In recent years, the topic of teen pregnancy has become especially relevant in the evolving YA literature landscape. In light of current events that have put reproductive health rights and access to comprehensive care at risk, we need these stories – which have the power to shed light on the complex realities of becoming pregnant as a teen – now more than ever.
The books included in this list present a variety of scenarios and options faced by pregnant teens, all with different storylines, tones, and insights. One thing they all have in common? These books underscore the vital importance of access to reproductive care. By showing how the characters navigate their various circumstances and choices, these books emphasize the need for accurate information and supportive guidance for teens when making decisions around reproductive health.
Start reading this selection of powerful books that offer an authentic portrayal of teen pregnancy, and shine a light on the importance of reproductive care.
YA Books that Navigate Teen Pregnancy
EXPLORING DIFFERENT OPTIONS, HIGHLIGHTING IMPORTANT PERSPECTIVES
1. Unpregnant by Jenni Hendriks and Ted Caplan
Seventeen-year-old Veronica Clarke never thought she’d want to fail a test—that is, until she finds herself staring at a piece of plastic with two solid pink lines. With a college-bound future now disappearing before her eyes, Veronica considers a decision she never imagined she’d have to make: an abortion.
There’s just one catch—the closest place to get one is over nine hundred miles away. With conservative parents, a less-than-optimal boyfriend, and no car, Veronica turns to the only person who won’t judge her: Bailey Butler, a legendary misfit at Jefferson High—and Veronica’s ex-best friend.
What could go wrong? Not much, apart from three days of stolen cars, crazed ex-boyfriends, aliens, ferret napping, and the betrayal of a broken friendship that can’t be outrun. Under the starlit skies of the Southwest, Veronica and Bailey discover that sometimes the most important choice is who your friends are.
2. Salvage the Bones by Jesmyn Ward
Winner of the National Book Award
A hurricane is building over the Gulf of Mexico, threatening the coastal town of Bois Sauvage, Mississippi, and Esch’s father is growing concerned. A hard drinker, largely absent, he doesn’t show concern for much else. Esch and her three brothers are stocking food, but there isn’t much to save. Lately, Esch can’t keep down what food she gets; she’s fourteen and pregnant. Her brother Skeetah is sneaking scraps for his prized pitbull’s new litter, dying one by one in the dirt. Meanwhile, brothers Randall and Junior try to stake their claim in a family long on child’s play and short on parenting.
As the twelve days that make up the novel’s framework yield to their dramatic conclusion, this unforgettable family–motherless children sacrificing for one another as they can, protecting and nurturing where love is scarce–pulls itself up to face another day. A big-hearted novel about familial love and community against all odds, and a wrenching look at the lonesome, brutal, and restrictive realities of rural poverty, Salvage the Bones is muscled with poetry, revelatory, and real.
3. Shut Up, This is Serious by Carolina Ixta
An unforgettable YA debut about two Latina teens growing up in East Oakland as they discover that the world is brimming with messy complexities, perfect for fans of Elizabeth Acevedo and Erika L. Sánchez.
Belén Dolores Itzel del Toro wants the normal stuff: to experience love or maybe have a boyfriend or at least just lose her virginity. But nothing is normal in East Oakland. Her father left her family. She’s at risk of not graduating. And Leti, her super-Catholic, nerdy-ass best friend, is pregnant—by the boyfriend she hasn’t told her parents about, because he’s Black, and her parents are racist.
Things are hella complicated.
Weighed by a depression she can’t seem to shake, Belén helps Leti, hangs out with an older guy, and cuts a lot of class. She soon realizes, though, that distractions are only temporary. Leti is becoming a mother. Classmates are getting ready for college. But what about Belén? What future is there for girls like her?
From debut author Carolina Ixta comes a fierce, intimate examination of friendship, chosen family, and the generational cycles we must break to become our truest selves.
4. Concrete Rose by Angie Thomas
If there’s one thing seventeen-year-old Maverick Carter knows, it’s that a real man takes care of his family. As the son of a former gang legend, Mav does that the only way he knows how: dealing for the King Lords. With this money he can help his mom, who works two jobs while his dad’s in prison.
Life’s not perfect, but with a fly girlfriend and a cousin who always has his back, Mav’s got everything under control.
Until, that is, Maverick finds out he’s a father.
