Introduction: The occurrence of pregnancies in teenagers is generally classified as having higher risks than their counterparts who are adult females. The main contributing factors are the earlier onset of puberty and earlier first sexual intercourse in teenagers compared with those in the past. Hence, our study was aimed at looking into the outcomes of teenage pregnancy and determining the complications and mode of delivery in such pregnancies. Materials and methods: The study was conducted at a tertiary health care center in South India. It was a record study and we investigated the records of the discharge summary of patients with teenage pregnancy who were delivered in St Johns Medical Hospital over 3 years (2018–2021). Only cases where the pregnancy has been established before the age of 19 years or less were selected. Results: There was a total of 100 pregnant women who delivered during the study period who were <20 years of age. The mean gestational age was 37.68 ± 4.5 weeks. Most mothers presented to the hospital at 38.01 ± 2.7 weeks with the symptoms of labor, preeclampsia, or safe confinement. Sixteen women had preterm deliveries and most mothers of the study population were primigravidae. Thirty-one mothers had a lower segment cesarean section (LSCS). There were more boy babies 52 (52) delivered compared to girl babies 48 (48). The mean birth weight was 2.76 ± 0.66 kg for the babies born. The mean placenta weight was 536.34 ± 128.59 gm. Conclusion: Teenage pregnancies have their specific concerns to be anticipated such as pregnancy-induced hypertension (PIH), preterm births, and chance of cephalopelvic disproportion (CPD). The need for induction and an increase in LSCS rates are important factors to determine the quality of life of such young individuals.