El presente articulo es el resultado del programa de atencion integral dirigido a las adolescentes gestantes y ejecutado en la Unidad Basica Comuneros de la ESE IMSALUD. Este programa, brinda atencion a las usuarias de acuerdo a lo definido en la norma tecnica 0412 del 2000 para el control prenatal y deteccion de las alteraciones del embarazo; ademas , de incluir un componente biosicosocial y educativo donde se involucra a la pareja y familia a fin de prevenir y controlar factores de riesgo para obtener hijos y madres sanas. Participaron 167 gestantes adolescentes entre los 16 a 19 anos con nivel educativo media secundaria, de nivel socioeconomico 1 y 2, pertenecientes a los regimenes subsidiado y vinculado. Durante el desarrollo del programa, a las usuarias se les realizo el control prenatal el cual se conforma de anamnesis, examen fisico, revision de paraclinicos, remision a medicina general, odontologia y sicologia para el manejo integral de la gestante. El componente educativo se realizaba en forma individual y grupal mediante el curso: “Preparacion para la Maternidad y la Paternidad”, los contenidos se centraban en la preparacion para el parto y la crianza, deteccion y control de factores de riesgo, fortalecimiento del autoestima, proyecto de vida y rol materno y paterno, empleandose metodologias dinamicas adaptadas a las caracteristicas de las usuarias. Igualmente se realizaba visita domiciliara durante la gestacion y el puerperio con el proposito de detectar tempranamente y controlar factores de riesgo ambientales, de estilos de vida y del entorno familiar. Palabras clave: embarazo, adolescente, biosicosocial. SUMMARY The present article is the result of the program of integral attention directed to the pregnant adolescents and executed in the Unidad Basica Comuneros of the ESE IMSALUD. This program, offers attention to the users according to the normal standard 0412 of 2000 for the prenatal control and detection of pregnancy alterations, and besides it also include a biosicosocial and educative component in which the couple and the family get involved in order to prevent and control the risk factors to obtain healthy children and mothers. In this program participated 167 pregnant adolescents between 16 and 19 years with secondary level, socioeconomic level 1 and 2, and subscribed to the subsidized regime. During the development of the program, the users received prenatal control in which anamnesis, physical examination, revision of paraclinicos, general medicine, odontology and psychology were included for the integral management of the pregnant. The educative component was realized by groups and individually during the duration of the course: “Preparation for the Maternity and the Paternity”. The contents were concentrated in the preparation for the childbirth and the raising up, the detection and control of risk factors, the enforcement of the self-esteem, project of life and maternal and paternal roll, in which were used some dynamic methodologies adapted to the user’s characteristics. Likewise some domiciliary visits were realized during the gestation and childbed in order to detect and control beforehand some environmental factors of risk, styles of life, and of familiar surroundings. Key Words : pregnancy, adolescent, biosicosocial