Screening for perinatal depression acog committee opinion no 757 american college of obstetricians and gynecologists obstet gynecol 2018132e208 12 this information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care and use of this information is voluntary this information should not be considered as inclusive of all proper treatments . Guideline recommendations are provided at the following three levels practice recommendations relate to the screening and assessment of depression symptoms and include the implementation of effective preventive and non pharmacological treatment interventions including those focusing on psychosocial and psychological supports. Among the many tools and strategies for identification a rapid inexpensive screening tool for perinatal women the edinburgh postnatal depression scale epds is the most widely applied its accuracy and psychometric properties are the most established of any depression screening tool in a range of perinatal populations. Providers implement routine perinatal depression screening into their practice setting the epds is a screening tool and should never override clinical judgment a careful clinical assessment should be carried out to confirm a diagnosis the scale will not detect patients with anxiety neuroses phobias or personality disorders 5 it is important to note that the epds is only a screening tool
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