Organization | Recommendation |
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Canadian Task Force on Preventive Health Care (current guideline, 2022) | The task force recommends against instrument-based depression screening using a questionnaire with cut-off score to distinguish “screen positive” and “screen negative” administered to all individuals during pregnancy and the postpartum period (up to 1 year after childbirth) (conditional recommendation, very low–certainty evidence). |
Canadian Task Force on Preventive Health Care (2013) (12) | For adults in subgroups of the population who may be at increased risk of depression,* we recommend not routinely screening for depression (weak recommendation; very-low-quality evidence). |
Registered Nurses’ Association of Ontario (Canada) (31) | Routinely screen for risk of perinatal depression, using a valid tool, as part of prenatal and postpartum care. |
US Preventive Services Task Force (United States) (10) | Screening for depression is recommended in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. |
UK National Screening Committee (United Kingdom) (32) | A systematic antenatal and postnatal population screening program for mental health problems is not recommended. |
National Institute for Health and Care Excellence (England) (9) |
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Scottish Intercollegiate Guidelines Network (Scotland) (33) | Enquiry about depressive symptoms should be made, at minimum, on booking in and postnatally at 4–6 weeks and 3–4 months. The EPDS or the Whooley Questions (34) may be used in the antenatal and postnatal period as an aid to clinical monitoring and to facilitate discussion of emotional issues. |
Centre of Perinatal Excellence (Australia) (35) | Use the EPDS to screen women for a possible depressive disorder in the perinatal period. Complete the first antenatal screening as early as practical in pregnancy and repeat screening at least once later in pregnancy. Complete the first postnatal screening 6–12 weeks after birth and repeat screening at least once in the first postnatal year. Arrange further assessment of perinatal woman with an EPDS score of 13 or more. |
Note: EPDS = Edinburgh Postnatal Depression Scale.
↵* Subgroups of the population who may be at increased risk of depression include people with a family history of depression, traumatic experiences as a child, recent traumatic life events, chronic health problems, substance misuse or Indigenous origin.