Suddenly he has a baby, Seven, who depends on him for everything. But it’s not so easy to sling dope, finish school, and raise a child. So when he’s offered the chance to go straight, he takes it. In a world where he’s expected to amount to nothing, maybe Mav can prove he’s different.
When King Lord blood runs through your veins, though, you can’t just walk away. Loyalty, revenge, and responsibility threaten to tear Mav apart, especially after the brutal murder of a loved one. He’ll have to figure out for himself what it really means to be a man.
5. Exit, Pursued by a Bear by E. K. Johnston
TW: sexual assault
Hermione Winters is captain of her cheerleading team, and in tiny Palermo Heights, this doesn’t mean what you think it means. At PHHS, the cheerleaders don’t cheer for the sports teams; they are the sports team–the pride and joy of a small town. The team’s summer training camp is Hermione’s last and marks the beginning of the end of…she’s not sure what. She does know this season could make her a legend. But during a camp party, someone slips something in her drink. And it all goes black.
In every class, there’s a star cheerleader and a pariah pregnant girl. They’re never supposed to be the same person. Hermione struggles to regain the control she’s always had and faces a wrenching decision about how to move on. The rape wasn’t the beginning of Hermione Winter’s story and she’s not going to let it be the end. She won’t be anyone’s cautionary tale.
6. How to Love by Katie Cotugno
For fans of Sarah Dessen and John Green, this is a breathtaking debut about a couple who fall in love…twice.
Before: Reena Montero has loved Sawyer LeGrande for as long as she can remember. But he’s never noticed that Reena even exists…until one day, impossibly, he does. Reena and Sawyer fall in messy, complicated love. Then Sawyer disappears without a word, leaving a devastated—and pregnant—Reena behind.
After: Almost three years have passed, and there’s a new love in Reena’s life: her daughter. Reena’s gotten used to life without Sawyer, but just as suddenly as he disappeared, he turns up again. Reena wants nothing to do with him, though she’d be lying if she said his being back wasn’t stirring something in her.
After everything that’s happened, can Reena really let herself love Sawyer LeGrande again?
7. The How & the Why by Cynthia Hand
Cassandra McMurtrey has the best parents a girl could ask for; they’ve given Cass a life she wouldn’t trade for the world. She has everything she needs—but she has questions, too. Like, to know who she is. Where she came from. Questions her adoptive parents can’t answer, no matter how much they love her.
But eighteen years ago, someone wrote Cass a series of letters. And they may just hold the answers Cass has been searching for.
Alternating between Cass’s search for answers and letters from the pregnant teen who placed her for adoption, this emotionally resonant narrative is the perfect read for fans of Nina LaCour and Jandy Nelson.
8. 16 & Pregnant by LaLa Thomas
Erykah was looking forward to junior year at East Prep High. She has a cute boyfriend, gets good grades, and has the best bestie. Money is tight, though that’s nothing new in her world. But everything changes when she gets pregnant. Having a baby at sixteen was definitely not part of the plan.
Kelly’s plan was to dominate junior year–grade-wise and on the basketball court–and eventually get an athletic scholarship. It did not include helping her best friend through a pregnancy. But that’s what best friends do, right? Besides, Kelly has every intention of being a good auntie.
As the two girls navigate the pregnancy, they’ll learn some harsh realities about the world and be forced to make some huge decisions. They’ll also discover a deep reserve of strength and compassion…for each other and themselves.
9. Girls on the Verge by Sharon Biggs Waller
Camille couldn’t be having a better summer–she kills it as Ophelia in her community theater’s production of Hamlet, catches the eye of the cutest boy in the play, and nabs a spot in a prestigious theater program. But on the very night she learns she got into the program, she also finds out she’s pregnant. She definitely can’t tell her parents. And her best friend Bea doesn’t agree with the decision Camille has made.
Camille is forced to try to solve her problem alone…and the system is very much working against her. At her most vulnerable, Camille reaches out to Annabelle Ponsonby, a girl she only barely knows from the theater. Happily, Annabelle agrees to drive her wherever she needs to go. And in a last minute change of heart, Bea decides to come with.
Over the course of more than a thousand miles, friendships will be tested and dreams will be challenged. But ultimately, the girls will realize that friends are the real heroes in every story.
10. Girls Like Us by Randi Pink
Four teenage girls. Four different stories. What they all have in common is that they’re dealing with unplanned pregnancies.
