that she applied to other tasks. Her contacts, her
status in the community, and her work as a mentor all helped open doors
for her. Before long, she was caring for a baby in her home; and after a
few months, the public agency responsible for the little girl recommended
that Joyce become her legal mother. As Joyce waited for the adoption to be
final, she realized her whole image of herself was changing. Joyce loved
the law as much as she ever had, and looked forward to telling her
daughter about being a lawyer, but now she was expanding her old
self-image to include the new reality of being a parent.
Two Gay Men Adopt: Jim and Stan
Jim had been the first to bring up the
possibility of their becoming fathers, where Stan was not so sure. But Jim
had always been the more decisive of the two. He had announced his
homosexuality in high school, having known since the third grade that he
felt different from other boys. An only child, Jim remembered how
surprised his parents had been. His mother, the town librarian, took many
hours to think about her son's homosexuality and tried to see the world
through his eyes. Jim's father, a businessman, had been initially angry
and embarrassed to be with his son. But the anger and awkwardness wore
off, and soon father and son were spending even more time fishing together
at their favorite creek. Gradually, they were able to talk with more
openness than before.
Stan, on the other hand, had not come out
until college, after he and Jim had begun dating regularly. They had met
at a seminar. Jim struck Stan as being so comfortable in his own
skin—not just with being gay, but with who he was overall. Stan had
always been cautious about revealing his homosexuality to others and had
not had a serious relationship before Jim. Stan's parents still did not
know about Jim, though he had confided in his older sister, Cindy. When
Jim and Stan had begun spending time together, they visited Cindy several
times. She welcomed them as a couple and enjoyed having them take care of
her two-year-old daughter and four-year-old son.
After college, Jim went to law school and
Stan began work in journalism. They lived in a community that offered each
of them good professional opportunities and where they could imagine
settling down. They were amazed their life had worked out as well as it
had. They had a close group of friends—gay and straight, men and women,
singles and couples. Jim eventually joined a small law firm, and Stan
started to work freelance. They bought a home together. As many of their
straight friends began to have children, Jim suggested they think about
adopting a child.
Jim had talked often with his mother about
wanting to have a child. He had even asked his father if he would teach a
grandson to fish. Stan, however, was initially unsure, wondering what it
would be like for two gay men to raise a child. His mind raced ahead to
his having to take the child to school and to explain how he and his
partner were the parents. What would they do when their son or daughter
started asking them about their sexuality, or when other children teased
their child about having gay parents? Was it fair to adopt a child into a
household that society did not yet fully embrace? Jim knew all of these
issues, but he saw himself and Stan not primarily as two gay men but as
two individuals who could give a lot emotionally and materially to a
child. Jim also knew that being a father would fulfill a need he felt in
himself.
Ultimately, Stan came around, though his
misgivings returned each time someone reminded them that their situation
was "unusual." He and Jim wondered if they would improve their
chances by volunteering to adopt an older child, though they both wanted
to care for an infant. Finally, through a private agency, they were put in
contact with a pregnant woman who wanted to put her baby up for adoption.
They visited her several times, followed her through her pregnancy, and
were present at the delivery. By law, only one partner could adopt the
baby; legally, he was a single parent. But it was Stan and Jim together
who brought their son home and introduced him to his new grandparents,
aunt, and cousins.
Adoption and Pregnancy: David and
Katherine
Katherine, an artist who taught painting at
a local school, had had several successful small shows. David, a
contractor, had taken over his family's business of remodeling and
restoring historic buildings in Connecticut. On the side, he had also
developed his own small woodworking shop. David always assumed he would be
a father and a husband, though he had never thought deeply about it. He
had dated through high school and college, but had no serious
relationship. Right after college, he had taken a summer trip across the
country with his closest friends. They stayed a week in New Mexico—and
there David met Katherine, his friend's sister. They seemed to hit it off
instantly. She was as different from anyone he had ever met as the desert
landscape was from the New England shore. Their courtship began quietly
with phone calls and letters and after three years, David and Katherine
were married. They came back to Connecticut together, and David started
building them a house on the weekends.
Katherine and David had always wanted
children, two or three kids at least. David imagined teaching them how to
build houses, Katherine wanted to show them how to see the world in terms
of color and form. When Katherine had not become pregnant during the first
year of their marriage, they were both disappointed but thought that it
probably was for the best because they had so much to get used to. (And
David was still working on their house.) But by the end of their second
year, then their third, they were both worried that something was wrong.
They were sure that Katherine had miscarried, perhaps twice, but no
pregnancy had seemed to go past a month.
David and Katherine consulted an
infertility clinic. Test after test yielded no answers. They tried various
medications to induce ovulation, and Katherine had daily shots to increase
the chances of her being able to maintain a pregnancy. David's sperm were
counted and recounted. Becoming pregnant became the focus of their lives;
they could think about little else. Every time they tried a new
intervention or medication, they were sure this one would succeed. Several
times Katherine was able to carry the pregnancy to around the third month
before she went into labor and miscarried. Finally, they decided to stop
trying for a while and began to pursue adoption.
