If you don’t know how to handle this by the time you’re in college, you may have bigger problems.

NPR reports.

A New Course At Arkansas Colleges: How To Not Get Pregnant

Orientation at Arkansas Tech University this year included a surprising topic for a Bible Belt state that pushes abstinence-only in high school. Every freshman was shown a newly produced video in which real students talk about the struggle of an unplanned pregnancy, and the challenge of staying in school as a parent.

“I lost a lot of friends,” says one young woman in the video who had dreamed of becoming a surgeon. A young man says he “went from not having any responsibility to having a full-time responsibility,” while another laments that Friday nights are no longer spent with friends but at home “watching Dora. A lot of Dora.”

The message is clear, and it will come up again throughout the year: in a college success course, in group chats in dorms, at a slew of events during Sexual Health Week.

Why in college? Arkansas has the nation’s highest rate of teen births, but most of them — here and nationally — are actually to young adults, 18 and 19 years old. Last year, the Arkansas Legislature passed a law directing the state’s public colleges and universities to tackle unplanned pregnancy. Schools have each been crafting their own plans for how to do that, and they launched the effort during orientation this month.

After watching the video at one session at Arkansas Tech in Russellville, nearly every student said it hit home.

“I think there was anywhere between five to 10 girls in my grade that got pregnant,” says freshman Sydney Blackwell. “I remember in eighth grade there was a girl that never made it to ninth grade because she got pregnant.”

Only 4 of 20 students in this group say they had sex ed in high school. Brooklynn Evans says she didn’t get much guidance at home, either, not even the basic birds and bees. “My parents were too uncomfortable to talk about it,” she says.

Same with Carlos Morales. He thinks it’s great that his college is bringing this up, but “it would have been better to have a class earlier, during our middle school.”