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There have been substantial changes in the pattern of pregnancies to teenagers in England and Wales in the past 25 years. The number of births and abortions to teenagers has increased until the last 2–3 years since when there has been a decline. This paper looks at the changes that have occurred in the population structure and marital patterns of teenagers during these years, and examines teenage pregnancies and their outcomes with regard to some of the medical and social factors that may have influenced these changes. [ABSTRACT FROM AUTHOR]