India's persistent adolescent pregnancy crisis reveals a stark wealth divide that compounds health risks for the nation's most vulnerable young women. With nearly 7% of girls aged 15-19 experiencing pregnancy, the burden falls disproportionately on those least equipped to handle its consequences. The research exposes how economic circumstances create a 70% gradient in pregnancy risk between wealth quintiles, transforming what appears to be a uniform public health challenge into a concentrated crisis of poverty. Analysis of over 122,000 adolescent girls from India's National Family Health Survey demonstrates that socioeconomic position acts as the primary determinant of early pregnancy risk, overshadowing geographic and cultural factors. Rural residence, limited educational access, and early marriage emerge as interconnected pathways that channel disadvantaged girls toward premature motherhood. The concentration index reveals negative values across both wealth and education metrics, confirming that adolescent pregnancy clusters among India's most marginalized populations. These findings illuminate why broad-brush public health interventions often fail to address adolescent pregnancy effectively. The wealth gradient suggests that economic empowerment programs targeting the bottom two quintiles could yield outsized returns in prevention. Furthermore, the intersection of poverty, limited schooling, and child marriage creates compounding vulnerabilities that require coordinated intervention rather than isolated health messaging. This represents more than statistical documentation—it's evidence that adolescent pregnancy in India functions as both a cause and consequence of intergenerational poverty cycles.