If you're over the age of 21, think back to that age. Think about what you were doing and what your responsibilities were. I would venture that many of my readers were perhaps starting their first job, getting their careers underway, maybe dating, though probably not seriously. I was just finished college, about to start graduate school. I was still a year away from meeting my wife, so I was blissfully (read: miserably) single.
If you're under 21, think about where you are now and what you're doing. Now keep that thought in your head for the next few minutes, because it's about to get blown away.
I was consulted by one of our obstetricians on a 21-year old woman due to abdominal pain which turned out to be from gallstones. She was 19 weeks pregnant, and her pain from the gallstones wouldn't go away. The second trimester is a good time to do surgery, so I discussed the risks of removing her gall bladder laparoscopically, including the remote risk of losing the fetus. During the discussion, I asked if this was her first pregnancy.
"No, it's my fifth."
HOLY SHIT that's a lot of pregnancies for such a young woman, I thought. Fortunately my mouth was smarter than my brain and said, "So how many children do you have?"
"Oh, I have four. They're 5, 4, 2, and my baby is 1."
That's right - she's 21 and is pregnant with her fifth child. Think about that for a moment. When I was that age I could barely match a tie with a shirt and pants, and I was barely responsible enough to feed and clothe myself let alone 5 other tiny people who are completely dependent on me.
I'm not judging her parenting ability, because I didn't see that in action. She may be the best mother in the world. What I am judging, however, is bringing that many new people into this world which is already fucked up enough as it is.