Screening for Depression During Pregnancy

Photography:Rachel Burt Photography

By Dr. Dawn Kingston

Our Team’s Research

Many pregnant women and new mothers fear postpartum depression. They’ve heard about the tragic stories of women with postpartum psychosis who harm themselves and their babies. They worry that it could happen to them, too.

Depression and anxiety are two of the most common complications in pregnancy. They are more common than diabetes and high blood pressure – two complications that doctors routinely screen for.

But, most physicians don’t ask pregnant women about their mood. In most countries, a mental health assessment is not a part of routine prenatal care.

As a result, most pregnant women who need help for anxiety or depression don’t have the chance to get it.

There are two reasons why all pregnant women should have access to mental health screening:

  1. Prenatal depression and anxiety are as common as postpartum depression. They are also the biggest risk factors for postpartum depression.1
  2. One in three women who struggle with prenatal depression still have symptoms when their children go to Kindergarten if they don’t get help.2,3 If they don’t get screened, chances are they won’t get help.

You might not think that it really matters whether a doctor checks pregnant women for mental health problems. After all, the last time you had your yearly physical, your doctor didn’t screen you for a cold or the flu. She knows that if you come down with symptoms and you need help, you’ll contact her.

Up until now, we thought that if women needed help, they’d tell their doctor.

Here’s why you may not want help with your emotional wellness during pregnancy.

However, research by our team at the University of Alberta shows that this is not true. 

There is a third reason we need to screen pregnant women for mental health problems.

We asked pregnant women whether they would raise concerns about their mental health with their doctor.4 This is what we found in our study of 460 women:

  1. 53% of women would not raise concerns about their mental health with their physician because they do not know what emotions are “normal” and “not normal” during pregnancy.
  2. 67% would not initiate a conversation about mental health with their prenatal provider because they preferred to talk about their concerns with their partner, friend, or family.
  3. 44% said they would not want to be seen as “depressed” or “anxious” by their provider and therefore wouldn’t feel comfortable raising mental health issues on their own.
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