Although the prevention of unintended adolescent pregnancy is a primary goal of the American Academy of Pediatrics and society, many adolescents continue to become pregnant. Since the last statement on adolescent pregnancy was issued by the Academy in 1989, new observations have been recorded in the literature. The purpose of this new statement is to review current trends and issues on adolescent pregnancy to update practitioners on this topic. Adolescent pregnancy in the United States continues to be a complex and perplexing issue for families, health care professionals, educators, government officials, and youth themselves. Since 1989, when the last statement on this topic was issued by the American Academy of Pediatrics many important observations and trends have been noted. In this statement, pediatricians are provided more recent data on adolescent sexuality, contraceptive use, and childbearing as well as recommendations for addressing adolescent pregnancy in their communities and practices.