Beyond the Delivery Room: Women’s Experiences of Postpartum Body Image

Abstract Background The postpartum period is accompanied by substantial physical, emotional, and social changes that can influence how women perceive and experience their bodies. Although postpartum body image has received increasing research attention globally, limited evidence exists on the experiences of women within the Ghanaian context. This study explored women's experiences of postpartum body image at Pentecost Hospital, Accra, with particular focus on their perceptions of body changes and the factors influencing these perceptions. Methods A qualitative phenomenological design was employed to explore the lived experiences of postpartum women. Purposive sampling was used to recruit 18 women who had given birth within the previous twelve months. Data were collected through in-depth interviews conducted in English, Twi, and Ga and analysed using thematic analysis. Objectification Theory provided the theoretical lens for interpreting the findings. Results Participants described postpartum body image as a complex and evolving experience. While many women reported dissatisfaction with changes such as weight gain, abdominal enlargement, stretch marks, breast changes, and caesarean section scars, others gradually developed greater acceptance of their bodies through an appreciation of bodily functionality and motherhood. Body identity disruption, reduced self-esteem, and frequent comparisons with pre-pregnancy bodies, peers, and social media images were common experiences. Perceptions of postpartum body image were shaped by multiple influences, including partners, family members, socio-cultural expectations, social media exposure, internalised appearance standards, workplace experiences, parity, and personal or religious beliefs. Conclusion Postpartum body image is a multidimensional experience shaped by the interaction of physical, psychological, social, cultural, and personal factors. The findings highlight the importance of incorporating body image and psychological support into postnatal care services to promote maternal well-being and facilitate positive adjustment during the postpartum period.