Perinatal Mood Disorders: Implementing the Edinburgh Postnatal Depression Scale Screening for Antepartum Patients with Maternal-Fetal Complications

Abstract Background: Perinatal depression, (PD), encompasses both prenatal and postnatal depression, significantly impacting maternal health and infant development. Early detection through screening can lead to timely interventions. Women that are admitted to inpatient antepartum services are being removed from routine outpatient prenatal care. As a result, perinatal mood disorders are not being screened for in these individuals which puts them at risk for undiagnosed perinatal depression. Objective: This manuscript aims to evaluate the effectiveness of perinatal depression screening in inpatient settings, exploring current practices, barriers, and recommendations for improvement. Study Selection: A systematic review of literature was conducted using databases such as PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and Cochrane Library to identify studies published. Key terms included “perinatal depression,” “screening,” “inpatient care,” and “interventions.” Data on screening tools, outcomes, and implementation strategies were extracted and analyzed. Results: The review indicated that while screening tools such as the Edinburgh Postnatal Depression Scale (EPDS) are effective, only a minority of inpatient settings routinely implement them. Barriers to screening included lack of training, insufficient time, and stigma. Successful interventions demonstrated improved detection rates and maternal outcomes when integrated into routine inpatient care. Conclusion: To enhance perinatal mental health outcomes, it is crucial to implement systematic screening protocols in inpatient settings. Addressing barriers through staff training and policy development can facilitate the integration of screening and support for at-risk mothers. Future research should focus on long-term impacts of screening on maternal and child health. Keywords: Perinatal depression, screening, inpatient care, maternal mental health, Edinburgh Postnatal Depression Scale