Screening for postpartum depression

June 13, 2007 by Kenneth Carlson, MD 

Postpartum depression, also known as the “baby blues” is extremely common following the birth of a new baby. A combination of factors contribute including hormonal changes, fatigue, and the stress of having a new baby in the home. Some estimates put the incidence of depression at 10% with the incidence of “baby blues” much higher. Fortunately milder symptoms often resolve quickly with rest, time and family support. More severe symptoms can be quite serious and affect early attachment with the newborn and persist for a significant amount of time. Postpartum depression is a real and a very serious disease and if present the mother should discuss with her obstetrician to discuss treatment options.

How do I know if I’m depressed?

There are some excellent screening tools that have been developed. One of the more simple ones includes just two questions:

  • Over the past 2 weeks, you have felt down, depressed, or hopeless (true or false).
    • If true, have you felt this way for:
      • several days(1)
      • more than half the days(2)
      • nearly every day(3)
  • Over the past 2 weeks, you have felt little interest or pleasure in doing things (true or false).
    • If true, have you felt this way for
      • several days(1)
      • more than half the days(2)
      • or nearly every day(3)

A screen is consider positive if the total of any positive answers is greater than 3. This does not make the diagnosis but a positive screen increases the possibility that postpartum depression is present.

If you are concerned that you may be depressed we recommend you discuss with your health provider.

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