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EDS/EPDS Score ≤ 4
According to this score it is unlikely the woman is suffering from depression. However, the score for question 10 should be checked as thoughts of self-harm can occur in some people without significant symptoms of depression. Education, in the form of pamphlets or reading material on perinatal mood and anxiety is appropriate.

EDS/EPDS Score ≤ 5 - 8

According to this score it is unlikely the woman is suffering from depression, however, the woman’s cultural background may need to be taken into account if cut-off scores within this range have been validated as an appropriate threshold for probable depression. Discussion of the woman’s anxieties or worries regarding the pregnancy is appropriate. The score on question 10 should also be taken into account to determine whether immediate intervention is appropriate.

EDS/EPDS Score ≤ 9 – 12
A score obtained within this range within the antenatal or postnatal period indicates the woman may be experiencing emotional distress and/or anxiety, which may be transient or enduring. Discussion of the woman’s concerns or worries is appropriate. Overall scores just below cut-off thresholds recommended for further assessment, should not be taken to indicate the absence of depression, especially if there are other reasons that suggest the woman is likely to be suffering from depression and/or significant anxiety. The score on question 10 should also be taken into account to determine whether immediate intervention is appropriate.

EDS/EPDS Score ≥ 13
A score obtained within this range during an antenatal assessment indicates the woman may develop or has depressive symptoms and requires support, even if the threshold has not been reached (EDS threshold = 15; EPDS threshold = 13). 
A score equal to or higher than 15 achieved during an antenatal assessment indicates probable major depression.  A repeat administration of the scale is recommended to occur in two weeks, or, further assessment if clinical judgment determines the need, or when the threshold is reached during a repeat administration. The score on question 10 should also be checked to determine whether immediate intervention is appropriate, irrespective of the timing of the screening.

A score equal to or higher than 13 achieved during a postnatal assessment indicates probable major depression (EPDS threshold = 13).  A repeat administration of the scale is recommended to occur in two weeks, or, further assessment if clinical judgment determines the need, or when the threshold is reached during a repeat administration. The score on question 10 should also be checked to determine whether immediate intervention is appropriate, irrespective of the timing of the screening.


You have now reached the end of module 4, please complete Modules 1 – 4 Post Test to  assess your learning so far. Once the test has been successfully completed you will be able to progress to the next module.

 

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