18 General Registrar Office (Northern Ireland), Registrar General Annual Report 2008 (Belfast: Stationery Office, 2009).
Nicaragua has the highest rate of teenage pregnancy in Latin America. With the support of our Girl Power Project young people are now educating their peers on the risks of becoming a teen parent.
Risks for medical complications are greater for girls aged under 15, as an underdeveloped pelvis can lead to difficulties in childbirth . Obstructed labour is normally dealt with by Caesarean section in industrialized nations ; however, in developing regions where medical services might be unavailable, it can lead to eclampsia , obstetric fistula , infant mortality , or maternal death .   For mothers who are older than fifteen, age in itself is not a risk factor, and poor outcomes are associated more with socioeconomic factors rather than with biology. 
School-based health centers can play a key role in addressing unplanned teen pregnancy, and failing to provide contraceptive services on-site, for whatever reason, is self-defeating. We know contraception has been the main driver of the steep decline in the . pregnancy rate among 15-19-year-olds, which is why it’s so important to give students easy access to the information and services they need
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