Dunn, N.C. — Newly released statistics show that teen pregnancies are up across the country for the first time in 14 years. Although North Carolina's rate actually dropped, experts say it is still alarming – the ninth-highest in the country.

In 2006, 19,192 girls between the ages of 15 and 19, both married and unmarried, got pregnant in North Carolina. Of those teens, 29 percent had been pregnant before. Some research shows that 63 percent of high school seniors said they had had sex.

The costs of those pregnancies to the state are also high: a total of $312 million, including Medicaid, child-care and welfare expenses, in 2004, according to the National Campaign to Prevent Teen Pregnancy. Of those costs, 41 percent were born by the federal government and 59 percent by the state and localities.

At Dunn Middle School, life-skills teacher Elizabeth D'Herde has made it her mission to give her students a reality check on what it means to be a parent. For five years, she's taught a course called "Baby, Think It Over" to seventh-grade boys and girls.

Students are given dolls resembling 3-month-old babies. And like infants, these dolls cry constantly and rarely sleep.

"I want them to see the real effect of taking care of a child and what the responsibilities of being a parent are," D'Herde said.

State lawmakers are considering mandating comprehensive sex education from kindergarten to ninth grade. A bill before the the North Carolina House and Senate would require that all students from seventh grade on be taught four main lessons:

• that abstinence is "the only certain way to prevent unintended pregnancy" and "reduce the sexual transmission of diseases, including HIV/AIDS."

• about how sexually transmitted diseases are spread, the effectiveness of federal Food and Drug Administration-approved methods to reduce the risk of transmission and local resources for testing and treating STDs.

• about the effectiveness and safety of FDA-approved contraceptive methods, including emergency contraception.

• life skills for healthy behaviors and to avoid risky behaviors, such as alcohol and drug abuse, especially intravenous drug use.

The bill would allow abstinence-only programs to be taught up to the seventh grade and require that school systems allow parents to review all sexual-education materials before they are taught.

North Carolina's current sex education curriculum focuses mostly on encouraging abstinence until marriage for middle- and high-school students.

In D'Herde's classes, the message of parental responsibility seems to be getting through to students.

The "mommies" and "daddies" are responsible for caring for their "children" for 24 to 48 hours. They must take the dolls – and their car seats – with them everywhere they go. One hour of babysitting is the only break they get, and the dolls get much louder during the night.

"I rocked it and rocked it, and it wouldn't stop," seventh-grade 'mommy' Keitora Smith said. "I put the sensor in, laid it back down, and it went, ugh, and started crying again."

D'Herde said she hopes students will remember the experience when they are in high school and most at risk of pregnancy.

"I'm not going to have a baby when I'm a teenager," Keitora said.

"I wouldn't be ready to be a parent," another "mommy" agreed.