The psychosocial problems of adolescent pregnancy include school interruption, persistent poverty, limited vocational opportunities, separation from the child's father, divorce, and repeat pregnancy. When pregnancy does interrupt an adolescent's education, a history of poor academic performance usually exists.56 Having repeat births before 18 years of age has a negative effect on high school completion. Factors associated with increased high school completion for pregnant teenagers include race (black teenagers fare better than do white teenagers), being raised in a smaller family, presence of reading materials in the home, employment