In 1972 rural Georgia, Izella is wise beyond her years, but burdened with the responsibility of her older sister, Ola, who has found out she’s pregnant. Their young neighbor, Missippi, is also pregnant, but doesn’t fully understand the extent of her predicament. When her father sends her to Chicago to give birth, she meets the final narrator, Susan, who is white and the daughter of an anti-choice senator.
11. Finding Yvonne by Brandy Colbert
Since she was seven years old, Yvonne has had her trusted violin to keep her company, especially in those lonely days after her mother walked out on their family. But with graduation just around the corner, she is forced to face the hard truth that she just might not be good enough to attend a conservatory after high school.
Full of doubt about her future, and increasingly frustrated by her strained relationship with her successful but emotionally closed-off father, Yvonne meets a street musician and fellow violinist who understands her struggle. He’s mysterious, charming, and different from Warren, the familiar and reliable boy who has her heart. But when Yvonne becomes unexpectedly pregnant, she has to make the most difficult decision yet about her future.
12. Plan A by Deb Caletti
Ivy can’t entirely believe it when the plus sign appears on the test. She didn’t even know it was possible from . . . what happened. But it is, and now she is, and instead of spending the summer working at the local drugstore and swooning over her boyfriend, Lorenzo, suddenly she’s planning a cross-country road trip to her grandmother’s house on the West Coast, where she can legally obtain an abortion.
Escaping her small Texas town and the judgment of her friends and neighbors, Ivy hits the road with Lorenzo, who, determined to make the best of their “abortion road trip love story,” has transformed the journey into a whirlwind tour of the world: all the way from Paris, Texas, to Rome, Oregon . . . and every rest-stop diner and corny roadside attraction along the way.
And while Ivy can’t run from the incessant pressure of others’ opinions about her body or from her own expectations and insecurities, she discovers a new world of healing and hope. As the women she encounters share their stories, she chips away at the stigma, silence, and shame surrounding reproductive rights while those collective experiences guide her to her own rightful destination.
13. As Many Nows as I Can Get by Shana Youngdahl
In one impulsive moment the summer before they leave for college, Scarlett and David plunge into a brief and irresistible swirl of romance, particle physics, and questionable decisions.
Scarlett and David have known each other all their lives in small-town Graceville, Colorado, where David is just another mountain in the background, until, one day, he is suddenly so much more than part of the scenery. Magnetic, spontaneous, David is a gravitational force. And Scarlett, pragmatic, wry, eye on the future, welcomes the pull he has on her even as she resists it.
Moving between the present and the past, this is the story of a seemingly grounded girl who’s pulled into a lightning-strike romance with an electric-charged boy, and the enormity of the aftermath. Smart, bold, and emotionally deep, Shana Youngdahl’s debut explores grief, guilt, and reconciling who you think you need to be with the person you’ve been all along. It’s an aching, transporting reminder that between the past that shapes us and the unknowable future, we have only the present to forgive ourselves and forge ahead.
14. Belly Up by Eva Darrows
There’s a first time for everything.
First time playing quarters.
First time spinning the bottle.
First totally hot consensual truck hookup with a superhot boy whose digits I forgot to get.
First time getting pregnant.
Surprised you with that one, didn’t I?
Surprised me, too. I’d planned to spend senior year with my bestie-slash-wifey, Devi Abrams, graduating at the top of my class and getting into an Ivy League college. Instead, Mom and I are moving in with my battle-ax of a grandmother and I’m about to start a new school and a whole new life.
Know what’s more fun than being the new girl for your senior year? Being the pregnant new girl. It isn’t awesome. There is one upside, though—a boy named Leaf Leon. He’s cute, an amazing cook and he’s flirting me up, hard-core. Too bad I’m knocked up with a stranger’s baby. I should probably mention that to him at some point.
But how?
It seems I’ve got a lot more firsts to go.
15. Sun Keep Rising by Kristen R. Lee
B’onca always knew how to get by. And then her daughter is born. She wouldn’t trade Mia for anything, but there is never enough cash to go around. When their gentrifying Memphis neighborhood results in higher prices and then an eviction notice, B’onca’s already fragile world spirals. Desperate to make things right, B’onca forges a risky plan to help pay the bills. But all games have consequences, and this isn’t one she can afford to lose. One wrong move could cost B’onca—and her family—everything.
From the celebrated author of Required Reading for the Disenfranchised Freshman comes a compelling story about a teen mom navigating income disparity and racial inequality, and defying challenges to protect those she loves.