I definitely have to disagree with Prudie's conclusion as well. As a teacher's aide and as the daughter of a woman with a registered in-home daycare for over 20 years, kids have essentially been my entire life from day one. I work with them, played with them, changed diapers, fed them, clothed them, and even shared my childhood home with them. Many people know what it's like to have kids and to love them, but it's another thing entirely to witness firsthand -over and over again- the effects of parental apathy and rejection on a kid. Ask any failing Middle School student nowadays what his parents will think when he takes his report card home, and you have nearly perfect odds that the kid will say, "They won't care." Have you ever seen a 3-year-old boy punch his mother in the face and refuse to eat, nearly to the point of having an eating disorder, just for the attention of the parents who constantly brush him aside? I have, and in both cases, I firmly believe that both sets of parents should have done some serious soul-searching before they even entertained the notion of having kids. Kids are not stupid. Even the little ones know when they're not genuinely wanted and they will act accordingly. What Prudie seems to have completely missed is that uninterested or resentful parents produce maladjusted kids, who grow into maladjusted teenagers and adults that we will all have to interact with. Teachers will have to try in vain to make up for mom and dad's complete lack of interest in a child's success or failure, more cell doors will swing shut, more drugs and alcohol will ineffectively drown away sorrows, and more psychologists' chairs will fill, and society as a whole will have to shoulder it all somehow. I have seen it. Having a child isn't just a huge responsibility for yourself, but also for society and for the kid. It sounds to me like the woman in this situation genuinely wants kids. It's also obvious that the guy doesn't want more kids, to the point that he has altered his body to avoid it. If he gives in, it's not out of genuine want for a child, but out of a looming, divorce-clouded fear of losing another partner. I'm sorry, but I can't think of a bigger relationship deal-breaker than one party definitely wanting children and one party definitely not. Either the woman relents and grows bitter that he won't give her a baby and possibly resentful of the love the man has for the kids he already has, or he gives in and has kids with her and hates both her and the kids for it. It's absolutely dangerous to cop an assumption that the man will be fine when the kid comes along. What if he isn't? I think the solution here was missed, and it's an obvious one. The relationship needs to end, and both parties need to find new relationships where all of their needs -including their needs to have or not have children- will be met. I think that anything less advice-wise is plain irresponsible to them, to kids, and to all of us.