Early marriage, less awareness of family life education, low socio economic condition and burden of large families in rural area are the contributory factors to high teenage pregnancy and its complications. A rural health centre based cross sectionals study was under taken over six month period among teenage (10-19 years) in the rural Kathmandu Valley. The study sample comprises (15-19 years old) 180 subjects. Data includes demographical variables as anemia, preterm delivery, abortion and hemoglobin. Preterm delivery cases within 37 weeks of gestation. Below 10 gm. of Hb was considered as anemia. The prevalence of anemia was quite high (56.66%) in teenage pregnancy. However severe (<7.9 gm) anemia was observed in 55.67% cases.