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At the beginning of season four, Amy and Ricky are together and are trying to be a real family for their son.
After the stillborn death of Ben and Adrian's daughter, Amy and Ricky begin a sexual relationship.
She changes her mind, but is still adamant about not returning to school.
Ricky reaches out to Amy during this time, saying that he wants to be involved with what happens to the baby.
After Amy tells her parents, she contemplates having an abortion, as she is afraid of her peers' perceptions.
After breaking up with Ben, she develops feelings for Ricky when he comes to visit.
She tells him that if he really wants to be with her, he has to stop sleeping around,and get tested for any sexually transmitted diseases or infections.
She confesses her pregnancy to her two best friends, Madison and Lauren, who are fake because they spread the rumor that Amy had sex with Ricky.
During this time, Amy's 13-year-old sister Ashley discovers her pregnancy due to Amy's recent weight gain and erratic behavior, but promises to keep her secret from their parents.