Pregnant Teenagers

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In 2017, a total of 194,377 babies were born to women aged 15–19 years, for a birth rate of 18.8 per 1,000 women in this age group. This is another record low for U.S. teens and a drop of 7% from 2016.1 Birth rates fell 10% for women aged 15–17 years and 6% for women aged 18–19 years.2
Although reasons for the declines are not totally clear, evidence suggests these declines are due to more teens abstaining from sexual activity, and more teens who are sexually active using birth control than in previous years.3, 4
Still, the U.S. teen pregnancy rate is substantially higher than in other western industrialized nations5, and racial/ethnic and geographic disparities in teen birth rates persist.6
Teen birth rates declined from 2016 to 2017 for most racial groups and for Hispanics.2 Among 15- to 19-year-olds, teen birth rates decreased:
In 2017, the birth rates of Hispanic teens (28.9) and non-Hispanic black teens (27.5) were more than two times higher than the rate for non-Hispanic white teens (13.2). The birth rate of American Indian/Alaska Native teens (32.9) was highest among all race/ethnicities.1 Geographic differences in teen birth rates persist, both within and across states. Among some states with low overall teen birth rates, some counties have high teen birth rates.6
Less favorable socioeconomic conditions, such as low education and low income levels of a teen’s family, may contribute to high teen birth rates.7 Teens in child welfare systems are at higher risk of teen pregnancy and birth than other groups. For example, young women living in foster care are more than twice as likely to become pregnant than those not in foster care.8
To improve the life opportunities of adolescents facing significant health disparities and to have the greatest impact on overall U.S. teen birth rates, CDC uses data to inform and direct interventions and resources to areas with the greatest need.
Teen pregnancy and childbearing bring substantial social and economic costs through immediate and long-term impacts on teen parents and their children.
Evidence-based teen pregnancy prevention programs have been identified by the US Department of Health and Human Services (HHS) TPP Evidence Reviewexternal icon, which used a systematic process for reviewing evaluation studies against a rigorous standard. Currently, the Evidence Review covers a variety of diverse programs, including sexuality education programs, youth development programs, abstinence education programs, clinic-based programs, and programs specifically designed for diverse populations and settings. In addition to evidence-based prevention programs, teens need access to youth-friendly contraceptive and reproductive health services and support from parents and other trusted adults, who can play an important role in helping teens make healthy choices about relationships, sex, and birth control. Efforts at the community level that address social and economic factors associated with teen pregnancy also play a critical role in addressing racial/ethnic and geographical disparities observed in teen births in the US.
Citations
Martin JA, Hamilton BE, Osterman MJK. Births in the United States, 2017. NCHS data brief. 2018 (318):1-8.
Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: Final Data for 2017. National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System pdf icon[988KB]. 2018;67(8):1-50.
Santelli J, Lindberg L, Finer L, Singh S. Explaining recent declines in adolescent pregnancy in the United States: the contribution of abstinence and improved contraceptive use. Am J Public Health. 2007;97(1):150-6.
Lindberg LD, Santelli JS, Desai, S. Understanding the Decline in Adolescent Fertility in the United States, 2007–2012. J Adolesc Health. 2016: 1-7
Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015;56(2):223-30.
Romero L, Pazol K, Warner L, et al. Reduced Disparities in Birth Rates Among Teens Aged 15-19 Years – United States, 2006-2007 and 2013-2014. MMWR Morbidity and mortality weekly report. 2016;65(16):409-414.
Penman-Aguilar A, Carter M, Snead MC, Kourtis AP. Socioeconomic disadvantage as a social determinant of teen childbearing in the U.S. Public Health Rep. 2013;128(suppl 1):5-22.
Boonstra HD. Teen pregnancy among women in foster care: a primer. Guttmacher Policy Review. 2011; 14(2).
National Campaign to Prevent Teen and Unplanned Pregnancy, Counting It Up: The Public Costs of Teen Childbearing 2013external icon. Accessed March 31, 2016.
Perper K, Peterson K, Manlove J. Diploma Attainment Among Teen Mothers. Child Trends, Fact Sheet Publication #2010-01: Washington, DC: Child Trends; 2010.
Hoffman SD. Kids Having Kids: Economic Costs and Social Consequences of Teen Pregnancy. Washington, DC: The Urban Institute Press; 2008.
Power to Decide, Progress Pays Offpdf iconexternal icon. Accessed January 10, 2019.
