What screening tools are recommended for the identification of postnatal depression in new mothers?

Recommended screening tools for identifying postnatal depression in new mothers include the Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire (PHQ-9). These tools should be used as part of monitoring at all postnatal contacts, alongside asking the two depression identification questions as part of a general discussion about the woman's mental health and well-being.

At each postnatal contact, healthcare professionals should ask about the woman's emotional well-being, family and social support, and coping strategies, encouraging disclosure of any mood or behavioural changes outside the woman's normal pattern.

Where there is a positive response to depression identification questions or clinical concern, the EPDS or PHQ-9 should be used for a full assessment or to guide referral to a GP or mental health professional.

Additionally, the 2-item Generalized Anxiety Disorder scale (GAD-2) may be used to screen for anxiety, with further assessment by GAD-7 if indicated.