Young motherhood, perinatal depression, and children’s development

The aim of this chapter is to examine young women’s experience of mental health problems during the perinatal period. We shall argue that women who were young at the time of their transition to parenthood are at elevated risk for perinatal depression, in their first and subsequent pregnancies. Evidence for the impact of perinatal depression on children’s development will be outlined, and we propose that the elevated rates of mental health problems among young mothers may partly account for the increased prevalence of adverse outcomes often seen among their children. However, for these young women and their offspring, the impact of perinatal depression may be compounded by many other social, psychological, and biological risk factors, and young women’s circumstances may exacerbate their own and their children’s difficulties. Therefore any clinical strategies regarding the identification and treatment of depression during the antenatal and postnatal months may need to take into account the age of women, with women bearing children earlier and later than the average presenting different challenges for health professionals. Across the industrialized nations the demographics of parenthood are changing, with both men and women first becoming parents at increasingly older ages (Bosch 1998; Martin et al. 2005; Ventura et al. 2001). In the UK for example, the average maternal age at first birth in 1971 was 23.7 years, compared to the present figure of 29.5 years (ONS 2012). Correspondingly, over the last four decades, birth rates for women aged 30 and over have increased extensively, whilst those for women in their teenage years and early twenties have declined (ONS 2012, 2007). Since the 1970s, the proportion of children born to women aged 20–24 in the UK has been decreasing, with women aged 30–34 years now displaying the highest birth rates (ONS 2010). These changes in the demography of parenthood are not confined to the UK with similar trends toward delayed first births observed across Western Europe (Ventura et al. 2001), the United States (Mirowsky 2002), New Zealand (Woodward et al. 2006) and Australia (Barnes 2003). Thus, a transition to parenthood during adolescence and the early 20s is non-normative for Western women, and the implications of this ‘off-time’ transition (Elder 1997, 1998) for the mother’s and the child’s mental health warrants attention.