Background: Teenage pregnancy is pregnancy in a female under the age of 20. According to the International Center for Research on women (ICRW) statistics, a third of the world's girls marries before they turn 18 and 1 in every 9 girls is married before they turn 15. The aim of the study: To assess rural teenage pregnant female unmet needs. Design: A descriptive study design was used. Setting: The study was conducted at the antenatal clinics at Damanhur Medical National Institute and Red Crescent center in Damanhur at Beheira Governorate. Sample: A purposive sample of (320) rural teenage pregnant were recruited on the study. Data collection tools: three tools were used for data collection; first was structured interviewing questionnaire schedule, second was health needs assessment sheet and third was likert attitude scale. Results: The result of the present study reveals that the majority of the studied rural teenage pregnant had unmet physiological needs; physiological changes during pregnancy, take enough rest during the day that represent 90.3% and 74.4% respectively. The most unmet psychological needs were recognized the normal psychological changes during pregnancy, and prepare for the role of the mother that represent 95.3% and 73.1% respectively. While, the most unmet social needs were unavailable time to participate in community activities and family member positively provide support when needed that represent 95.3%, and 77.2% respectively. Conclusion: The result of the current study concluded that 70.9% of studied teenage had total physical, psychological and social unmet needs. Moreover, majority of the studied rural teenage pregnant female had positive attitude concerning effect of their unmet needs on their over-all health and pregnancy out-come. Recommendation: Establish pre conceptional counseling program to meet rural teenage pregnant female needs, prenatal health classes should be implemented at antenatal clinics and Maternal and Child Health centers, regarding teenage pregnancy and its consequences.