Previous research has shown increased vulnerability to teenage parenthood for young people with experience of local authority care. This study explored factors contributing to early pregnancy and parenthood among young people in and leaving care; the types of support available; and the extent to which services are perceived as accessible. Semi-structured interviews were undertaken with 63 young people. The study findings suggest that young people's experiences both prior to, and during care, influence their decisions in relation to pregnancy and impact on how they view and engage with services. The implications of these findings are discussed in the light of recent changes in legislation and services throughout England.