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Teenage pregnancy poses a great challenge to the health professionals.An estimated 16 million girls aged between 15 and 19 years give birth every year, with 95% of these births occurring in the developing countries.This makes upto 11% of all births worldwide.However, global averages mask important regional differences, the percentage of which varies from 2% in China to 18% in Latin America and the Caribbean.In spite of improving trends in modern obstetrics, teenage pregnancies are still on the rise and there is no conclusive evidence regarding the outcome of these pregnancies.The aim of our study was to compare obstetric and perinatal outcome in teenage and non-teenage pregnancies.Retrospective data of 15,498 pregnant patients who delivered from March 2008 to April 2009 was analyzed.Girls aged < 19 years were compared with pregnancy outcomes in women aged >19 years who delivered in the same hospital during the study period.A total of 620 teenage pregnancies were compared with 14,878 non-teenage women.The incidcnce of teenage pregnancy in the study was 4%.A significant proportion of teenage mothers were in their first pregnancy and their mean age was 18.04 years.Our study showed a significantly higher incidence of anaemia, past dates, premature rupture of membranes (PROM), normal vaginal delivery, episiotomy, low birth weight, and a significantly lower incidence of caesarean sections/perineal tears in teenage mothers compared to other mothers.The incidence of hypertension, intrauterine growth restriction of fetus, pre-term labour and postpartum haemorrhage were similar in both the groups.The data in our study should throw more light on the current thinking of the obstetrical problems facing teenage mothers, in which some of our results support and others refute several long held beliefs about the risks in teenage pregnancy.Early booking, adequate antenatal care and delivery by trained people should improve the obstetric and perinatal outcome in teenage pregnancies, which is still an unresolved problem inspite of various programmes in developing countries.