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Updated: Aug 27, 2025

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Implementing a Perinatal Depression Screening in Clinical Routine: Exploring the Patient's Perspective.

Thuy Giang Trinh1, Cornelia E Schwarze2, Mitho Müller3

  • 1Department of Obstetrics and Gynecology, Heidelberg University, Heidelberg, Germany.

Geburtshilfe Und Frauenheilkunde
|October 3, 2022
PubMed
Summary

Routine screening for perinatal depression (PND) is highly accepted by pregnant women. This approach can identify undiagnosed cases, improve maternal and neonatal outcomes, and reduce stigma associated with PND.

Keywords:
Edinburgh Postnatal Depression Scale (EPDS)acceptancemental healthperinatal depressionpregnancyscreening

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Area of Science:

  • Perinatal mental health
  • Obstetrics and Gynecology
  • Psychiatry

Background:

  • Perinatal depression (PND) affects up to 20% of women, leading to adverse maternal and neonatal outcomes.
  • Early identification and treatment of PND are crucial for preventing negative consequences.
  • Routine screening can help detect undiagnosed cases and improve care.

Purpose of the Study:

  • To assess pregnant women's attitudes towards and acceptance of routine PND screening.
  • To identify factors influencing screening acceptance.
  • To gauge the general perspective on perinatal mental health issues.

Main Methods:

  • A PND screening program using the Edinburgh Postnatal Depression Scale (EPDS) was integrated into routine prenatal care.
  • 732 women in their second trimester completed a web-based survey on screening acceptance.
  • Statistical analysis was performed to identify factors associated with acceptance.

Main Results:

  • High acceptance rates for PND screening were observed: 78.7% found it useful, 85.4% found it easy to complete, and 88.3% reported no discomfort.
  • Screening was particularly valued for raising awareness of perinatal mental health.
  • Women with prior/current mental health issues and those with obstetric risks showed significantly higher acceptance.

Conclusions:

  • Patient acceptance of PND screening is high, supporting its implementation in routine pregnancy care.
  • Routine screening can identify, sensitize, and treat undiagnosed patients.
  • This approach can reduce stigma and improve access to specialized PND care.