Almost a third of Latin American women can expect to have a baby before reaching the age of 20. That is a higher rate of teen motherhood than in any region except sub-Saharan Africa, which is much poorer. Latin America has an unusually high birth rate among teens, defined as births per 1,000 women aged 15-19, for its overall level of fertility (see chart). East Asia, which has fertility rates and incomes per person similar to Latin America’s, has much lower rates of teen childbearing. Latin America is the only region where births among girls younger than 15 have been rising. In Ecuador, the birth rate among under-15s tripled between 1990 and 2012.