May have experienced complications after surgery or a difficult convalescence. Many women who experience cesarean depression found that others, including family members and some of the hospital nurses, expected them to bounce right back immediately after surgery. And that didn't happen. No one expects a woman or man who has just had major abdominal surgery, like removal of a gall bladder, for instance, to start taking care of a newborn within days. Stress on the marriage also contributes to cesarean depression.
Many women find that their marriage was intensely troubled by the aftermath of the cesarean.
Infants usually don't enhance marriages, and their emotional and physical demands are great. Women who have had cesareans are less able to handle the challenges an infant presents because they are physically weakened and may be emotionally distressed as well. Trust their doctor's judgment and feel their cesarean was necessary. Planned their cesarean, or knew from the beginning that it was a distinct possibility for medical reasons. May have had other major events in life not go according to plan either, and have learned to adapt.