Teenagers struggle to grow and develop both physically and emotionally during the pubertal years, thus the pregnant teenager also has to adjust to the physical and emotional changes that accompany pregnancy, build a relationship with the fetus, and develop an identity as a mother. Many young parents are in need of psychiatric care, and maternal depression is common. Teenage mothers have three times the rate of the postnatal depression than older mothers, and a higher risk of poor mental health for 3 years after the birth.