Perinatal mood and anxiety disorders (PMADs) are extremely common and can occur unpredictably during and after pregnancy. If left untreated, PMADs can be detrimental to the long-term health of both mothers and infants. The Edinburgh Postnatal Depression Scale (EPDS) is an effective and well-accepted screening method for identifying PMADs. The findings from a literature review emphasized the clinical importance of screening as well as the value of a quality improvement approach. The objective of this Doctor of Nursing Practice (DNP) project was to analyze the PMAD screening practices at a busy women's health clinic in Metro Detroit by conducting an in-depth chart review. Data gathered from this evaluation was utilized by clinic leadership to better serve patients by addressing current screening deficits within the practice. Specific areas of improvement identified by this evaluation included the need to increase the percentage of EPDS screens completed at the initial obstetric (OB) visit and ensuring behavioral health referrals were being made when patients have a positive screen.
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