Journal of Reproductive and Infant Psychology
Vol. 27, No. 4, November 2009, 330–345
ISSN 0264-6838 print/ISSN 1469-672X online
© 2009 Society for Reproductive and Infant Psychology
DOI: 10.1080/02646830903190904
http://www.informaworld.com
My baby body: A qualitative insight into women’s body-related
experiences and mood during pregnancy and the postpartum
Abigail Clark
a
, Helen Skouteris*
b
, Eleanor H Wertheim
a
, Susan J Paxton
a
and
Jeannette Milgrom
c
a
La Trobe University, Psychological Science, Melbourne, Australia;
b
Deakin
University, Psychology, Australia;
c
The University of Melbourne,
Psychology, Melbourne, Australia
Taylor and Francis CJRI_A_419263.sgm
(Received 10 March 2008; final version received 23 September 2008)
10.1080/02646830903190904 Journal of Reproductive and Infant Psychology 0264-6838 (print)/1469-672X (online) Original Article 2009 Taylor & Francis 00 0000002009 HelenSkouteris helens@deakin.edu.au
An inductive qualitative approach was employed to explore women’s experiences
of their body and mood during pregnancy and the postpartum. In-depth interviews
were conducted with 20 perinatal women (n at late pregnancy=10; n in the early
postpartum period=10). While most of the sample reported adapting positively to
body changes experienced during pregnancy, the postpartum period was often
associated with body dissatisfaction. Women reported several events unique to
pregnancy which helped them cope positively with bodily changes (e.g. increased
perceived body functionality, new sense of meaning in life thus placing well-being
of developing foetus above body aesthetics, perceptual experiences such as feeling
baby kick, increased sense of social connectedness due to pregnancy body shape,
and positive social commentary); however, these events no longer protected
against body dissatisfaction post-birth. While women reported mood lability
throughout the perinatal period, the postpartum was also a time of increased
positive affect for most women, and overall most women did not associate body
changes with their mood. Clinical implications of these findings included the need
for education about normal postpartum body changes and their timing, and the
development of more accurate measures of perinatal body image.
Keywords: pregnancy; postpartum; mood body dissatisfaction; body image
Pregnancy is a time when a woman’s body can change dramatically, often deviating
from society’s thin ideal, with residual bodily changes continuing into the postpartum
period. Recent research suggests that during pregnancy most women adapt positively
to these changes and that pregnancy offers some protection against body concerns
(e.g. Clark & Ogden, 1999; Clark, Skouteris, Wertheim, Paxton, & Milgrom, 2009;
Rocco et al., 2005; Skouteris, Carr, Wertheim, Paxton, & Duncombe, 2005). While
several researchers have reported that positive body attitudes remain post birth (e.g.
Strang & Sullivan, 1985; Suttie, 1998), the findings of other studies reveal that the
postpartum period is a time of increased body dissatisfaction (Clark et al., 2009;
Rallis, Skouteris, Wertheim, & Paxton, 2007; Stein & Fairburn, 1996).
In each of these previous quantitative studies, researchers assessed body
dissatisfaction using measures designed for non-pregnant women which focus on
external aesthetics and aspects of body attitudes (e.g. the Body Attitudes Questionnaire:
*Corresponding author. Email: helens@deakin.edu.au