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The objective of this work is to explore whether the relationship between pain after delivery and postpartum depression is increased or decreased by the use of religion as a coping strategy (moderation). A longitudinal cohort study was conducted. The sample was evaluated on three occasions: third trimester of pregnancy (religious coping), after birth (pain severity) and four months after delivery (postpartum depression). Participants were 122 women (mean age = 31.29; SD = 4.9: range = [22, 42 years]) with low obstetric risk. Both pain severity and religious coping contributed to postpartum depression (r = .20,  p  = .029 and r = .28,  p  = .04, respectively). Religious coping exacerbated the relationship between pain after delivery and postpartum depression (B = −0.11, t = −2.48,  p  = .014, [−0.20, −0.02]). Depression was highest in participants using religious coping irrespective of pain severity levels. These findings support the importance of person-environment interaction studies and provide new evidence on the deleterious role of religious coping in the well-being of women after childbirth.

Does pain after delivery unequivocally lead to postpartum depression? The moderating role of religious coping