It was good. We get to know the characters and they get to know themselves a little more as well.
Not to give away the ending, except to say that it did not help me understand the title, which I mostly forgot about while reading the book.
Literary Teen
It's That Special Age …
Literary Teen 
Probably they meant how to save Mandy’s life, and her baby’s.
Not necessarily literally, but figuratively too. You know what I mean.