Background: Teenage pregnancy is an increasing problem worldwide. It correlates with higher rate of maternal and perinatal morbidity and mortality. Social issues would complicate the management by delaying therapy, stigmatization of the patients, and even initiation of child abuse. This study aims to present a case of unwanted teen pregnancy in which social aspect plays a significant role of its outcome.Case: A case of 17-years-old unmarried woman came due to abdominal pain and abnormal uterine bleeding. She had pregnancy test prior to the admittance with positive result. Her family found out about the test and forced her to come to emergency ward in order to confirm the pregnancy. Examinations showed that she had ruptured ectopic pregnancy, bilateral pyosalpinx, and endometrial thickening. Bilateral salpingectomy and curettage was done. The patient chose to delay having treatment due to fear of being found out by the family. Teenage pregnancy is an arising health, economical, and social problem in Indonesia. In addition to higher risk of morbidities and mortalities, it is also aggravated by social stigma of having extramarital sex. Family support plays pivotal role in determining the outcome of teenage pregnancy.
Conclusion:Teenage pregnancy is a complex problem requiring comprehensive and multidiscipline management on physical, psychological, and social aspects. Social problems would aggravate the situation, potentially delay the management and exacerbate the outcome