A theoretical explanation for previously infertile mothers' vulnerability to depression.
OBJECTIVE
To present a theoretical approach to understanding the potential vulnerability to depression in previously infertile new mothers.


METHODS
This approach was developed by synthesizing results of a series of grounded theory studies of experiences of infertility and pregnancy and of parenting after infertility. These results were further synthesized with the relational cultural theory (RCT).


RESULTS
Previously infertile new mothers have experienced repeated and sustained interferences with significant relationships over the course of their infertility, which could lead to depression.


CONCLUSIONS
Implications of this theoretical perspective include: (a) it is a new approach to understanding a significant and sometimes minimized issue in women's health; (b) it is a basis for designing an intervention for women coping with infertility and its aftermath; and (c) it might be applied to other women's health issues.
Olshansky
Ellen
E
Department of Health and Community Systems, University of Pittsburgh School of Nursing, 3500 Victoria Street, 415 Victoria Building, Pittsburgh, PA 15261, USA. olshane@pitt.edu
D000223:Adaptation, Psychological; D019052:Depression, Postpartum / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000150:complications* / Q000523:psychology; D007398:Interpersonal Relations; D008016:Life Change Events; D008393:Marriage / Q000523:psychology; D008960:Models, Psychological; D009035:Mothers / Q000523:psychology*; D015404:Nursing Methodology Research; D016487:Parenting / Q000523:psychology; D011582:Psychological Theory; D012307:Risk Factors; D012649:Self Concept; D016387:Women's Health