The recommendations present current methods of treatment that may be subject to modification and change in justified cases, after careful analysis of the given clinical situation. In the future, this may be the basis for their modification and updating.
EPIDEMIOLOGYMost teenage pregnancies are related to unprotected intercourse and early sexual initiation. It is a global problem, 259 Agnieszka Drosdzol-Cop et al., The PTGiP's Expert Group Recommendations regarding adolescent pregnancy www. journals.viamedica.pl/ginekologia_polskawith nearly 16 million teenage girls aged 15-19 and two million girls under 15 becoming pregnant each year. According to the United Nations Children's Fund (UNICEF) data for highly developed countries, the country with the lowest percentage of births per 1,000 pregnant women under 20 is South Korea -2.9, and the highest in the USA -52.1. For Poland the indicator is 18.7 [2][3][4]. It should be remembered that adolescent pregnancy is associated with more complications and risk of maternal and child death. Based on the available data, it is the leading cause of death for adolescents aged 15-19 years in the world [5][6][7]. Increased mortality is also associated with poorly performed abortions that led to permanent damage to health, complications or outright death, it is reported that 5.6 million abortions are performed annually on girls aged 15-19, of which 3.9 million are improperly performed [1][2][3]7].The young age of the mother leads to an increased risk of systemic infection, eclampsia, puerperal endometritis, premature birth and is also associated with low birth weight and severe neonatal morbidity [5].It is worth noticing that according to a World Health Organization (WHO) report, in Scandinavian countries where access to contraception and abortion is very easy, it is reflected in the rate of underage pregnancies, which is much lower compared to other countries [1].General Statistics of Poland (GUS, Główny Urząd Statystyczny) data for 2020, state that in Poland mothers aged 19 and under gave birth to 7118 children. This compares to 11,230 in 2016 for the same age group. Year on year, we are seeing a downward trend in our country [6].