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kids with no dads

Today was a weird day.  Three different families had visits directly related to the absence of a father in the child's life.  The first was a well check on a three year old who's mom asked my advise about terminating paternal rights of the bio-dad who had not been part of this child's life in all three years.  Mom is afraid that her daughter will blame her for ending any possible future father-daughter relationship. The second child was a 6 year old who's mother was concerned because the father had asked to meet his son for the first time in 6 yrs.  Two weeks ago the child met him, the bio-dirtbag promised him future visits (including attending this little boy's birthday party) and hasn't been heard from since. She was concerned that the little boy didn't seem to be worried about these missed visits.  The third was a pregnant woman who asked to meet me because she wanted me to compose a list of questions to ask the bio-dad about his family history because she planned not to have this "sperm donor" be part of her baby's family.   How do you deal with these things?  And how do you code it?  Thanks Kim Burlingham, MD