Tensions arise between Tina and her mother when they are in the car together and listen to a radio program where the commentator makes remarks about the high number of teenagers getting pregnant.

After hearing a story from a girl about how hard teenage motherhood is and how her boyfriend cheated on her, Tina calls Ray and yells at him because she thinks he won't be a good father as he promised he would be.

As the pregnancy becomes overwhelming, Tina is rushed to the hospital and is about to give birth when Evie has a panic attack on how her daughter is going to have a baby.

While Tina is in labor, Ray shows up at the hospital with his new girlfriend only to be turned away by Cal, telling him "sperm doesn't entitle you to much" and making him go to the waiting room.

Dysfunctional parents and jealous siblings share the spotlight with a physically precocious teen, whose heedless behavior has long-term impact on several lives.

"[3] According to Variety, Fifteen and Pregnant helped to mark a new era of programming for Lifetime, which subsequently became known for high-quality original movies in the early 2000s.