It is not always easy for a clinician to give a prognosis on a pregnancy diagnosed in a young woman because this profile has a very high morbidity before, during and after childbirth. The objective of this study is to describe the factors associated with adolescent cesarean delivery. This is a descriptive cross-sectional study with an analytical component over a period of 7 months, from February 2017 to August 2017 in the Kilwa Kasenga and Kashobwe health zones. We collected 332 parturients. The analyses were carried out with SPSS 20.0 software with a significance level p < 0.05 at 95% confidence interval. The overall objective of this study is to contribute to the improvement of knowledge about the factors associated with cesarean section among young women in the Northeast of Upper Katanga. During pregnancy, malaria was the most pathology encountered in 35.08% of cases; mean gestational age at birth was 38 ± 2 week of amenorrhea (WA) with as extreme 25 and 43 (WA); the clinical evaluation 34 women in labor or 10.24% were contracted pelvis and a limited pool in 22.59% of cases. In 26.81% of cases, delivery was made by cesarean section; When modeling, uterine height > 34 cm, the breech and the intake guide (evacuated) were significantly associated with caesarean delivery in adolescents with respective Odds Ratio of 10.11 (CI: 2.46 to 41.40); 10.11 (CI: ?37.59 - 2.71) and 21.21 (CI: 5.43 - 82.79), and exposed teenage respectively 10.11; 10.11 and 21.21 times the caesarean sections. Adolescent birth is a serious morbidity; it must attract the attention of the clinician in a teenager referred with a significant uterine fundus, a pathological assessment of the pelvis.