Perinatal depression screening tool

Perinatal depression is a common complication of pregnancy with potentially devastating consequences if it goes unrecognized and untreated. There is evidence that screening alone can have clinical benefits, although initiation of treatment or referral to mental health care providers offers maximum benefit. Previously, depression screening for all adults was done by a standalone PHQ-tool with additional depression questions on the back page. Recommendations for women who are pregnant , postpartum , or currently on antidepressants and considering becoming pregnant are now presented in a standalone guideline.

The EPDS consists of ten short statements with four possible responses. Its accuracy and psychometric properties are the most established of any depression screening tool in a range of perinatal populations. How to screen for postpartum depression? Postnatal Depression Scale (EPDS) is a valuable and effici ent way of identifying patients at risk for “perinatal” depression. What are the assessment tools for depression?

Is screening needed for postpartum anxiety? What is perinatal anxiety and depression? Talk to someone now: text us for confidential support.

Several screening instruments have been validated for use during pregnancy and the postpartum period to assist with systematically identifying patients with perinatal depression. Excellent screening instruments with high sensitivity and specificity for perinatal depression exist. SCREENING FOR PRENATAL AND POSTPARTUM DEPRESSION WISCONSIN ASSOCIATION for Perinatal Care Depression screening can improve health outcomes when combined with a system for treatment. This WAPC position statement includes the rationale and plan for routine depression screening and treatment of pregnant and postpartum women by health care providers.

We sought to develop a brief, convenient screening tool to identify depression in pregnant women in the community setting. Prospective mood data using the 28-item Hamilton Depression Rating Scale (HDRS) were collected monthly in 1pregnant women with a history of a major depressive disorder. Recommends clinicians screen patients at least once during the perinatal period for depression and anxiety symptoms using a standardize validated tool.

Print a copy of the EPDS. Then see more information on the Edinburgh here. Pediatricians are instructed to bill under the child’s Medicaid ID.

Advocacy opportunities The prevalence of perinatal depression , its potential impact on the infant and family, and the challenges of obtaining resources for the mother and dyad present advocacy opportunities at the chapter and national levels. With a cut-off of 1 authors found the EPDS has a sensitivity of and a specificity of for major depression. There are several different validated depression screening options available to clinicians.

Below, we have compiled a list of the advantages and disadvantages of each type of screening so that you can make an informed decision about which screening tool works best for your purposes. Several comments questioned why perinatal depression screening tools such as the EPDS were not recommended as risk- assessment tools. Anxiety during pregnancy places the woman at greater risk for postpartum depression and may also affect pregnancy outcomes. The American College of Obstetricians and Gynecologists (ACOG) now recommends that clinicians screen women at least once during the perinatal period for depression and anxiety using a standardize validated tool.

This is not intended to provide a diagnosis – only trained health professionals should do this. Cost and ease of use in a primary care setting were the main criteria used to select tools for this chart. Women should be screened for depression at least once during the perinatal period using the PHQ- PHQ-.

The case for expanding perinatal depression screening. Screening tools are not diagnostic. Ten to of women in the United States suffer from perinatal depression , commonly referred to as post-partum depression (PPD). Not only does PPD create a burden for mothers, but it has known effects on child health and development.

Routinely screen for risk of perinatal depression , using a valid tool , as part of prenatal and postpartum care. Ia, IV, V Recommendation 1. Conduct or facilitate access to a comprehensive perinatal depression assessment with persons who screen positive for perinatal depression. Maternal Mental Health: Perinatal Depression and Anxiety Patient Safety Bundle.

This patient safety bundle from the Council on Patient Safety in Women’s Health Care can help facilitate the standardization of processes around screening for, responding to, and reporting perinatal depression and anxiety.