Me, Him, Them and It is definitely one of the best books I've read that takes on teen pregnancy. Caela Carter tackles the subject with a careful hand, and while it can be said that she pushes her heroine, Evelyn, in some directions more than others, I felt that the novel presents a well-rounded and realistic portrayal of a teen faced with an unexpected pregnancy.Evelyn is a smart girl who makes some reckless decisions in an attempt to both punish and draw the attention of her very absent parents. While she used to have a relatively strong relationship with her father and at least a passably good relationship with her mother, that all changed when her father had an affair. Instead of her parents splitting up, her mother decided to take her father back and stay together, but things are far from normal. The house is always tense and silent and Evelyn rarely see her parents who are so busy avoiding each other they forget she's even around.Evelyn takes what one might consider the stereotypical route and begins rebelling. She quits her extracurriculars, starts lying, distances herself from her friends, and decides to lose herself in meaningless sex. Except for what starts out as meaningless sex turns into more when Evelyn finds herself falling for Todd. And then finds herself pregnant.One of my favorite aspects of Me, Him, Them and It is how real Evelyn felt. There are moments when she's brave, moments of realization, and moments of undeniable immaturity. At first, she's terrified of what will happen to her life and what people will think of her. Not only is she pregnant, but she doesn't have a boyfriend, which she knows will create all kinds of gossip. Her aunt, who she looks up to and considers one of the only reliable adults in her life, lives far away and has no idea how much she's changed and Evelyn fears disappointing her. Along with the fear of what others will think, come Evelyn's fears about losing her freedom, gaining weight, her grades slipping, and her entire future. Overwhelmed, Evelyn shuts down and attempts to push all the decisions regarding the pregnancy and the baby onto her parents and every other adult she comes in contact with. But the author doesn't let Evelyn off the hook that easily, which I feel is extremely important. Evelyn's mother would be more than happy to make all the decisions, but she doesn't. Instead, she stresses to Evelyn how important it is that she make the decisions because, ultimately, it is her life and no body can live it for her. This doesn't mean that our heroine is left all alone to figure things out, after all, she's only sixteen. There are many great secondary characters that form a support system for Evelyn that are integral to her decision making process.In addition to Evelyn's parents, she also gains insight from her aunt, her partner, a counselors, and doctors. Despite her negative view of her parents, it's clear that they care a great deal for her and, though they've both made mistakes, are determined to be there for her no matter how she decides to proceed. Evelyn's aunts, who she lives with during the decision making process, are a fantastic support system, as one provides much needed understanding and the other provides structure, while they both provide plenty of love. One character who is notably absent from the decision making process is the baby's father, Todd. While he does have some input, more or less saying that the decision is completely Evelyn's and that he doesn't want to participate in the baby's life if she chooses to keep it, he is otherwise absent when it comes to the pregnancy. I came to appreciate this detail as Evelyn struggled internally with her feelings for Todd and the idea of the baby being a catalyst for them to start a family. I'm so glad that Todd wasn't physically near Evelyn as she sorted through her options because it would have been entirely too easy for her to succumb to that fantasy, but it was fantasy and his distance allowed her to see that.I also appreciated that Me, Him, Them and It touched on every available option to consider when faced with an unexpected pregnancy and the pros and cons. Adoption, both open and closed, teen parenthood, alone and with help or the father, and abortion are all discussed and explored. Furthermore, Planned Parenthood, religion, and family opinion are all considered. I truly felt that all options were fairly represented.In the end, I feel that Evelyn not only made an educated decision, she also made the decision that was best for her. Of course, I can't say much more without spoiling the ending, but had come a long way by the conclusion of the novel. Her situation, though not ideal, forced her to think about her future, change her lifestyle, and her take some time away from a pretty unhealthy environment to figure things out. Though the novel did wrap up neatly, I wasn't left feeling that things were too calm or perfect. The Evelyn at the end of Me, Him, Them and It is clearly different than the one at the beginning and that, for me, allowed for a satisfying conclusion.