The term “Teenage Pregnancy” means bearing of pregnancy by a girl who has not attained adulthood, usually between the ages of 13 – 19.  In some countries, it is due to child marriages, rape, poverty, but in other countries, it may be the result of long time dating. It is the result of voluntary or involuntary sexual intercourse between a girl and boy. Usually, the average age of menarche in various countries including U.S.A is 12 years old, but the age is descending. Presently, a girl can get pregnant at the age of 10 or 11 also. Teenage pregnancy pours lots of problems for the expecting mother in any country. Society behaves with the expecting girl with extreme indignity. Therefore, it is becoming a social issue on which many studies and campaigns are prevalent. Many women institutions are raising this issue at large scale to make the population aware about its ill-effects, thus trying to reduce or stop teenage pregnancy.

The sign of pregnancy can be diagnosed by urine test. It can be also detected by pelvic examination by a gynecologist, who declares purple coloration of vaginal walls with enlargement of uterus and further ultrasound is done to confirm it. It carries risk to the body of the expecting mother, as they do not know about prenatal care. They are prone to high blood pressure, alcohol drinking, smoking, and unscheduled eating patterns resulting in low weight of child. They are frightened to tell their parents, and thus, face more difficulties such as confusion, fear, lack of sleep, frustration, and isolation.

The expecting mother should take quick decision in this stage of pregnancy. They have to either abort or offer the child for adoption. As abortion is possible only till 3 months or 12 weeks of pregnancy, she should talk to the family without any fear or go to any women centre to seek advice and help as it is the question of life and death of two people – the expecting mother and baby.

Pregnancy is the result of the fertilization of an ovum of a woman by the sperm of a man in the uterus. The ovum gets implanted in the uterus for further development. Ectopic Pregnancy refers to the implantation of the ovum into the fallopian tubes, instead of uterus. This is due to varied reasons which can be tube infections, earlier surgery inside the abdomen covering fallopian tubes, ovaries, uterus, blockage of tubes because of pelvic inflammatory disease and use of medicines for fertility increase to conceive.

The common symptoms are vaginal bleeding, dizziness, sweat, shoulder tip pain, lower back pain, low blood pressure and extreme pain. This vaginal bleeding is the result of the rupturing of organs bearing baby due to his growth and it is a serious medical problem which needs immediate attention of the doctor immediately.  This problem is seen in 2 out of 100 pregnancies in India in an year. This pregnancy does not result into a live birth.

It cannot be detected in the early sign of pregnancy as the symptoms closely resemble a normal pregnancy such as missed periods, tenderness in breast, nausea, vomiting, frequent urination. The ultrasound cannot detect the signs of ecotopic pregnancy then the doctor has to do pelvic examination to properly detect it. Doctor has to also do the hCG test which is blood test to know the levels of hormone human chorionic gonadotropin produced by the placenta during pregnancy and is present in the blood and urine after 8 to 10 of conception. Its level rises as the pregnancy progresses, but in ecotopic pregnancy, the levels do not rise as fast as it should.

The early detection with treatment of this pregnancy involves injection of methorexate which inhibits the further growth of embryo. But, if it has progressed to a large scale, surgery is needed to remove, which requires incision at the pelvic region. It can also be removed by laproscopy.

There is a higher risk of this pregnancy in the women above 35 years of age. If the women do smoking and use multiple sexual partners, she is vulnerable to ecotopic pregnancy. Therefore, to give birth to a life, a woman should be careful about her life by using proper protective measures.