Thinking about adoption brought Katherine
and David to a whole other set of decisions. Should they pursue a
privately arranged adoption so that they might know more about the baby's
mother? Should they be open to overseas adoptions, with more uncertainty
about the health of the baby? Finally the couple decided to put their
faith in an international agency with an excellent reputation. Within a
year they had the option to adopt a ten-month-old girl from Russia. David
and Katherine flew to Moscow together and spent a few days in the
orphanage, getting to know their daughter and working through the
administrative red tape.
In the first months after the family's
return, little Katerina was quiet, even a little withdrawn. With time,
however, she became lively, babbling, and engaging. The agency's caution
ensured that she was as healthy as any other baby. Katherine and David
were deeply satisfied with being parents. They were even thinking about
adopting again to fill out the family they had imagined. But both secretly
regretted they had not been able to have their own child. They decided to
try again, promising each other this would be the last attempt. They
returned to the infertility clinic when Katerina was eighteen months old.
In six months, they were pregnant. By the time they both turned
thirty-eight, David and Katherine were the parents of a lovely toddler and
newborn twins.
Grandparents as Parents: Edith and Steve
Edith and Steve had three children, two
girls and a boy. Edith had done most of the child rearing, as they both
would acknowledge, while Steve had worked hard in a bank, provided a good
house, and helped out on the weekends. But that was what couples of their
generation had expected of each other. After their youngest, John, had
gone off to college, Edith began to work in an insurance office. In their
early sixties, the couple decided to retire at around the same time; they
looked forward to enjoying their hobbies, traveling, and being together.
Already they were enjoying being grandparents to John's six-year-old son,
Joshua, and three-year-old daughter, Katie.
John had come back to the area after his
graduation and started work as a teacher in the next town. He had married
Helen, another teacher at the same high school. She had always wanted to
be a writer, she told Edith, but went into teaching to support herself and
also to have an opportunity to teach others about her craft. Within a year
of their marriage, Helen and John were pregnant. Joshua weighed nearly
eight pounds and was a husky, active baby who crawled easily toward
anyone's open arms. He seemed immediately fond of his grandparents, and
Steve and Edith were always willing to take care of their first grandson.
Being grandparents brought back many memories of raising John and his
sisters, but now Edith felt more experienced. As for Steve, he felt he
finally had the time to take pleasure in a baby's spontaneity and
playfulness.
Helen and John had decided they would try
to have another baby after Joshua turned two. They carefully planned the
pregnancy so Helen would deliver in the summer, when they were both off
from teaching. Steve and Edith shuffled their travel schedule so they
would be around to help with the baby and with Joshua. Katie's delivery
went well; she was as petite as her brother was husky, and as quiet and
observant as he was bold and vocal.
After that pregnancy, Helen did not bounce
back as quickly to her old self. She felt run down and tired. She noticed
herself losing weight afterward far more quickly than she had with Joshua.
Instead of getting her strength back, however, she seemed to be getting
weaker and weaker. Helen began the school year on a reduced schedule, as
she had arranged ahead of time so she could spend time with Katie, but
still she felt exhausted. She consulted her physician. To the whole
family's shock, Helen was found to have lymphoma, a form of blood cell
cancer. Her doctors were confident that the disease could be completely
cured, but warned her that the treatment would take a number of months and
that she would have to take a leave from teaching and have help with her
children.
So Edith and Steve came out of their
parenting retirement. With even less time to adjust than a mother who
suddenly finds herself pregnant, they readied themselves to help their
son, grandson, and granddaughter through a trying time. They spent a month
helping John fix up an extra room in his house. One or the other of them
stayed there with the family to help get the children off to school and
preschool, and to take care of Helen after her treatments. With the
distress and uncertainty of their mother's illness, the children needed
even more attention. And this—with their experience, confidence, and
willingness to adjust their own expectations—was something Edith and
Steve could provide.
Conclusion — and Beginnings
These five stories illustrate how vital
one's wishes, fantasies, doubts, and past experiences are to the decision
to be a parent. How well you are aware of them all is a major concern of
ours in this book, for they not only determine your decision but will also
affect how you behave as a mother or a father. With clear
self-understanding, each of these parents is likely to fulfill their
dreams of being good parents to the children they have chosen to nurture.
Thus, the more completely you understand why you have chosen to become a
parent at a particular time, the more clearly you can perceive what you
deeply, perhaps even without articulating it, wish for your offspring. We
will address this issue at length in chapter 3 as part of the preparation,
both psychological and practical, for your baby. In the subsequent
chapters of part 1, we will deal with the actual pregnancy, with bringing
home the new baby who is the outcome of your decision to become a parent,
and, finally, with the professional who will assist you in the momentous
task of raising a child.
But first, let's address another aspect of
your decision to become a parent: family. Even before your actual
pregnancy—perhaps even before the decision—you have thought about
family: the one you came from, the one you and your partner will be making
as parents. From time immemorial, families have been a sort of glue
binding together human communities and larger societies. Before you add
your bit to your own community, you may find it helpful to know something
about what families have been, as well as what they can be today.
Copyright © 2002 by Yale University
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