When Jamie McKay first became pregnant, the struggling teen took her story to the MTV docu-series "16 and Pregnant." There she shared the details for the benefit of other young women who might find themselves in similar situations. But as it turned out, after having her first child, it was McKay who soon found herself in thatvery same situation again.

At 18, Jamie was pregnant, but this time she made a different decision. She still shared her story with others, albeit in a very different way -- via Twitter, but she didn't go through with the pregnancy.

Last week, she posted an ultrasound image (which she later deleted) and wrote, "Rest in peace little angel. September 17, 2012."

The message caused some confusion for her Twitter followers, who at first seemed to believe she'd suffered a miscarriage. In a series of tweets that followed, she cleared up the confusion.

"Thank you all for the love and support but I want you to know I did not miscarry," she wrote. "I chose abortion. I chose it out of fear. I feel like I made a mistake and I can't take it back. I have had this in my heart and it has been very hard on me. I was afraid to be judged by my family, my mother, even my dad. So I did it before they could find out. I should have looked into my options more but I didn't."

Reactions among those who read her story ranged from supportive to angry, but Jamie hasn't shied away from any of them. She continues to respond to followers and often retweets messages from those who've commented.

According to Jamie, Ryan McElrath, her boyfriend and the father of their daughter, Miah, "has been supportive through it all." And, "in case you all were wondering, he is the father of that child too. And he let me make my decisions."

While Jamie expressed regret about her choice, she later added, "In my heart I know I made the right decision. But sometimes I wish I hadn't."

For a look at Jamie's "16 and Pregnant" story, watch the video below.

What do you think of Jamie's decision to be open about both of her pregnancies? Share your thoughts on our Facebook page.

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MTV

If MTV ever decides to do a show about teenagers with two babies, they know exactly who to call. Three girls featured on the popular docu-series “16 and Pregnant” are currently pregnant again. 

Ebony Jackson-Rendon, who appeared on the show’s first season, Brooke Smitherman-Tarrant of season two, and Kristina Head, whose heartbreaking story about the accidental death of her baby’s father served as the fourth season’s finale, are all expecting a second child by early next year.

Jackson-Rendon only recently regained custody of the three-year-old daughter she gave birth to on the show, Jocelyn. She and her husband, Joshua, were arrested and Jocelyn was taken into protective custody in Sept. 2011 after police found their home on an Arkansas Air Force base to have “deplorable conditions.”

While trying to regain custody of Jocelyn, the Jacksons discovered that Ebony was pregnant again. In April, Joshua told TMZ that although the pregnancy was not planned, they are “extremely excited for the baby.”

Although MTV has touted the show and its spin-offs “Teen Mom” and “Teen Mom 2” as possible tools to prevent teen pregnancy -- and declining teen birth rates, as well as a report detailing "16 and Pregnant's" impact by The National Campaign to Prevent Teen and Unplanned Pregnancy, arguably back that up -- some statistics show that it is still common for a teenage mother to become pregnant again shortly after giving birth to her first child.

“About 20 percent of teen births annually are second or higher order births to teen mothers,” Pat Paluzzi, president and CEO of Healthy Teen Network, a non-profit organization focused on the prevention of teen pregnancy and support for pregnant and parenting teens, told TODAY.com. “Many teens express ambivalence about getting pregnant and thus it becomes easier in some regards to repeat it. Most teen pregnancies are unintended but not necessarily unwanted.”

Even the girls featured on the show are not immune to this trend. In fact, of the 47 girls that have been featured on the show, at least six have experienced a second pregnancy within two years of giving birth. Season three's Jordan Ward gave birth to her second child in November 2011, while Leah Messer, of season two and later “Teen Mom 2,” reportedly miscarried earlier this year. Markai Durham, of season two, chose to have an abortion and allowed MTV to document her experience for a special called “No Easy Decision,” which aired in 2010.

Since its debut in 2009, “16 and Pregnant” has been criticized by some experts and some the media for turning its subjects into tabloid stars.

“The shows sensationalize the life of a teenage mother -- exaggerating the good and the bad for ratings,” according to psychiatrist and author Dr. Carole Lieberman, M.D., who spoke to TODAY.com. “But, even when they show the bad, it still doesn’t discourage other teens (from getting pregnant) because they are envious of these teen moms. The producers may have originally given a nod to the idealistic goal of preventing teen pregnancy with these shows but … the media has turned (these girls) into celebrities.”

Kail Lowry, who was featured on the show’s second season and went on to star on “Teen Mom 2,” argues that the show does discourage girls from getting pregnant -- or pregnant again -- by showing how difficult it is to have a child or two while still in your teens.

“I think it’s really important for girls to notice that in one episode, one of us is crying, one of us is fighting with her boyfriend, one of us doesn’t have enough money to buy diapers and one of us is about to go to jail,” she said during an appearance on “Good Morning America” in December 2011. “There’s no way that any of that is glamorous.”

MTV did not respond to a request for comment regarding if the network had any plans to feature the girls who are pregnant again on an upcoming show.

Are you surprised that some of the girls from "16 and Pregnant" are already pregnant again? Share your thoughts on our Facebook page.

Ashley Majeski writes about "Teen Mom" and other reality shows on her website, TheAshleysRealityRoundup.com. Follow “The Ashley” on Twitter at @theashleysrr.

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MTV

Josh Rendon and wife Ebony Jackson-Rendon, seen here in an episode of MTV's "16 and Pregnant," are expecting their second child.

Almost seven months ago Josh Rendon and wife Ebony Jackson-Rendon, one-time stars of MTV's "16 and Pregnant," were arrested after authorities found that the conditions in which they were raising 2-year-old daughter Jocelyn were "deplorable." Their residence, which a police report revealed contained garbage, feces and maggots, was so bad that the Arkansas Division of Children and Family Services took the child away from the couple.

Now, even though they've yet to regain custody of their first child and are only allowed supervised visits, they're expecting another one.

Dad Josh spoke to TMZ and revealed that Ebony is 10 weeks pregnant.

"We are extremely excited for the baby," he said.

Josh insisted he and Ebony have changed their ways. Five months ago, she checked into rehab, and Josh told TMZ they've since taken parenting classes, keep a tidy house and are ready for another child.

Do you think this reality TV couple is really ready to give parenting another try? Share your thoughts on our Facebook page.

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