EPDS Calculator

Edinburgh Postnatal Depression Scale - Screen for postpartum depression

Edinburgh Postnatal Depression Scale

Instructions

Please select the answer that comes closest to how you have felt in the past 7 days, not just how you feel today. All 10 questions must be answered for an accurate assessment.

1. I have been able to laugh and see the funny side of things

2. I have looked forward with enjoyment to things

3. I have blamed myself unnecessarily when things went wrong

4. I have been anxious or worried for no good reason

5. I have felt scared or panicky for no very good reason

6. Things have been getting on top of me

7. I have been so unhappy that I have had difficulty sleeping

8. I have felt sad or miserable

9. I have been so unhappy that I have been crying

10. The thought of harming myself has occurred to me

EPDS Score Interpretation

0-9 points: Low likelihood of postnatal depression

10-12 points: Possible postnatal depression - professional consultation recommended

13+ points: High likelihood of postnatal depression - immediate professional help needed

Any self-harm response: Urgent evaluation required regardless of total score

Understanding EPDS Scoring

Scoring Method

Regular scoring: Questions 1, 2, and 4 are scored 0-3 (where 0 is the best response)

Reverse scoring: Questions 3, 5, 6, 7, 8, 9, and 10 are scored 3-0 (where 3 becomes 0 points)

Total: Sum all adjusted scores for final EPDS score (0-30 range)

When to Seek Help

• Score above 9-10: Consider professional consultation

• Score above 12-13: Strong indication for professional evaluation

• Any thoughts of self-harm: Immediate professional help needed

• Persistent symptoms lasting more than 2 weeks

About EPDS

1

Postnatal Screening

Specifically designed for new mothers

2

Validated Tool

Developed by Cox et al., widely used

3

Quick Assessment

Takes only 5 minutes to complete

Crisis Resources

Suicide & Crisis Lifeline

988

24/7 crisis support

Postpartum Support International

1-944-4-HELPLINE

Specialized postnatal support

Crisis Text Line

Text HOME to 741741

24/7 text support

Postnatal Depression Facts

Affects 10-15% of new mothers annually

Different from "baby blues" which last ~2 weeks

Can occur anytime in the first year postpartum

Highly treatable with proper care

Early detection improves outcomes

Understanding Postnatal Depression & EPDS

What is Postnatal Depression?

Postnatal depression (also called postpartum depression) is a mood disorder that affects new mothers, typically occurring within the first year after childbirth. It's different from the "baby blues" which are milder and shorter-lasting.

Common Symptoms

  • Persistent sadness or low mood
  • Loss of interest in activities
  • Excessive anxiety or worry
  • Difficulty bonding with baby
  • Sleep difficulties unrelated to baby's schedule
  • Feelings of guilt or worthlessness

About the EPDS

Key Features

  • 10 questions about feelings in past 7 days
  • Self-administered screening tool
  • 5-minute completion time
  • 0-30 point scoring range

Treatment Options

  • Counseling/Therapy: CBT, interpersonal therapy
  • Support Groups: Peer support and education
  • Medication: Antidepressants (safe during breastfeeding options available)
  • Lifestyle Changes: Exercise, nutrition, sleep hygiene
  • Partner/Family Support: Education and involvement

Remember: Postnatal depression is common and highly treatable. Seeking help is a sign of strength, not weakness.

Risk Factors

Biological

  • • Hormonal changes after birth
  • • Previous history of depression
  • • Family history of mental health issues
  • • Pregnancy complications

Psychosocial

  • • Lack of social support
  • • Relationship problems
  • • Financial stress
  • • Unplanned pregnancy

Getting Help

Immediate Help Needed If:

  • • Thoughts of harming yourself or baby
  • • Unable to care for yourself or baby
  • • Severe anxiety or panic attacks
  • • Hallucinations or delusions

Who Can Help

  • • Primary care physician
  • • OB/GYN or midwife
  • • Mental health professional
  • • Support groups and hotlines