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PRD Screening Tools

Edinburgh
Edinburgh Postnatal Depression Scale (EPDS) in English
Edinburgh Postnatal Depression Scale (EPDS) in Spanish
Instructions for using the EPDS

  • The EPDS can be used during pregnancy and in the postpartum period, specifically within the first year.  
  • The Edinburgh Postnatal Depression Scale (EPDS) is the most well-known, validated instrument for screening pregnancy-related depression.
  • 10 questions,  it's free, is relatively easy to score, and can be completed in less than 5 minutes.
  • A score of greater than 10 is a positive screen and a mother needs additional behavioral health follow-up.
  • The EPDS has been studied in various cultural groups and translated into multiple languages.

Mood Disorder Questionnaire
It is helpful to provide a Mood Disorder Questionnaire (MDQ) with the EPDS when determining unipolar vs. bipolar disorders. Providers should inquire about any history of bipolar disorder or manic symptoms, as women with bipolar disorder are at increased risk of pregnancy-related depression.  For any woman with suspected manic symptoms or bipolar disorder, or any history of a psychotic disorder, referral to a mental health professional for evaluation and treatment should be considered, as the management of these conditions may be complex.  

CDPHE: PREGNANCY-RELATED DEPRESSION AND ANXIETY SYMPTOMS GUIDANCE *flowchart for providers

CDPHE: Pregnancy-Related Depression and Anxiety Symptoms Guidance, Medication Algorithm