Abstract: Introduction: In recent decade, adolescent pregnancy has become important health issue in a great number of countries, both developed and developing. Adolescent pregnancy rate is on rise, emerging as serious problem all over the world and more so in developing countries like Bangladesh. Objective: In this study our main aim is to evaluate Neonatal Outcome of Caesarean Delivery in Teenage Pregnancy. Methods: This Cross-sectional study was done at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from August 2019 to July 2020. 100 Teenage pregnant ladies between 18 to 20 years were taken up as a case group for the study. 108 control group pregnant women of 21 to 35 years age, without any preexisting co-morbidities and history of previous caesarean section. Results: In the study, 23% had vaginal deliveries whereas 77% cases had caesarean deliveries. Failed induction was common in case and control group, 14.5% and 9.25%. Also, in case group 12.8% neonates were suffered from fetal distress, where as in control group it was 9.2%. Conclusion: From our study we can say that, in order to improve the teenage health periodic information, education, community activities, and ANC camps to be held at primary health care centers. Further study is needed for better outcome.