Teenage pregnancy is pregnancy in a female under the age of 20 when the pregnancy ends. A pregnancy can take place before menarche (the first menstrual period), which signals the possibility of fertility, but usually occurs after menarche. In healthy, well-nourished girls, menarche normally takes place around the ages 12 or 13. Whether the onset of biological fertility will result in a teenage pregnancy depends on a number of personal and societal factors. Teenage pregnancy rates vary between countries because of differences in levels of sexual activity, marriage among teenagers, general sex education provided and access to affordable contraceptive options. Worldwide, teenage pregnancy rates range from 143 per 1000 in some sub-Saharan African countries to 2.9 per 1000 in South Korea.
Pregnant teenagers face many of the same obstetrics issues as women in their 20s and 30s. There are however, additional medical concerns for mothers younger than 15. For mothers between 15 and 19, risks are associated more with socioeconomic factors than with the biological effects of age. However, research has shown that the risk of low birth weight is connected to the biological age itself, as it was observed in teen births even after controlling for other risk factors (such as utilisation of antenatal care etc.).
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