References

, 5th edn. Arlington, VA: APA; 2013

Antonis B Motherhood and mothering.London: Virago; 1981

Beck CT Predictors of postpartum depression: an update. Nurs Res. 2001; 50:(5)275-85

Beck CT Mothering multiples: a meta-synthesis of qualitative research. MCN Am J Matern Child Nurs. 2002; 27:(4)214-21

Blum LD Psychodynamics of postpartum depression. Psychoanalytic Psychology. 2007; 24:(1)45-62 https://doi.org/10.1037/0736-9735.24.1.45

Carolan M Late motherhood: the experience of parturition for first time mothers aged over 35 years. Aust J Midwifery. 2003; 16:(2)17-20

Chabrol H, Teissedre F, Saint-Jean M, Teisseyre N, Rogé B, Mullet E Prevention and treatment of post-partum depression: a controlled randomized study on women at risk. Psychol Med. 2002; 32:(6)1039-47

Choi P, Henshaw C, Baker S, Tree J Supermum, superwife, supereverything: performing femininity in the transition to motherhood. J Reprod Infant Psychol. 2005; 23:(2)167-80 https://doi.org/10.1080/02646830500129487

Cooper PJ, Murray L, Wilson A, Romaniuk H Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression. I. Impact on maternal mood. Br J Psychiatry. 2003; 182:412-9

Hadfield L, Rudoe N, Sanderson-mann J Motherhood, choice and the British media: a time to reflect. Gender and Education. 2007; 19:(2)255-63 https://doi.org/10.1080/09540250601166100

Haynes C The issues associated with postpartum major depression. Midwifery Today Int Midwife. 2007; (83)44-5

Holden JM, Sagovsky R, Cox JL Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression. BMJ. 1989; 298:(6668)223-6

Logsdon MC, Wisner KL, Pinto-Foltz MD The impact of postpartum depression on mothering. J Obstet Gynecol Neonatal Nurs. 2006; 35:(5)652-8

Misri S, Reebye P, Corral M, Milis L The use of paroxetine and cognitive-behavioral therapy in postpartum depression and anxiety: a randomized controlled trial. J Clin Psychiatry. 2004; 65:(9)1236-41

Nicolson P Understanding postnatal depression: a mother-centred approach. J Adv Nurs. 1990; 15:(6)689-95

Nicolson P Deconstructing sexology: Understanding the pathologization of female sexuality. J Reprod Infant Psychol. 1993; 11:(4)191-201 https://doi.org/10.1080/02646839308403218

O'Hara MW, Swain AM Rates and risk of postpartum depression—a meta-analysis. International Review of Psychiatry. 1996; 8:(1)37-54 https://doi.org/10.3109/09540269609037816

Office for National Statistics. Births in England and Wales, 2013. 2014a. http://www.ons.gov.uk/ons/rel/vsob1/birth-summary-tables--england-and-wales/2013/stb-births-in-england-and-wales-2013.html (accessed 30 October 2015)

Office for National Statistics. Live Births in England and Wales by Characteristics of Mother 1, 2013. 2014b. http://www.ons.gov.uk/ons/rel/vsob1/characteristics-of-Mother-1--england-and-wales/2013/stb-characteristics-of-mother-1--2013.html (accessed 30 October 2015)

Pridham KF, Lytton D, Chang AS, Rutledge D Early postpartum transition: progress in maternal identity and role attainment. Res Nurs Health. 1991; 14:(1)21-31

Royal College of Psychiatrists. Postnatal Depression. 2014. http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/postnataldepression.aspx (accessed 30 October 2015)

Sears WFranklin Park, IL: La Leche League International; 1985

Smith JA Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology. Psychology and Health. 1996; 11:(2)261-71 https://doi.org/10.1080/08870449608400256

Ussher JMLondon: Routledge; 1990

Older mothers' experiences of postnatal depression

02 January 2016
Volume 24 · Issue 1

Abstract

This study uses interpretative phenomenology analysis (IPA) to explore the lived experience of postnatal depression (PND). The four participants, all aged 30 years or above at the birth of their first child, had never suffered from depression previously and were interviewed on two separate occasions about their PND experiences. Six themes emerged from the interviews: striving to be a perfect mother; feeling a failure; being sucked dry; shame of the other's gaze; feeling stuck and overwhelmed; and becoming lost. Participants sacrificed themselves in the hopeless pursuit of their own expectations of being the perfect mother and fulfilling all their child's needs. Not wanting to appear inadequate to others, and desperate to make sense of what was happening to them, they suffered in silence in a context of depleting resources, loss of their former life, wellbeing and sense of self. The findings suggest that particular themes of PND exist in older mothers' experiences, suggesting a tailored treatment approach for these women. In a situation where PND is the most common complication of childbearing in the UK, affecting between 10–15% of new mothers (Royal College of Psychiatrists, 2014) and where the birth rate for women aged 30+ is growing faster than for any other age group in the UK, research that furthers understanding of the experience of PND for mothers in this age group can help guide interventions and support.

Postnatal depression (PND) is under-diagnosed worldwide, with fewer than 40% of depressed mothers seeking help (Haynes, 2007). In the UK, the most commonly used assessment tool for PND is the Edinburgh Postnatal Depression Scale (EPDS), a questionnaire-based quantitative tool.

Identification and treatment of PND is vital as infant development is particularly sensitive to the quality of the mother–child interaction in the first postpartum year (Logsdon et al, 2006).

Antidepressant medication is frequently used in the care and treatment of women suffering with PND (Misri et al, 2004). Other treatments include cognitive behavioural therapy (Chabrol et al, 2002), psychodynamic therapy (Cooper et al, 2003) and counselling, whether this is provided at home, in a group or by telephone (Holden et al, 1989).

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month