Many children live with their adolescent parents, alone, or as part of an e
xtended family. This statement updates a previous statement on adolescent p
arents and addresses specific medical and psychosocial risks specific to ad
olescent parents and their children. Challenges unique to the adolescent mo
ther and her partner, as well as mitigating circumstances and protective fa
ctors that have been identified in the recent literature, are reviewed, alo
ng with suggestions for the pediatrician on models for intervention and car
e.