May 2021 10 48 Report

What would you do-- Should a married couple have a third child?

A couple asked my advice and I'm not sure what to tell them. They are great parents to a healthy boy and girl. They want to have another child, but because of a prevalence of severe developmental disabilities in the children in the surrounding family, they are not sure if they should press their luck. In actuality the risk for them is not that much greater than anyone else's risk for having a developmentally delayed child (5% to 18% for them compared to 3% for the general population). They see developmentally delayed children on both sides of the family (4 children out of 7 are severely delayed) , and are not sure they could raise such children. Bottom line: Their life is great the way it is, but they feel it would be even better with another child. However, they see first-hand the burden a disabled child puts on a family and are realistically unsure of their capabilites (or even their desire to care for such a child). I don't have children myself, so I ask for your help.

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