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Detecting women at risk for postnatal depression using the Edinburgh Postnatal Depression Scale at 2 to 3 days
Frédérique Teissèdre1, Henri Chabrol
1Université de Toulouse-Le Mirail, Toulouse, France.
Objective:
This study evaluates the capacity of the Edinburgh Postnatal Depression Scale (EPDS) implemented in the first days postpartum to detect women who will suffer from postnatal depression.
Method:
A sample of 1154 women completed the EPDS at 2 to 3 days postpartum and again at 4 to 6 weeks postpartum.
Results:
There was a highly significant positive correlation between EPDS scores on both occasions (Spearman rank correlation: r = 0.59, P < 0.0001). The cut-off scores of 10 and 11 for EPDS administered at 2 to 3 days obtained good specificity, sensitivity, and positive predictive values for the cut off scores proposed for the diagnosis of postnatal depression at 4 to 6 weeks postpartum.
Conclusion:
The EPDS completed at 2 to 3 days postpartum is a useful means of detecting women at risk of postnatal depression.
