Screening for postpartum depression among postnatal mothers using Edinburgh postpartum depression scale


  • Raja Kumar Shery Angel Department of Obstretics and Gynecology, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India
  • Samyuktha Satyanarayan Department of Obstretics and Gynecology, Chettinad Hospital and Research Institute, Chennai, Tamil Nadu, India



Postpartum depression, Edinburgh postnatal depression scale, Postnatal women


Background: The postpartum period, marked by joy and various emotions, can also give rise to postpartum blues and, in severe cases, postpartum depression (PPD). Recognizing the importance of early detection, this study employed the Edinburgh postnatal depression scale (EPDS) to identify and raise awareness about PPD among postnatal women.

Methods: A cross-sectional study at Chettinad Health Research Institute included 100 postnatal women. The EPDS questionnaire was used, and statistical analyses explored associations and predictors of PPD.

Results: Demographic characteristics, EPDS scores, and prevalence of PPD were assessed. 50% exhibited EPDS scores ≥ 13, indicating PPD presence. No significant associations were found between age, delivery method, or gestational age and EPDS scores, but pre-existing medical conditions were linked to higher scores.

Conclusions: This study provides insights into the multifaceted nature of PPD, emphasizing the need for tailored interventions and ongoing research to support postnatal women. The prevalence observed underscores the urgency for awareness and timely interventions to alleviate the burden of PPD on mothers and families.


Iwanowicz-Palus G, Marcewicz A, Bień A. Analysis of determinants of postpartum emotional disorders. BMC Preg Childbirth. 2021;21(1):1-6.

Zhao S. Risk factors of paternal postnatal depression in Asia : A systematic review. 2015.

Wachs TD, Black MM, Engle PL. Maternal depression: A global threat to children’s health, development, and behavior and to human rights. Child Development Perspectives. 2009;3(1):51–9.

Cox J, Holden J, Henshaw C. The Edinburgh Postnatal Depression Scale. Perinatal Mental Health. 2014:75-8.

Horowitz JA, Goodman J. A longitudinal study of maternal postpartum depression symptoms. Res Theory Nursing Pract. 2004;18(2):149–63.

Riaz N, Mahmood H, Khan J, Habib MF, Saeed I, Minhas A, et al. Association of postpartum depression with social support: A cross-sectional study in a hospital setting of Rawalpindi-Islamabad, Pakistan. Pakistan J Health Sci. 2023;4(6):50–5.

Bener A. P-1453 - comparative study of postpartum depression and its predictors in Qatar. Euro Psychiatr. 2012;27:1.

Carona C, Pereira M, Araújo-Pedrosa A, Canavarro MC, Fonseca A. The efficacy of be a mom, a web-based intervention to prevent postpartum depression: Examining mechanisms of change in a randomized controlled trial. JMIR Ment Health. 2023;10:e39253.

Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5):1071-83.

O'Hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry. 1996;8(1):37-54.

Alami KM, Kadri N, Berrada S. Prevalence and psychosocial correlates of postpartum depression in a Moroccan sample. Arch Womens Ment Health. 2006;9(3):159-65.

Dennis CL, Boyce P. Further psychometric testing of a brief personality scale to measure vulnerability to postpartum depression. J Psychosom Obstet Gynaecol. 2004;25(2):135-41.

Lee DT, Yip SK, Leung TY, Chung T. A psychiatric epidemiological study of postpartum Chinese women. Am J Psychiatry. 2001;158(2):220-6.

Beck CT. Predictors of postpartum depression: an update. Nurs Res. 2001;50(5):275-85.

Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J, et al. Antenatal risk factors for postnatal depression: a large prospective study. J Affect Disord. 2008;108(1-2):147-57.

Carter FA, Frampton CM, Mulder RT. Cesarean section and postpartum depression: a review of the evidence examining the link. Psychosom Med. 2006;68(4):618-27.

Blom EA, Jansen PW, Verhulst FC, Hofman A, Raat H, Jaddoe VWV, et al. Perinatal complications increase the risk of postpartum depression. Gen Hosp Psychiatry. 2010;32(3):220-6.






Original Research Articles