Without proper screening, about 50% of postpartum depression (PPD) cases may go undiagnosed.1-7
PPD is the most common medical complication of childbirth. In the US, estimates of new mothers identified with PPD each year vary by state, from 8% to 20%, with an overall average of 11.5%.8-12
Use the Edinburgh Postnatal Depression Scale (EPDS)
Using a standardized, validated screening tool to help identify women experiencing symptoms of PPD can take ~5 minutes.13,14
See if your state has PPD screening policies
Learn more about current policies and requirements.
Read ACOG recommendations
See the latest guidance about optimizing postnatal care from the American College of Obstetricians and Gynecologists (ACOG).
- Cox EQ, Sowa NA, Meltzer-Brody SE, Gaynes BN. The perinatal depression treatment cascade: baby steps toward improving outcomes. J Clin Psychiatry. 2016;77(9):1189-1200.
- Georgiopoulos AM, Bryan TL, Wollan P, Yawn BP. Routine screening for postpartum depression. J Fam Pract. 2001;50(2):117-122.
- Bryan TL, Georgiopoulos AM, Harms RW, Huxsahl JE, Larson DR, Yawn BP. Incidence of postpartum depression in Olmsted County, Minnesota: a population-based retrospective study. J Reprod Med. 1999;44:351-358.
- Evins GG, Theofrastous JP, Galvin SL. Postpartum depression: a comparison of screening and routine clinical evaluation. Am J Obstet Gynecol. 2000;182(5):1080-1082.
- Georgiopoulos AM, Bryan TL, Yawn BP, Houston MS, Rummans TA, Therneau TM. Population-based screening for postpartum depression. Obstet Gynecol. 1999;93(5 Pt 1):653-657.
- Coates AO, Schaefer CA, Alexander JL. Detection of postpartum depression and anxiety in a large health plan. J Behav Health Serv Res. 2004;31(2):117-133.
- Goodman JH, Tyer-Viola L. Detection, treatment, and referral of perinatal depression and anxiety by obstetrical providers. J Womens Health (Larchmt). 2010;19(3):477-490.
- Ko JY, Rockhill KM, Tong VT, Morrow B, Farr SL. Trends in postpartum depressive symptoms—27 states, 2004, 2008, and 2012. MMWR Morb Mortal Wkly Rep. 2017;66(6):153-158.
- DeSisto CL, Kim SY, Sharma AJ. Prevalence estimates of gestational diabetes mellitus in the United States, Pregnancy Risk Assessment Monitoring System (PRAMS), 2007-2010. Prev Chronic Dis. 2014;11:E104.
- Pregnancy-Related Mortality Surveillance. Centers for Disease Control and Prevention website. https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html. Accessed April 17, 2018.
- Knight M, Callaghan WM, Berg C, et al. Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group. BMC Pregnancy Childbirth. 2009;9:55.
- Reddy UM, Rice MM, Grobman WA, et al; the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Serious maternal complications after early preterm delivery (24-33 weeks’ gestation). Am J Obstet Gynecol. 2015;213(4):538.e1-9.
- Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-786.
- Kozinszky Z, Dudas RB. Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period. J Affect Dis. 2015;176:95-105.