Teenage motherhood has long been considered undesirable in the United Kingdom and other developed nations, although the physical risks associated with adolescent pregnancy in the developing world are little in evidence here. However, young mothers are more likely to come from poor and socially disadvantaged backgrounds, and many face negative and condemnatory attitudes from wider society as they endeavour to come to terms with motherhood in difficult circumstances while simultaneously forming and becoming their adult selves. Social support provided by midwives and others can be crucial in facilitating a positive start to pregnant teenagers’ adult and mothering lives.