Teenage girls in rural America could be the first to see a rise in unplanned pregnancies as drastic cuts in access to health care, contraception and insurance take effect under President Donald Trump's policies, say family planning campaigners.

Living in remote areas leaves those teens, already behind their urban and suburban peers in terms of income and education, most at risk, they say.

Teen pregnancy in the United States has been declining for decades, but experts fear abrupt funding cuts, including $213 million for the Obama-era Teen Pregnancy Prevention Program, will reverse the trend.