A child support order may be modified upon a showing of a substantial change in circumstances or for proper cause. The burden of proof lies with the party seeking the modification to demonstrate the change in circumstances justifying the modification. Relevant factors that may justify a modification include changes in the income of either parent, changes in the needs of the child, or changes in custody arrangements. Additionally, the Friend of the Court may initiate a review of a child support order if there are reasonable grounds, such as a change in custody or the availability of health care coverage. The court has discretion in determining whether to modify a child support order, and its decision will not be overturned unless there is a clear abuse of discretion. The court must consider all relevant factors, including the financial circumstances of both parents and the needs of the child, before making a determination. Retroactive modifications are generally prohibited, except for the period during which a petition for modification is pending, starting from the date notice was given to the other party.