That's my question in the headline. It implies that it was an accident, and/or that the pregnancy, so therefore the unborn child, is a burden, like an illness.
Seems offensive, yet I hear it all the time, so, maybe it is not.
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Google Ngrams isn't always the answer to things, but in this case it's clear that there's a big British English vs American English split here, and the fell pregnant usage has increased substantially in British English during the past 30 years or so.
As a Canadian English speaker, I'd never heard this at all until recently, and so I don't think a North American English speaker would find it offensive, just odd.
As some of the comments mention, in British English this would not be considered offensive; the Ngram data also seem to support this.
On the other hand, got pregnant is more commonly used in American English compared to British English and is also relatively recent.
Examples of 'fall pregnant' in the British National Corpus
Doing a search for 'fall pregnant' (all forms of the verb) in the British National Corpus reveals that although not very frequent, it does occur, and mainly in speech or reported speech contexts. There are fifteen instances of 'fall pregnant':
1 your Mum to give my money back, she ne--, has your Mum fall pregnant yet? (SP:PS6PT) Nah. (SP:PS532) Tell your Mum to give her money (SP:KP9PSUNK) Er Wayne 2 her life her two eldest children returned home, her daughter because she'd fallen pregnant and her son because his marriage had unfortunately broken down. (video-ends) (SP:PS30A) Very different 3 think I deserved erm (pause) er, two stone. Anyway, er I fell pregnant into the bargain, at the e-- end of the pregnancy weighed fourteen stone and 4 ourselves into a hotel,' she recalls.' It worked. I fell pregnant immediately.' But when I told my father I was ashamed of myself. 5 teenage girls under 16 are having illegal sex. Many regret it and many fall pregnant -- about 170 under 15s in this country every week, according to the Office 6 38, had hoped to keep an affair secret from her husband but she fell pregnant despite having been sterilised. Mr Justice Laws, said in the High Court if 7 boyfriends whom her parents deemed suitable. When she met her current boyfriend and fell pregnant, she had not been able to confide in them. She had been' 8 more mature. At first my mam and dad weren't pleased about me falling pregnant, and they used to go on about how was I going to manage. 9 's plenty have kids on their own round here. In fact the majority fall pregnant and don't get married. " After leaving school at sixteen, she went 10 remanded to Low Newton. While I was there they found out I'd fallen pregnant while I was on my home leave from Bullwood Hall. We were on remand 11 , preferring to see them as innocent children, so consequently when girls do fall pregnant, they have few rights or benefits as mothers. Adolescence is accepted as a 12 for six months or more. It is these teenage girls who more often fall pregnant, rather than those having more casual relationships, as the mothers in this book 13 use it. This gap between learning and behaviour is one through which many fall pregnant. Lots of young couples do not use contraception on their first time, and 14 . Claire and Nickie were both in the process of changing pills when they fell pregnant. Given the information about birth control, whether or not young women go in 15 a jealous boyfriend or husband. There is also the chance of a schoolgirl falling pregnant during vital examinations which can lead to missing out on getting qualifications and eventually jobs
These examples come from a mixture of spoken language (either conversations or reported speech in a written work) and newspaper reports. None appear in academic writing, so this seems like a fairly colloquial use:
1 S_conv 2 S_lect_polit_law_edu 3 S_brdcast_discussn 4 W_newsp_tabloid 5 W_newsp_tabloid 6 W_newsp_other_report 7 W_newsp_other_report 8 W_non_ac_soc_science 9 W_non_ac_soc_science 10 W_non_ac_soc_science 11 W_non_ac_soc_science 12 W_non_ac_soc_science 13 W_non_ac_soc_science 14 W_non_ac_soc_science 15 W_essay_school
Likely a biblical reference in origin; seen as turning pregnancy into an activity solely involving the woman and freeing the man from responsibility. (en-wiki )
The meaning of the term, however, has altered greatly since the advent of the welfare state. Girls or women now "fall pregnant" in much the same way that any of us "falls" ill. Unlike in the past, there is no badge of shame. (How words fall pregnant with the possibility of being twisted )
Fall silent, fall sick, fall victim (to), fall asleep, and many other such expressions with "fall" appear all perfectly natural.
However, "fall pregnant" can bring up many meanings-
We were delighted when my spouse fell pregnant with my first son. (positive)
I didn't mean for that to happen" but I fell preganant. (unintentional)
she was just a bit careless", and fell pregnant. (unwanted)
The Oxford English Dictionary gives an isolated usage in 1722, to describe the predicament of some foolish girl. It then emerges at the end of the 19th century - the golden age of euphemism - to reflect the misfortunes that, in an age before contraception, sometimes occurred to pretty under-housemaids who had attracted too much attention from the Young Master.
It is not a term one uses out of a desire to express moral condemnation. Rather, it is used in the face of probable moral rectitude to mitigate any such judgments.
It can be used as a simple term for pregnancy without any implication at all.
It can be used a bit euphemistically in association with exceptional circumstances in an attempt to destigmatize certain pregnancies - the housemaid getting pregnant by the young master (which will not be acknowledged), or the droves of London girls getting pregnant during WWII. Here is a recent example of this from the UN -
Um Khalid fell pregnant during the war. Though they were planning on traveling, she and her husband decided it was best to deliver the child in Syria before leaving.
THE ROAD TO RESILIENCE Case Studies of Refugees in Khartoum, Sudan, 12/01/2016
It serves the very useful function of removing focus from the act of getting pregnant and letting one concentrate on the repercussions.
My personal experience says that it is not offensive and is an acceptable turn of phrase. In a literal context, 'falling pregnant' is standard phrase and is comparable to 'expecting a child'. The idea of falling pregnant is thought to stem from biblical days when it wasn't understood that the man was involved in creating a pregnancy. A woman 'fell' pregnant (seemingly without the interaction of the man) in the same way that she 'fell' in love.