Addressing social reproductive health in adolescent pregnancy is an important step to ensure long-term well-being, both for young mothers and their babies. This study aims to analyze the challenges, needs, and effective interventions in supporting pregnant adolescents from health, psychosocial, and economic aspects. This study uses a literature study. Article searches using the PubMed and Google Scholar databases from 2020 to 2024. The results of the study show that adolescent pregnancy has a significant impact on physical health, such as prenatal complications, anemia, and premature birth. In terms of psychosocial, pregnant adolescents face challenges such as social stigma, isolation, and limited family support. Intervention programs involving reproductive health education, family support, and access to adolescent-friendly health services have proven effective in reducing the risk of complications and improving the well-being of pregnant adolescents. However, obstacles such as the lack of health facilities in remote areas and the lack of trained medical personnel are still major obstacles. This study confirms that a multidisciplinary approach involving medical personnel, psychologists, social workers, and families is essential to support the well-being of pregnant adolescents. With appropriate interventions, social reproductive health care can not only have positive impacts on young mothers and their babies, but also contribute to the development of more inclusive and sustainable societies.