A senior nurse at American Samoa's Health Department says teenage pregnancy is growing at an alarming rate.
Margaret Sesepasara says just for the Tafuna Family Health Centre alone, the number of teenage mothers she's seen in the first three months of 2011 is 40.
Ms Sesepasara predicts that last year's teenage pregnancy figures of more than 100 will be surpassed this year.
She says something must be done to arrest the trend.
"It's like a style now, that somebody's having a baby, why shouldn't I be pregnant? I'm not sure if the family planning are going out to the college but I really believe we should have a family planning clinic at the college twice a week, just in the mornings; maybe if they have a place to go to get something, a birth control or condoms, whatever, to prevent pregnancy."
Margaret Sesepasara