03 March 2008

A mom of 4 at 19

The rape of a toddler, her subsequent death, and her mom of 19 who is pregnant with her fourth child - all part of the same shocking news story.

A gruesome story of the toddler who was allegedly raped by a neighbour and then died on the way to hospital, was reported widely in the news on Friday.

One fact that emerged from newspaper reports was that the child's mother, Dionique Fortune, is only 19 years old and is seven months pregnant with her fourth child.

This raises several questions with regards to the effect of motherhood on young girls and their babies, and issues regarding the age of consent.

While several studies have shown that children are becoming sexually mature and active at younger ages, questions remain on the psychological and physical effects of a full-term pregnancy on a very young girl. And what happened to the age of consent?

The age of consent
Let’s start with the easy one. The age of consent (the age at which a person can give consent to sex) is still 16 – for everyone. Boys and girls, both gay and straight.

“It used to be 19 for boys, and 16 for girls, but the age of consent has been reduced to 16 for boys as well,” says Mariëtta Johnson, programme director of Childline in the Free State.

That means if two 15-year-olds have sex, they cannot be prosecuted, but if a man of 19 has sex with a 15-year-old, he can be.

It also depends on the age difference between minors, according to Johnson. A five-year difference is seen as problematic – if a 15-year-old boy were to have sexual relations with a 9-year-old, he would be in trouble.

Medical issues for young teen moms
Legal and ethical issues aside, what are the medical problems associated when pre-teens give birth? What are the implications for the babies?

This should be a reason for concern. A report by the World Health Organisation states that the maternal mortality rate for girls between the ages of 10 and 14 is five times as high as it is for mothers aged 20.

“An underdeveloped pelvis can cause great difficulties during childbirth,” says gynaecologist Dr Chantell Stewart. “A Caesarean section is an option in developed countries, but seldom in developing countries, where many pre-teens simply give birth at home.”

Other medical complications that occur when mothers are so young include fistulas (a tunnel between two cavities, in this case between the vagina and the anus) and eclampsia (pregnancy-induced hypertension), anaemia and sexually transmitted infections, according to Dr Stewart.

These mothers are also more likely to suffer from hypertension and obesity later in life than mothers who give birth later in life.

But the medical complications for the young mother are not the end of the story.

Several studies conducted in developed and developing countries have indicated that teen mothers are less likely to complete their schooling and that this early pregnancy is often the beginning of life-long poverty and single parenthood. The babies of these mothers also often born prematurely, raising the risks of infant death, lung complications, deafness and blindness, to name but a few.

Single mothers with low educational levels also are often unable to provide many opportunities for their children, leading to the cycle of poverty being repeated.

Other problems encountered by these babies include a much higher risk of poor school performance, abuse and neglect and inadequate parenting. Obviously this is not true in all cases.

(Additional sources: Wikipedia,

(Susan Erasmus, Health24, updated March 2008)


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