Perinatal depression: prevalence, outcomes and screening tools - a review of the literature


Mail Orcid Cesa Septiana Pratiwi(1*)
Mail Pauline Glover(2)

(1) Universitas 'Aisyiyah Yogyakarta, Indonesia
(2) Flinders University South Australia, Australia
(*) Corresponding Author
10.31101/jhtam.1113| Abstract views : 1438 | PDF views : 451


Perinatal depression (PD) is a depressive disorder in women that occurs either during pregnancy and/ or within 12 months after delivery. PD has adverse outcomes not only for mothers, but also for their children and their family/husband. A review of literature was conducted to present a comprehensive review of the available research into depression, its prevalence, risk factors and the screening tools in the context of the perinatal period. The literature will provide the background for understanding perinatal depression and will support the need for the most appropriate perinatal mental health screening-tool, particularly depression in midwifery care.


perinatal; depression; prevalence; risk factors; instruments;

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Association, A. P. (1994). Diagnostic criteria from DSM-IV. Washington: APA.

Beck, CT & Driscoll, J. (2006). Postpartum mood and anxiety disorder: a clinician’s guide. Jones and Bartlett Publishers, Inc, Sudbury, Massachusetts.

Bennet, HA, Einarson, A, Taddio, A, Koren, G &Einarson, T. (2004). Prevalence of Depression During Pregnancy: Systematic Review. American College of Obstetricians and Gynaecologist, 103(4), 698–709.

Bonari, L, Pinto, N, Ahn, E, Einarson, A, Steiner, M &Koren, G. (2004). Perinatal risk of untreated depression during pregnancy. Canadian Journal of Psychiatry, 49(11), 726–735.

Chung, TKH, Lau, FTK, Yip, ASK, Chiu, HFK & Lee, D. (2001). Antepartum depressive symptomatology is associated with adverse obstetric and Neonatal outcomes. American Psychosomatic Society, 63, 830–834.

Cox, JL, Holden, J. (2003). Perinatal mental health: A guide to Edinburgh Postnatal Depression Scale (EPDS). In Royal College of Psychiatrists. London, England.

Epperson, CN, Ballew, J. (2006). Postpartum Depression’. In: Hendrick V. (eds) Psychiatric Disorders in Pregnancy and the Postpartum. Totowa, New Jersey: Humana Press.

Field, T, Reif, MH, Diego, M, Schanberg, S &Kuhn, C. (2005). Cortisol decreases and serotonin and dopamine increase following massage therapy. International Journal of Neuroscience, 115, 1397–1413.

Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development, 33(1), 1–6.

Fisher, J, de Mello, MN, Patel, V, Rahman, A, Tran, T, Holton, S, Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income-countries: a systematic review. Bulletin of World Health Organization, 90, 139-149G.

Fundukian, LJ & Wilson, J. (2008). Depression and Depressive Disorder. The Gale Encyclopedia of Mental Health 2nd Edition, 339–342.

Gavin, NI, Gaynes, BN, Lohr, KN, Brody, SM, Gartlehner, G &Swinson, T. (2005). Perinatal depression: a systematic review of prevalence and incidence. American College of Obstetricians and Gynaecologist, 106(5), 1071–1083.

Gaynes, BN, Gavin, N, Brody, SM, Lohr, KN, Swinson, T, Gartlehner, G, Brody, S & Miller, W. (2005). Perinatal depression: prevalence, screening, accuracy, and screening outcomes: summary. AHRQ Evidence Report Summaries 1998-2005.

Hadwin, P. (2007). Common mental health disorders’, in S Price (ed.). In Churchill Livingstone Elsevier. Philadelphia, US.

Jablensky, AV, Morgan, V, Zubrick, SR, Bower, C, Yellachich, L. (2005). Pregnancy, delivery, and neonatal complications in a population cohort of women with schizophrenia and major affective disorder. The American Journal of Psychiatry, 162, 79–91.

Johnstone, SJ, Boyce, PM, Hickey, AR, Morris-Yates, AD & Harris, M. (2001). Obstetric risk factors for postnatal depression in urban and rural community samples. Australian and New Zealand Journal of Psychiatry, 35, 69–74.

Kalra, S & Einarson, A. (2006). Prevalence, clinical course, and management of depression during pregnancy in V Hendrick (ed.). In Psychiatric disorders in pregnancy and the postpartum: principles and treatments. Totowa, New Jersey.

Kurki, T, Hiilesma, V, Raitasalo, R, Mattila, H &Ylikorkala, O. (2000). Depression and anxiety in early pregnancy and risk for preeclampsia. American College of Obstetricians and Gynaecologist, 95(4), 487–490.

Leung, BMY & Kaplan, B. (2009). Perinatal depression: prevalence, risks, and the nutrition link a review of the literature. Journal of American Dietetic Association, 109, 1566–1575.

Motherhood, S. (2004). No Title.

Nahaba, B. (2012). UNESCO gives Indonesia rewards regarding illiteracy programs.

NICE. (2004). Antenatal and postnatal mental health: clinical management and service guidance.

Organization, W. H. (2004). WHO guide to mental and neurological health in primary care: a guide to mental and neurological ill health in adults and children and adolescents.

Orr, ST, James, SA & Prince, C. (2002). Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. American Journal of Epidemiology, 156(9), 797–802.

Perwitasari, Hakimi, M, A. (2019). The effect of maternal-fetal attachment education on pregnant women’s mental health. Journal of Health Technology Assessment in Midwifery, 2, 50–58.

Radloff, L. (1977). The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1, 385–401.

Rahman, A, Bunn, J, Lovel, H & Creed, F. (2007). Association between antenatal depression and low birth weight in a developing country. Acta Psychiatrica Scandinavia, 115, 481–486.

Rahman, A, Iqbal, Z, Bunn, J, Lovel, H & Harrington, R. (2004). Impact of maternal depression in infant nutritional status and illness. Arch Gen Psychiatry, 61, 946–952.

Roomruangwong, C. & E. C. (2011). Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomedicine, 5, 179–193.

Spitzer, RL, Kroenke, K, Williams, JBW, et al. (1999). Validation and utility of a self- report version of PRIME-MD. Journal of American Medical Association, 282, 1737–1744.

Spitzer, RL, Williams, JBW, Kroenke, K, Hornyak, R, McMurray, J. (2000). Validity and utility of the PRIME-MD Patient Health Questionnaire in assessment of 3000 obatetric-gynecologic patients: The PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. American Journal of Obstetrics and Gynecology, 183, 759–769.

Sutjahjo, SA, Manderson, L &Astbury, J. (2007). Complex emotions, complex problems: understanding the experiences of perinatal depression among new mothers in urban Indonesia. Culture, Medicine and Psychiatry, 31, 101–122.

Talge, NM, Neal, C & Glover, V. (2007). Antenatal maternal stress and long-term effects on child neurodevelopment: how and why? Journal of Child and Psychology, 48, 245–261.

Weissman, MM, Bland, R, Joyce, PR, Newman, S, Wells, JE &Wittchen, H. (1993). Sex differences in rates of depression: cross-national perspectives. Journal of Affective Disorder, 29, 77–84.

DOI: https://doi.org/10.31101/jhtam.1113

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