<![CDATA[Objective: Pregnancy under the age of 20 is often categorized as high-risk due to biological and psychological immaturity of the reproductive organs. Teenagers who become pregnant at a young age are more susceptible to obstetric complications such as preeclampsia and premature birth. The aim of this study was to determine the effectiveness of premarital health counseling on the interest in postponing high-risk pregnancies in couples of childbearing age under 20. Methods: Methode: The type of research used is quantitative with a quasi-experimental research design, which is a form of design using a quasi-experimental design and using a one-group pretest-posttest design. The research was conducted at the Kedaburapat Community Health Center, Meranti Islands Regency. Data collection was carried out in October-December 2025. The population in this study was 40 people using the Lemeshow two-proportion formula so that the sample size was 11 people. The instrument in this study used a questionnaire with pre-test and post-test techniques. using the Wilcoxon Signed Rank Test. Results: The results showed that before counseling, 63.6% of respondents had a high interest and 36.4% had a low interest in postponing high-risk pregnancies. After counseling, all respondents (100%) showed a high interest. The average interest score increased from 24.18 to 41.45. The Wilcoxon test showed a p-value of 0.003 (p < 0.05), indicating a significant difference before and after counseling. Thus, premarital health counseling has been proven effective in increasing interest in postponing high-risk pregnancies in prospective couples of childbearing age under 20 years old. Conclusion: It is recommended that the Kedaburapat Community Health Center make premarital health counseling a routine and structured program and increase reproductive health education for adolescents as an effort to prevent early pregnancy]]>
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