“She swears up and down they used a condom,” says Meghan,* 48, a mom of two from Missouri. But three years ago, Meghan's 19-year-old daughter became part of the 11% of 18- and 19-year old girls who get pregnant each year.** What's more, nearly three out of 10 girls in the U.S. get pregnant by age 20. During National Teen Pregnancy Prevent Month, Family Circle shares Megan's story and offers expert advice every parent needs to know. Three years ago, Meghan Davis’ life was in flux. “I was on my own,” she says. “I had just filed for divorce, left our big house and moved into a two-bedroom apartment with my youngest daughter, a high school junior.” It was Thanksgiving break and her 19-year-old daughter, Emily, was home from college and had swung by the apartment to check in. “She just sat down in the living room and didn’t say anything,” recalls Meghan, who had a weird feeling once her daughter arrived. “Then Emily just started bawling. She just cried and cried. And once she was done, she said, ‘I’m pregnant and I don’t know what to do.’” A whopping two-thirds of teen pregnancies occur in 18- and 19-year olds, according to The National Campaign to Prevent Teen and Unplanned Pregnancy. That’s older kids whose parents may be experiencing life changes themselves as their kids enter the workforce of head off to college. One of several factors that might put these older kids at greater risk is the fact that they’re entering a brand-new world. “The most vulnerable time for kids on a college campus is first semester freshman year,” reveals Deborah Roffman, a sexuality educator and author of Talk to Me First: Everything You Need to Know to Become Your Kids’ "Go-To” Person About Sex. “They’re starting all over again. They’re wanting to fit in. They’re figuring out how to make decisions that will help them fit in—as opposed to how to make decisions in their own best interest.” No matter how old your teenager is, you can still have a significant impact on the choices they make. “Even though you are losing a lot of direct power and control as they get older, what you gain is influence,” says Roffman. “Parents need to be involved in talking to their kids, no matter how old they are, about what their hopes and dreams are for themselves.” Indeed, 39% of teens ages 13 to 17 say they have never thought about what their life would be like if they were to get pregnant or cause a pregnancy, according to new research from the National Campaign to Prevent Teen and Unplanned Pregnancy. Never. “It’s our job to reality-test them,” says Roffman. “Say, ‘If you make that choice, what will happen?’ Help them think critically about their choices by asking great questions.” Conversation starters for older teens may not be intuitive, so we've created a list of them here, and Meghan adds to it. “If there’s one thing I could tell other mothers, I’d say get your daughter to think about herself,” she asserts. “Your daughter can’t just expect the man to be providing the protection; she has to take charge of her own life. I would’ve preferred that my daughter had taken care of birth control closer to the 100% effective mark herself.” Getting as close to 100% protection as possible—if not through abstinence then by using two methods of birth control—not only protects against sexually transmitted diseases but can compensate for imperfect methods and imperfect users. “We do know a lot of young people are using contraception. They just might not be using it consistently or correctly,” explains Marisa Nightingale, senior media advisor for The National Campaign to Prevent Teen and Unplanned Pregnancy. “And if you’re not actively planning to prevent pregnancy, you’re essentially planning to get pregnant.” After her daughter stopped crying, there were actually smiles. “My thinking was that there’s nothing to be done about it now. I’m not going to boo-hoo the whole nine months,” says Meghan. “Once Emily calmed down, I said, ‘Well, you’re pregnant. Are we going to be happy about it?’ And that made her laugh.” She admits that the timing was difficult and there have been some tough moments, but they came through them to better days without regret. “This is my first grandchild,” says Meghan of her now-2-year-old grandson. “Neither I nor my daughter would change a thing.” * Names and identifying characteristics have been changed. ** Most recent data is for 2009. Lynya Floyd is the health director at Family Circle magazine. Read more of her posts here. Have you had a pregnancy scare with your older teen? Post a comment and tell us what happened.