Teenage pregnancy
In 2013, Sierra Leone had the 7th highest teen pregnancy rate in the world. 38% of Sierra Leonean women aged 20–24 had given birth to their first baby before the age of 18. Teenage pregnancy is a major contributing factor to Sierra Leone's high maternal mortality rate as teenage mothers have a 40%-60% risk of dying in childbed. Babies born to teenage mothers have a 50% higher risk of being stillborn or dying shortly after birth than babies born to mothers over the age of 20.