Management of teenage pregnancy

Key content The United Kingdom has the highest teenage pregnancy rate in Western Europe. Risk factors include socioeconomic deprivation, low educational achievement and having teenage parents. Adverse outcomes associated with teenage pregnancy include premature delivery, infants being small for gestational age, low birthweight and increased neonatal mortality. Associated risks include high rates of sexually transmitted infections, alcohol and substance misuse, smoking and poor diet. Attendance at antenatal care is generally poor and teenagers may present late, therefore, it is important to tailor care to their individual needs. Learning objectives To learn about current guidance and policies. To know about the risk factors for teenage pregnancy, adverse outcomes and associated risks. To learn about the management of teenage pregnancy with particular reference to prevention. Ethical issues When is it necessary to obtain parental consent for termination of pregnancy or to prescribe contraception in girls aged less than 16 years of age? Why do some teenagers see pregnancy as a positive life event? Please cite this article as: Horgan RP, Kenny LC. Management of teenage pregnancy. The Obstetrician & Gynaecologist 2007;9:153–158.