This song is about teenage pregnancy. Madonna takes the voice of a confused teenager who wants advice from her father at a difficult time. In a 2009 interview with Rolling Stone, she said: "It just fit right in with my own personal zeitgeist of standing up to male authorities, whether it's the pope or the Catholic Church or my father and his conservative, patriarchal ways."
The line "I've made up my mind, I'm keeping my baby," caused anti-abortion groups to praise Madonna and abortion-rights groups to criticize her. Madonna refused to take a stance on the issue.
Madonna called this "a message song that everyone is going to take the wrong way."
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