The teenage birth rate has been declining since then, with twenty-seven births per thousand women aged fifteen to nineteen in 2013. This represents a decline by fifty-seven percent compared to the peak teenage birth rate. in 1991 (“National” 1). In 2013, 273,105 babies were born to teenage families and about eighty-nine percent of these births took place to unmarried couples. Additionally, among these groups of newborns, approximately seventeen percent were from a woman who already had one or more babies. Additionally, in 2013, an emergency contraceptive became over-the-counter, very accessible to adolescents. However, the adolescent birth rate has changed dramatically over the years, but still remains higher than in many other countries such as: Canada or the United Kingdom (“Trends”