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Postpartum Depression and Anxiety Screening During Ponseti Casting.

Melissa A Bent^1,2, Taylor Cosanella¹, Abigail N Padilla¹

¹Children's Hospital Los Angeles, Autry Orthopedic Center.

Journal of Pediatric Orthopedics

|May 5, 2026

Summary

Postpartum anxiety and depressive symptoms are common in mothers of infants with clubfoot. Screening for postpartum depression in clubfoot clinics is crucial for supporting families during Ponseti casting treatment.

Keywords:

anxiety clubfoot depression postpartum

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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants

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Published on: June 13, 2021

Area of Science:

Pediatric Orthopedics
Maternal Mental Health
Public Health

Background:

Congenital clubfoot is a common birth anomaly impacting infants and parental well-being.
Maternal psychological health is significantly affected by infant diagnoses like clubfoot.
Early identification of postpartum mood disorders is essential for timely intervention.

Purpose of the Study:

To determine the prevalence of postpartum depression and/or anxiety symptoms in mothers of infants treated for clubfoot.
To assess the utility of the Edinburgh Postnatal Depression Scale (EPDS) in a clubfoot clinic setting.
To identify potential associations between positive screening results and clinical/demographic factors.

Main Methods:

The Edinburgh Postnatal Depression Scale (EPDS) was administered to 56 mothers of infants with clubfoot.
Screening occurred during the initial Ponseti casting visit for infants under 4 months old.
Data analysis involved descriptive statistics and nonparametric tests, utilizing electronic medical records.

Main Results:

10.7% of mothers screened positive for postpartum depression (EPDS score ≥10).
Commonly endorsed symptoms included difficulty coping and anxiety (50.0% each).
Positive EPDS scores were significantly associated with subsequent evaluation by an orthopedic clinical psychologist (P=0.022).

Conclusions:

The EPDS is a valuable screening tool for clubfoot clinics.
While many mothers experience anxiety/depressive symptoms, clinical postpartum depression rates are similar to the general population.
Integrating postpartum depression screening addresses critical mental health needs of families undergoing clubfoot treatment.