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Being a pregnant teen can be overwhelming, confusing, and scary. You are not alone; there are around 500,000 pregnant teens in the USA every year. As a pregnant teen, you might be wondering how to break the news to your boyfriend and your parents, what you will choose for your pregnancy, how this will affect you finishing school, what your friends will say about you, or about how you will be able to provide for your baby. The good news is that as a pregnant teen, there are resources, services, and support just for you. The first step is to begin care for your pregnancy and to seek help. Maybe you haven’t confirmed your pregnancy yet, but have missed a period or have questions about your symptoms.
Our toll-free teen pregnancy hotline, 1-800-672-2296, is here just for you. Our pregnancy educators are ready to help you figure out your chances of pregnancy, refer you to a free and confidential pregnancy testing center, or offer you a safe place to talk about your pregnancy options.
This article will guide you through different aspects of what it is like being a pregnant teen: finding out if you are indeed pregnant, breaking the news to your boyfriend and parents (and tips on how to talk with them), making a choice for your pregnancy, resources available to you from pregnancy centers and government programs, challenges that pregnant teens face, health during your pregnancy, and much more. We’ve included links to some of our other articles for more in-depth information.
Before you psych yourself out, the first thing you need to do (if you haven’t already) is to find out if you are pregnant or not. Don’t assume you are a pregnant teen just because you missed your period. The only way to do this accurately is to take a pregnancy test. You’ll want to wait until after you miss your period or have abnormally short or light bleeding to take either a blood or urine pregnancy test. You can purchase a urine test at your local pharmacy or retail store, or go to a local testing center for a free one. Blood tests must be done at a clinic or by your doctor. Visit our Pregnancy Symptoms or Pregnancy Tests pages for more information. As a potentially pregnant teen, you can find a free testing center by either calling us at 1-800-672-2296. After you have a positive pregnancy test, your next step is to make sure the pregnancy is viable (possible to carry to term) and not an ectopic pregnancy or a probable miscarriage. You can do this with an ultrasound. Many of the free testing centers also offer free limited (nondiagnostic) ultrasounds, or your doctor can perform a full one. If the pregnancy is viable, then you have some decisions to make (see below).
Once you confirm the pregnancy, telling others that you are pregnant is probably going to be very difficult. However, it is crucial to do so because it is by telling people you can find support and get access to care. It may start by making a confidential toll-free call to our helpline. Our pregnancy educators have been the first person that someone has told many times, so if you are a pregnant teen, please don’t hesitate to call us at 1-800-672-2296. You may also find it helpful to speak with a confidential educator at a pregnancy center or through your school nurse or counseling office. As hard as it may be, you will need to plan on sharing the news with at least one of your parents. As a pregnant teen, you are probably still living at home or still financially dependent on your parent(s), they will likely be the one(s) helping and supporting you in whatever decision you make for your pregnancy.
Most pregnant teens are scared to share the news with their family. We have a few suggestions on breaking the news to your parent(s):
As a first time pregnant teen, this will be the first time you have this talk with your parents. More than likely, this is their first time to talk about teen pregnancy as well.
As a newly confirmed pregnant teen, you might also be wondering how to talk to your boyfriend. It’s possible you’ve already been talking to him about the possibility, or you are going to take a test with him present. If you take one on your own, here are some suggestions on how to tell him. We’ve also included thoughts on how to talk about what you (and he) wish for the pregnancy. As a pregnant teen, this is probably your first pregnancy. Remember, this is most likely his first time as well. Don’t forget to ask his opinion too – ultimately, the decision is yours, but the choice you make here could make or break your relationship. The baby does have half his DNA too!
You are more than likely a pregnant teen for the first time, and the same goes for him as well. If your relationship has been around for a while and you both know each other’s parents, you may want to plan a family meeting after you initially share the news with your boyfriend. Ideally, you both would have already made a decision about the pregnancy and about your relationship (how it will continue or if it will not).
It is quite possible that you are questioning what to do with this pregnancy. Will you carry the baby to term, consider adoption, or look at termination through an abortion procedure? The first thing to remember is that it is your pregnancy – no one should pressure you into anything. Whether it is a parent, friends, your boyfriend, or some other person/group, no one should make you feel that you have to make the decision they want you to make. The options are there whether anyone tells you about them or not. You may find someone who tells you that you are a horrible person/”going to hell” if you abort, and that is not true. You may get someone else who tells you that it is only a blob of tissue, which isn’t true either, with the heart starting to beat by day 21. There have been studies showing that a majority of women who get abortions feel that they didn’t have enough information to make an informed choice for their pregnancy. It is important to know all the resources available to you – without being aware of these, you may falsely think that there is no help for someone in your position.
