Teenage pregnancy has been used as a theme or plot device in fiction, including books, films, and television series. The setting may be historical (The Blue Lagoon, Hope and Glory) or contemporary (One Tree Hill). While the subject is generally treated in a serious manner (Junk), it can sometimes play up to stereotypes in a comic manner (Vicky Pollard in Little Britain).
The pregnancy itself may be the result of sexual abuse (Rose in The Cider House Rules), a one-night stand (Amy Barnes in Hollyoaks), a romantic relationship (Demi Miller in EastEnders); (Ronnie Mitchell in EastEnders); or a first time sexual encounter (Sarah-Louise Platt in Coronation Street) unusually, in Quinceañera, the central character becomes pregnant through non-penetrative sex. The drama often focuses around the discovery of the pregnancy and the decision to opt for abortion (Fast Times at Ridgemont High), adoption (Mom at Sixteen, Juno, Glee), marriage (Sugar & Spice, Reba and Jeni, Juno) or life as a single mother (Saved!, Where the Heart Is, Someone Like You). In the German play Spring Awakening (and the Broadway musical based upon it), the central female character gets pregnant and dies from a botched abortion. Stephanie Daley deals with the aftermath of a teenage pregnancy that ends with a dead newborn baby. While the pregnant girl herself is normally the chief protagonist, Too Young to Be a Dad centers on a 15-year-old boy whose girlfriend becomes pregnant, while The Snapper focuses on the reactions of the family, particularly the soon-to-be grandfather.
Other fiction, particularly in a long-running television series, looks at the long-term effects of becoming a parent at a very young age (Degrassi Junior High). In Gilmore Girls, because Lorelai Gilmore is only 16 years older than her daughter Rory, the two are more like sisters than parent and child. Looking for Alibrandi also features the teenage daughter of a woman who was herself a teenage mother. In The George Lopez Show, Benny Lopez, gave birth to George at 16. In the ABC Family television show The Secret Life of the American Teenager centers on Amy Juergens, a 15-year-old who becomes a teenage mother after a one night stand. In the popular Comedy Central television show South Park the character Carol McCormick was said to have had her sons Kevin McCormick at 13, and Kenny McCormick at 16. In the Japanese drama 14-sai no Haha: Aisuru tame ni Umaretekita, the protagonist Miki Ichinose becomes pregnant with her boyfriend's child at age 14. The show examines the impact of her pregnancy on her, her family, her school life, the life of her boyfriend and his family, and the society in which she resides.
Additionally, reality television shows have featured teenage pregnancy stories. MTV launched two reality shows about the topic, 16 and Pregnant and Teen Mom, in 2009. Each show depicts the gritty reality that pregnant teens face from friends and family while going through this life changing event, allowing teens to see what actually happens in this scenario through an outlet other than a scripted plot. Autobiographies that look at the author’s own experience of teenage motherhood include I Know Why the Caged Bird Sings and Gather Together in My Name by Maya Angelou, Coal Miner's Daughter by Loretta Lynn, and Riding in Cars with Boys by Beverly D'Onofrio.
Songs about teenage pregnancy include downbeat tales of abuse ("Brenda's Got a Baby"), poverty ("In The Ghetto") and back-alley abortion ("Sally's Pigeons"), as well as upbeat and defiant tunes such as "Papa Don't Preach". American pop singer Fantasia Barrino, who was 17 when she gave birth to her daughter, released a controversial song about single motherhood titled "Baby Mama", describing the difficulty of raising a child alone with limited financial and family support. (Many U.S. radio stations would not play the song, ostensibly because it contains a profanity.) "There Goes My Life", a modern country song by Kenny Chesney, focuses on the reaction of the father, who rhetorically asks, "I'm just a kid myself; how am I going to raise one?" As the daughter grows up, his attitude changes, and the song ends with his tearful farewell as she leaves for college. Due to its implied pro-life message, "There Goes My Life" was sung at the inauguration of George W. Bush in 2005.