These groups also may share a lack of appreciation and understanding from others. Some women who have had cesareans are asked why they didn't try harder. Women who have been raped are often told that they "asked" for it. This lack of support at critical times can make hurtful events worse.
Adding to the devastating punch of this depression for many women is the knowledge that their cesarean might not have been necessary. A decision to have a cesarean is usually grey, not black and white the way it seems when you're in labor. The woman who is most likely to have an unnecessary cesarean is well-educated and well-insured.
A mountain of conclusive research supports reasons other than medical for many cesareans. These reasons include the misinterpretation of the electronic fetal monitor and many doctors' fear of lawsuits. Increased doctor income and convenience are part of the picture, too. Cesareans are more likely to be performed between 8 a.m. to 5 p.m., and doctors on average make one-third more money with a cesarean.
The women who are most likely to experience cesarean depression are those who:
-- Expected "natural childbirth."
-- May have had inadequate help and support during the cesarean and/or after the surgery.
-- May have had general anesthesia, or a combination of drugs that may have caused unpleasant side effects.
-- Felt coerced by the hospital staff and/or by their partner.
-- Felt that the cesarean was mostly an operation and not a giving-birth experience.
-- Expected to breastfeed, but found that the cesarean made this difficult.
-- May have experienced complications after surgery or a difficult convalescence.