Open Access, Peer-reviewed
pISSN 2508-4887
eISSN 2508-4895
    Korean J Perinatol. 2015 Mar;26(1):21-27. Korean.
    Published online Mar 31, 2015.
    https://doi.org/10.14734/kjp.2015.26.1.21
    Copyright © 2015 The Korean Society of Perinatology
    Original Article

    Usefulness of Edinburgh Postnatal Depression Scale for Postpartum Depression

    Chi Seok Ahn, M.D.,1 Moon Sun Kang, M.D.,1 Sun Young Park, M.D.,1 and Young Rak Choi, M.D.2
      • 1Motaean Woman's Hospital, Cheongju, Korea.
      • 2Community Mental Health Center, Cheongju, Korea.
    • Correspondence to: Chi Seok Ahn, M.D., Motaean Woman's Hospital, 57 Bokdae-ro 17beon-gil, Seowon-gu, Cheongju-si, Chungcheongbukdo, 362-805, Korea. Tel: +82-43-272-0001, Fax: +82-43-264-2888, Email: obgyn0001@hanmail.net
    Received December 27, 2014; Revised February 10, 2015; Accepted March 09, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    Postpartum depression (PPD) is a common postnatal problem. PPD has a negative influence on maternal functioning and child development. We examined the result of Edinburgh Postnatal Depression Scale (EPDS) after delivery.

    Methods

    Three hundred two postpartum mothers were enrolled in the study. The Korean version of EPDS was completed and scored at postpartum visits. Mothers whose score was 10 or more were classified as an EPDS positive for PPD. We reviewed their medical records and determined risk factors for positive EPDS result.

    Results

    The positive rate of EPDS was 27.8% (84/302). Among various factors, a newborn's body weight more than 4.0 kg was statistically related to the positive result. The positive rate of EPDS was significantly higher when performed within postpartum 60 days than after postpartum 60 days. Among 84 positive women, only three mothers visited a psychiatric clinic for further evaluation and management of PPD.

    Conclusion

    The EPDS was a useful tool for PPD screening. Obstetricians should consider an EPDS for effective screening of PPD. It would be the next important issue to encourage a screening positive mother to visit a psychiatric clinic.

    Keywords
    Edinburgh Postnatal Depression Scale; Postpartum depression

    Figures

    Fig. 1
    Korean version of Edinburgh Postnatal Depression Scale.

    Fig. 2
    Edinburgh Postnatal Depression Scale score and postpartum screening date.

    Tables

    Table 1
    Various factors related to postpartum depression

    Table 2
    EPDS score according to the postpartum screening date

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    MeSH Terms
    Body Weight
    Child
    Child Development
    Depression, Postpartum*
    Female
    Humans
    Mass Screening
    Medical Records
    Mothers
    Postpartum Period
    Risk Factors
    Metrics
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    Figures
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    Tables
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