Once her days were filled with college applications and racing ATVs with friends; but after getting pregnant, Katie has to completely rearrange her priorities.

Myranda finds that love isn't the answer to everything when she gets pregnant. As she watches her own mom's battle with substance abuse spiral out of control, Myranda and boyfriend Eric struggle with preparing for a baby on their own.

Formerly a party girl, Hope gets pregnant after losing her virginity to Ben, a guy she barely knows. Absent at first, the two try to make a go of their relationship in order to provide a good family for their baby.

Though Devon wants to raise her baby with her boyfriend Colin, an Iraq war veteran who is still in the reserves, Devon wonders if she can handle not living at home, especially if Colin is deployed.

When Kristina's boyfriend Todd dies just weeks after the couple finds out she's pregnant, Kristina must deal with the tragic loss while also preparing to welcome their baby into the world.

The cast from Season 4 share the stage and update Dr. Drew on their heartbreaks, challenges, and triumphs over the past year. The emotional finale delves into the issues pregnant teens face.