Objective: To explore the relationships between women's emotional well
-being after childbirth and several measures of the social context of
motherhood. Design and participants: Case-control study of 45 women wh
o were identified as depressed in a population-based postal survey 8-9
months after giving birth and 45 randomly selected women who were not
depressed. At follow-up about two years after the birth, the women in
terviewed at home about experiences of motherhood and their emotional
well-being since the birth. They also completed five standard question
naires: Life Experiences Questionnaire; Toddler Temperament Scale; Soc
ial Support Questionnaire; Experience of Motherhood Questionnaire; and
the Edinburgh Postnatal Depression Scale. Results: Women in the case
group were more likely to be depressed at follow-up than women in the
control group. They reported less practical and emotional support from
their partners and saw themselves as having less social support overa
ll. They had also experienced more negative life events since the birt
h, had poorer health and were somewhat more likely to have a ''difficu
lt'' toddler.Conclusions: It is important to take social context into
account in understanding depression after childbirth and in helping mo
thers who are depressed.