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Was 16 and Pregnant the favorite tv show back in the day for your school too?
Immersion.
I think pregnancies and kids in RimWorld carry that same first impression as like the Dubs Bad Hygiene mod does. Where at first it seems like such a huge waste of time and colonists can never get anything done because of the extra tasks they need to take care of, but then you get used to it and it feels normal and stuff gets done as usual.
They also have a lowered carrying capacity and their melee damage is reduced from when they become an adult. But they recover from disease faster than the adults so that's the positive bonus from being that young.
It is doable, but due to the higher food need both as a pregnant colonist and as a mother, you spend even more colonist time on the time consuming search for food in the beginning.
Just a comment on the higher food need: Do you think that the time it takes a mother to breast feed her is balanced right now? I noticed that if you milk an animal you can reduce the time it takes to feed a baby but its still not exactly fast.
It's a fun playthrough but I wouldn't expect to get to endgame on harder threat levels.
A colonist gets like 10% less productivity while pregnant depending on the job because of the reduced movespeed. Then probably 5-10% less productivity when taking care of a baby since feeding and playing happen so rarely. As soon as the baby hits 3 it becomes a hauler/cleaner and starts helping out, even if you set it to full recreation for max learning it's still increasing colony productivity rather than decreasing it. Children also have basically no effect on raid sizes until they hit 12. All the while they provide a colony wide mood buff.
Spitting out babies is an easy colony boost, additional free labor every year. If your colony is falling apart it's not due to taking care of kids, unless you get them killed and suffer mood bombs.
all it takes is literally ONE single caretaker to tame a full kindergarten of baby colonists... though, poor fellow won't have much time to do anything else, beside some light cleaning... but will be planetary reknown social master once every kid turns 13.