Great news about Teenage Pregnancy: A Real Success Story

Over the past 25 years, England and Wales have had huge successes with teenage pregnancy. Based on both national and international data, this article sets out the big picture as well as explaining why it’s a good thing that there are now fewer new teenage mums each year.

Before we dive into the data, it’s important to say that, if you are (or were) a teenage mother, there should be no shame and this article is not intended as a criticism. Overall, UK data says that better outcomes come from lower teenage pregnancy rates. But that doesn’t mean you aren’t a fantastic mum. Both things can be true.

The number of children being born to teenage mothers has been falling for many years and is now only a third of what it was 15 years ago. For national numbers to fall by two thirds is significant and, in this case is very good news.

Graph shows number of births to teenage mums from 1998 to 2021, using the Office for National Statistics data. Overall there is a fall from around 63000 in 1998 to 21000 in 2021. The number of births to teenage mums has fallen every year since 2007.

Why do teenage pregnancies matter?

Teenage pregnancy is associated with poor outcomes for young women and their babies. So, it follows that waiting longer before having children leads to better outcomes for both child and mother.

Image has visual that lists Outcomes for Teenage Pregnancy. For the Mothers: 1. Higher risk of poor educational attainment. 2. Social isolation. 3. Poorer mental & physical health For the Babies: 1. More likely to be born pre-term. 2. More likely to have low birth weight.

Is the fall in babies born to teenage mothers because of more abortions?

The percentage of pregnancies that end in abortion has risen over the last 25 years. This is true for females under 16, under 18 and also ‘all ages’. Often, pregnancies for under 18s aren’t seen by health workers as early as we’d like (they’re more often unplanned, confirmed late and things are sometimes slowed by the girl’s fear of disclosure).

Shows an upward trend in abortion rates in England and Wales from 1990 to 2020. 
In 1990, about 50% of pregnancies were aborted when the mother was aged under 16. It is now about 60%

In 1990, about 42% of pregnancies were aborted when the mother was aged under 18. It is now about 53%

In 1990, about 20% of pregnancies were aborted for mothers of all ages. It is now about 28%.

However, whilst the rate of abortion has risen, the actual number of abortions have fallen. Simply put, there are fewer births because fewer girls are getting pregnant.

Graph of number of pregnancies that ended in abortion where the mother was aged under 18. The graph covers the period 2011 to 2021. It shows a downward trend every year, from 14,600 in 2011 to 6200 in 2021.
Raw data (Year followed by number of pregnancies that ended in abortion):
2011	14,599 
2012	12,873 
2013	11,679 
2014	11,048 
2015	9,821 
2016	8,657 
2017	7,929 
2018	7,570 
2019	7,487 
2020	6,438 
2021	6,273

Source: https://assets.publishing.service.gov.uk/media/6500883b572780000d251a1b/Abortion-statistics-2021-data-tables-revision-September-2023.ods

Where is teenage pregnancy highest?

Middlesboro, Hull and Salford.

For local areas, child poverty and unemployment have strongest link to pregnancies of under 18 year olds.

But there are some surprises, for example: London, Cornwall, and parts of Cumbria. It is not only the places that some people might stereotype that can have much lower (or higher) than average rates of teenage mums.

Map showing rates of teenage pregnancy in England & Wales in 2021 according to the Office for National Statistics.

Source: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/conceptionandfertilityrates/bulletins/conceptionstatistics/2021

Access to contraception and sexual health clinics in London vs some rural areas may be a factor. Such access may be more difficult in rural areas where public transport is limited.

Which individuals have higher rates of teenage pregnancy?

The strongest associated risk factors for pregnancy before 18 are:

⚠️ Free school meals eligibility

⚠️ Persistent absence by the age of 14

⚠️ Poorer than expected progress in Y7-Y9

⚠️ Being looked after or a care leaver.

How do we compare to Europe?

The proportion of babies born to teenage mothers in England and Wales is lower than most of Eastern Europe. However, we do less well against Western Europe (e.g. France, Germany, Spain).

Map of Europe that compares % of babies born to teenage mothers in England & Wales to the rest of Europe.

How to reduce teenage pregnancy even more?

Leading expert Alison Hadley, from University of Bedfordshire, recommends ten approaches that successful areas tend to do well.

Image shows a wall of ten bricks, each providing one of 10 Factors of Effective Local Strategies that help reduce teenage pregnancy.
1.	Strong use of data for commissioning and monitoring of progress
2.	Sex and relationships education in schools
3.	Youth friendly contraceptive/SH services and condom schemes
4.	Dedicated support for teenage parents – including SRE and contraception
5.	Senior leadership & accountability
6.	Targeted prevention for young people at risk
7.	Consistent messages to young people, parents and practitioners
8.	Advice and access to contraception in non-health youth settings
9.	Training on relationships and sexual health for health and non-health professionals
10.	Support for parents to discuss relationships and sexual health.

So, for schools to help:

If we do that well, we can help the situation to get even better. In particular, high quality RSE helps teenagers to be informed about contraception and often acts to delay the age that a teenager first has sex.

More Interesting Reads

Or, if you are a teacher, read more on teenage pregnancy in Alison Hadley’s TES article from 2019.

References: Data from Office for National Statistics.

Images: 9000 Lives apart from title image / England Map which are ONS: www.ons.gov.uk/visualisations/dvc2531/multimap/index.html

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  • Aaron King, Director

    With 25 years as an educator and school leader in mainstream and SEND settings, Aaron is the driving force behind 9000lives.

    Aaron has been published in various publications on inclusion, SEND and leadership topics. He has also been a governor for 16 years.

  • Aaron King, Director of 9000 Lives
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