The research examined the role of television health programme in curbing premarital pregnancy among residents of Trans Amadi Port Harcourt River state. The research is anchored on Uses and Gratifications. Cross sectional survey research method was used while purposive sampling technique was adopted to pick respondents. The sample consisted of 100 girls whose age range from 13-28+ because girls of that age are sexually active and are more likely to use no contraceptives, which puts them at a high risk of unplanned pregnancy. Findings show that majority of the respondents were heavy viewers with (33.3%) but they were light viewers of television health programmes. There are various reasons attributed to the causes of premarital pregnancy among girls or young ladies in Trans Amadi from the poverty, unemployment, lack of parental care, desire for earlier sex, earlier dating, lack of sex education among others. There is still a low awareness on premarital pregnancy among young girls. It is recommended that television are powerful tools for disseminating information to the young ones, so sex education should be effectively planned and integrated for maximum benefits.