The psychological precipitants of transient postpartum depression: A review

Studies reporting incidence rates for the “postpartum blues” (defined as atransient depressive episode occurring in the first 10-14 days after childbirth) are surveyed, and the methodological issues involved in collecting these data are considered. When women provide self-report ratings of depression on each day in the first postpartum week, the incidence of the blues is about 66%. Psychological factors found to be associated with the blues include a history of psychiatric disturbance or depression during pregnancy, menstrual distress, and a trouble-free pregnancy. Other factors not shown to be related to the blues include maternal age, socioeconomic status, prenatal anxiety, method of feeding, and whether the pregnancy was wanted. There is no evidence concerning the effect of the blues on maternal attachment, and the relationship between the blues and postpartum depression is unclear. There is discussion of the significance of the blues as a measure of the effectiveness of antenatal preparation and adjustment to the crisis of childbirth.