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Obstetrics and gynaecology

Edinburgh Postnatal Depression Scale

10 inputsObstetrics and gynaecology

Screening for postnatal depression in the first year.

Edinburgh Postnatal Depression Scale calculator

Result

0/30

Score < 10 — low probability

1. Laughed and seen funny side of things
2. Looked forward with enjoyment to things
3. Blamed yourself unnecessarily when wrong
4. Anxious or worried for no reason
5. Scared or panicky for no reason
6. Things have been getting on top of me
7. So unhappy, difficulty sleeping
8. Felt sad or miserable
9. So unhappy, have been crying
10. Thought of harming self (URGENT if ≥1)

How to use it

  1. 1

    Self-reported or clinician-administered. Covers last 7 days. Can be completed in waiting room.

  2. 2

    Threshold ≥10 = probable PND. Sensitivity ~86%, specificity ~78% for major depression.

  3. 3

    Q10 is critical. Any score > 0 on Q10 (self-harm): immediate risk assessment regardless of total score.

When to use it

6–8 week postnatal check
NICE NG192: EPDS recommended for PND screening at 6–8 weeks.
Antenatal screening
EPDS also validated in pregnancy (use 12 cutoff antenatally).
3–4 month visit
PND peaks 3–6 months postpartum; repeat screening improves detection.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Obstetrics and gynaecology
Inputs
10
Type
Points score

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