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In 2025, the birth rate among teenagers aged 15 to 19 in the United States stood at 11.7 births per every thousand women. The teen birth rate in the U.S. has decreased significantly over the years and is now at the lowest recorded rate ever.

Teenage pregnancy and birth

Teenage pregnancy and births are related to a number of negative outcomes. Babies born to teenage mothers are more likely to be premature and have a low birth weight, and teen mothers often experience gestational hypertension and anemia. Additionally, there are significant adverse effects on socioeconomic and educational outcomes for teenage parents. Teenage pregnancy is usually unplanned and due to the negative consequences mentioned above the ratio of legal abortions to live births in the United States is highest among teenagers. In 2022, there were 374 legal abortions per 1,000 live births among girls and young women aged 15 to 19 years, compared a ratio of 284 legal abortions per 1,000 live births among women aged 20 to 24 years.

Contraceptive use among teens

Contraceptive use is the best way for sexually active teenagers to avoid unwanted pregnancies, but use and accessibility remain problems in the United States. In 2021, only 23 percent of high school girls in the U.S. used the birth control pill to prevent pregnancy before their last sexual intercourse. Use of the birth control pill to prevent pregnancy is highest among white teenagers and lowest among Black teenagers, with only 11 percent of Black teenagers reporting use in 2021. Condom use is more common among high school students, but still only around half of sexually active students reported using a condom during their last sexual intercourse in 2021.