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Months before the baby's birth, Amy struggles with deciding to put the baby up for adoption or raising the baby herself.Amy at first sets her mind on giving the baby up and has an arrangement with Donovan and his partner, but the two back out at the last minute, preferring to remain foster parents.
The incident with Ricky has already spread and causes Ben and Adrian to have sex for both revenge and comfort.Now living alone with her mother after her parents' divorce, Amy struggles to balance her new life as a teenage mother with her life as a high school student.Amy's life is further complicated when her mother reveals that she is pregnant, possibly with her boss and boyfriend David's baby.However, Amy later realizes Ricky is John's father and he has just as much right to him as she does.This incident causes another conflict between them when Amy realizes the custody agreement means that Ricky will get John for his first birthday.Amy then decides to attend a school specifically targeted towards aiding teenage mothers but is talked out of it by her father.
Finally, aided by Grace and Ben, Amy makes the decision to return to her high school and continue her freshman year as a teenage mother (Back to School Special).
Amy is upset when she finds out that she has to attend summer school because of the classes she missed while she was pregnant.
She is further angered when she finds out Ben has been offered a job in Italy and plans on taking it.
Ricky, Ben, Ashley, and Amy's parents offer to help raise the child, with Grace and Jack offering Amy a job at the church nursery, as well as a place for her child to stay while Amy is at school.
Amy's friends offer to throw Amy a baby shower before the baby arrives.
The two get illegally married (The Secret Wedding of the American Teenager), though the marriage is deemed invalid by both Amy's and Ben's parents because of their ages and the fact that they used fake IDs.