Despite the introduction of various programs under the NRHM (2005) to enhance maternal healthcare facilities in India, maternal mortality rates remain notably high among adolescent women. Early childbearing, pregnancy, and childbirth are significant contributors to mortality among women teen aged (15–19 years) in India. With the help of the fourth round of the National Family Health Survey (NFHS), this research study assesses the variables involved with women’s healthcare facilities among adolescent married mothers. The study employs chi-square and binary logistic regression to explore the differences in proportions and understand the influence of various factors on maternity care services, including complete antenatal care (ANC), skilled birth attendance, and postnatal care (PNC). The findings indicate that only 19% of adolescent mothers obtained full ANCs, 87% had skilled birth attendance, and 65% took PNC check-ups. Reasons such as region, economic status, education level, caste, and parity significantly influence the likelihood of attending at least four antenatal visits. In addition, religions play a role in discussing the variations regarding the use of secure delivery and PNCs within 42 days of delivery. Enhancing educational facilities & opportunities for adolescent women could substantially develop the uptake of women’s healthcare facilities. It is recommended that maternal and child health schemes continue with a representation of lower socioeconomic and marginalized married women groups to address disparities, predominantly in the provision of full antenatal care.