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Day-to-day mood changes after childbirth: further data.

R E Kendell, W E Mackenzie, C West

The British Journal of Psychiatry : the Journal of Mental Science

|December 1, 1984

Summary

Postpartum mood changes, particularly on day five, mainly affect women with high neuroticism. Recovery is similar after vaginal or C-section births, but not after hysterectomy. Early discharge may reduce mood disturbances.

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Area of Science:

Psychiatry
Obstetrics
Psychology

Background:

Postpartum mood disturbances are common.
Previous research noted a 'day five' phenomenon in mood after childbirth.

Purpose of the Study:

To investigate factors influencing postpartum mood changes.
To examine mood patterns after different delivery and surgical interventions.

Main Methods:

Analysis of daily mood changes in postpartum women.
Comparison of mood patterns following vaginal delivery, Caesarian section, and hysterectomy.
Correlation of mood changes with neuroticism scores and discharge timing.

Main Results:

The 'day five' mood dip is primarily observed in women with high neuroticism.

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Mood change patterns are consistent between vaginal and Caesarian deliveries.

No 'day five' phenomenon was noted after hysterectomy.

Women discharged 48 hours postpartum exhibited less mood disturbance.

Conclusions:

High neuroticism is a key factor in specific postpartum mood lability.
Delivery method does not alter the day-to-day mood change pattern.
Surgical intervention (hysterectomy) differs from childbirth in mood impact.
Early postpartum discharge may mitigate mood disturbances.