Abstract Background: Teenage pregnancy rates varies vastly between different countries and different regions within a country. Such pregnancies are seen mostly amongst the poorer and less educated sections of the society. In developed countries majority of teenage pregnancies occur to unmarried girls unlike developing countries including India where teenage pregnancies occur to married girls and are associated with early marriages.Aim & Objectives: This study aimed to find the incidence and to evaluate the maternal and fetal outcome of teenage pregnancies. Material & Methods: A Hospital based clinical prospective study of all teenage pregnant females admitted to a tertiary care centre. Required details were collected on a proforma by taking history and following up the patients from admission to delivery. MS Excel was used for statistical purpose.Results: Teenage pregnancy comprised 5.10% of the total Obstetric admissions. In this study 53.12% teenage pregnancies were associated with complications. The major maternal complications were Preterm labour 27.45%, Hypertensive Disorders of Pregnancy 20.17%, Premature Rupture of Membranes 18.21%, Abortion 14.57%, Anemia (8.12%). Low Birth Weight 16.86%, preterm births 16% and stillbirths 5% were major adverse fetal outcomes.Conclusion: Teenage pregnancy is still a common occurrence. It has adverse impact on the health of teenage mothers leading to various adverse maternal and fetal outcome.