This article discusses the issues of contraception, pregnancy, birth and abortion. It puts these issues in a context for health care professionals in the state of Georgia. Currently the US is last in the developed world in contraceptive use, further, when we do use contraceptive, we have the highest failure rate of any developed nation. Annually there are 600,000 unwanted pregnancies in the US just from the failure of oral contraceptives. In 1985 there were 3.7 million live births and 1.5 million legal abortions. This is indicative of how poorly we use contraceptive technology. Currently Georgia has one of the highest rates of teenage pregnancy. Considering only Medicaid, AFDC, and Food Stamps, the state of Georgia spends $11,600 on each teen pregnancy for the first year. The author's final conclusion is that a well funded birth control program, that included sexual education, would be the best way to avoid unwanted pregnancies which cost the state money and put women in a position to chose abortion. This type of program has proven to be successful in Sweden and the Netherlands. The abortion issue would no be as important if there were significantly less unwanted pregnancies.