You’re young, might not have a job yet or have graduated from high school, but that does not mean that you have no chance as a parent. Parenting can be very challenging but also extremely rewarding. There are many successful teen moms whose children grow up happily and normally. There are a lot of programs that can help you get on your feet and provide for a child, such as Medicaid for prenatal care, WIC for help eating healthy and for baby formula/breastfeeding assistance, food stamps to help you keep food on the table, housing assistance to bring your living expenses down, and much more. Here are a few topics on parenting that you may find helpful:
With parenting, you’ll have to speak to your boyfriend and your family about what this will look like. Will, your boyfriend, help you raise the child, or will you have to pursue child support? Will you be able to stay with your parents or have to get your place? There’s a lot to think about when considering parenthood, but it is possible to sort through all these questions. Check out our Issues & Challenges article to learn more about the journey through pregnancy.
There is also the option for adoption. Many teenagers feel that they cannot give a child the life they desire for them, and that is where adoption comes in. There are a lot of couples that are in a more stable time in life that are not able to parent children for one reason or another who desperately want a child. You could help make that a reality for these hopeful parents! Plus, the adoption agency or adopting family will typically cover the medical costs of your pregnancy. You have the option to keep in contact with the adoptive family, or to go through the adoption anonymously. Here are some other topics you might find useful:
We also encourage you to sit down with an adoption agency or professional to get a better idea of what adoption might look like for you.
Abortion is the process of terminating a pregnancy. Depending on the age of the baby, there are different procedures available to you through medical or surgical abortions. Many women who choose abortion do so because they do not feel like there is any other option for their pregnancy. We encourage you to never decide out of fear, or because you feel forced to because of your situation or people around you! Before you choose, learn more about the options and resources that are available. For more information on abortion and the different procedures and the associated risks, check out these various topics about abortion:
Remember that if you are a minor, you may need your parents to sign off on an abortion procedure. Contact a teen pregnancy center in your area to find out more about the laws in your state.
As we noted earlier, there are approximately 500,000 new pregnant teenagers every year, meaning there is a need for specialized care. You may not know it, but there are usually school programs for pregnant teens allowing you to finish school. There are maternity homes just for teenagers to have a special place to get away and receive care, especially if there are any problems at home.
Abortion used to be the number one option selected by teenagers, but more and more young women are discovering that they can overcome the odds and succeed, either as a parent or through adoption. It is not easy, but there is help, resources, and support specifically for pregnant teens. You have to start somewhere to find what is available to you! That is why we suggest visiting a pregnancy center, talking to your parents, or calling our helpline so that you have an idea of a good next step toward choosing your pregnancy, or so that you can get information about helpful resources.
Though teen pregnancy rates in the United States have steadily dropped since 1991 and are now at record lows (reaching a new record low each year since 2009), they are still higher than the rates in many other developed countries. The latest data from the CDC revealed an average of 22.3 births per 1000 females (age 15-19) in 2015. It is important to remember that this number does not include aborted babies and pregnancy losses, and thus, the pregnancy rate (vs. birth rate) is higher than 22.3/1000. Around 30% of teen pregnancies end in abortion. Some people have postulated that increased availability of abortions is to blame for fewer births from teen pregnancies, but the abortion rates have stayed relatively the same. Many researchers believe that access to birth control/contraception is the reason for this drop in teen pregnancies. Don’t want to be a pregnant teen? Whether that means condoms, education about ovulation/fertility, or hormonal birth control, no method is 100% effective at preventing pregnancy and/or preventing the spread of sexually transmitted infections (STIs). The only entirely effective way to avoid pregnancy and diseases is to abstain from sexual intercourse and contact (abstinence). For more information on birth control and natural family planning, please check out the topics below:
Hormonal birth control (including the morning after pill) works in three different ways: (1) prevents ovulation/release of egg, (2) thickens cervical mucus, making it more difficult for sperm to travel through to reach an egg, and (3) makes implantation of a fertilized egg difficult by thinning the uterine lining. Ethical considerations mostly come into play with the third action – with the belief that life begins at conception, hormonal birth control technically could terminate a pregnancy in its earliest stages. So, as you make your choices about how to prevent pregnancy, consider these actions.
Compiled using information from the following sources:
1. Centers for Disease Control and Prevention (CDC): NCHS Data Briefing “Continued Declines in Teen Births in the United States, 2015.”
2. Guttmacher Institute: Teen Pregnancy (United States).
3. Guttmacher Institute: “U.S. Teen Pregnancy, Birth, and Abortion Rates Reach the Lowest Levels in Almost 4 Decades.”
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