Quick 10-item check-in for emotional wellbeing during pregnancy and after birth over the last 7 days.

  • Answer every question for the last week, not just the hardest moment today.
  • Takes about 2 minutes to finish.
  • Your responses stay in this browser unless you choose to export or share them.
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Follow-up dial
Item contribution map
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Cutoff and follow-up context

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High-intensity items

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Tags: Pregnancy, Psychology, Psychometrics
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Pregnancy and the months after birth can bring sleep loss, body changes, feeding pressure, identity shifts, and major responsibility at the same time. Some distress fits the strain of that season, but persistent low mood, loss of enjoyment, panic, self-blame, or thoughts of self-harm need more than reassurance. A structured screen helps separate a passing rough patch from a pattern that should be discussed with a clinician or maternity team.

The Edinburgh Postnatal Depression Scale, usually called EPDS, is a 10-item self-report screen for symptoms during the previous 7 days. It does not ask for a lifetime history and it does not diagnose depression by itself. Its strength is consistency: the same week-long frame, the same scored choices, and the same total range can be repeated over time or reviewed with someone who can provide care.

Area What it helps notice Common mistake
Enjoyment Reduced laughter, pleasure, and anticipation. Explaining it away as ordinary tiredness without checking persistence.
Worry and panic Self-blame, anxiety, fear, and panic that may stand out even without severe sadness. Looking only for tearfulness and missing anxiety-led distress.
Coping load Feeling unable to manage or that things are getting on top of the respondent. Treating overwhelm as a character flaw instead of a support signal.
Low mood Unhappiness, sleep affected by unhappiness, sadness, misery, and crying. Waiting until symptoms are extreme before asking for help.
Safety Thoughts of self-harm, handled separately from ordinary score bands. Letting a lower total hide a safety concern.

Score bands are useful because they make follow-up conversations less vague. Many pathways use 13 or more as a strong prompt for clinical review, while 10 to 12 is often treated as a closer-review or repeat-soon range. Those bands are not universal rules. Local guidelines, language version, clinical history, support level, and the person's own concern can change how urgently a result should be acted on.

EPDS scoring frame Ten questions scored 0 to 3 create a total from 0 to 30. 0 to 9 10 to 12 13 to 30 lower score range repeat soon follow-up flag 0 10 13 30 Any Question 10 score above 0 comes first

Question 10 asks whether the thought of self-harm has occurred. That item cannot be averaged away. Any answer above zero should be treated as a direct safety signal, even if the total score sits below the usual follow-up threshold.

How to Use This Tool:

Use the current 7-day period as the reference window and complete all 10 EPDS items before reading the report.

  1. Select Start EPDS questions, then answer each item according to the previous week rather than the whole pregnancy or postpartum period.
  2. Choose the response wording that fits best. Each item is scored from 0 to 3, and the result remains incomplete until every item has an answer.
  3. Use the progress bar and numbered navigator to find a missed item if the report does not appear.
  4. Read Support urgency and Question 10 before focusing on the total score.
    If Question 10 is above zero, direct safety follow-up takes priority over the total score band.
  5. Use the Follow-up dial to place the total in the 0 to 9, 10 to 12, or 13 to 30 range.
  6. Review the Item contribution map, High-intensity items, Review areas, and Answer review table to see which answers drove the result.
  7. Copy a result link or export CSV, DOCX, and chart files only when those records support real follow-up.
    Responses stay in the browser while you work, but copied links and exported files can reveal sensitive answers.

Interpreting Results:

Read the EPDS output in a safety-first order. A Question 10 score above zero should trigger direct safety assessment regardless of whether the total is low, moderate, or high. After that, the total score provides a follow-up lane, and the item pattern explains what kind of distress is carrying the score.

A 0 to 9 total sits below the common repeat-soon and 13+ follow-up bands. It can still matter when one answer is intense, symptoms are worsening, or the respondent feels unsafe. A 10 to 12 total is a closer-review range, often paired with monitoring and another EPDS in about 2 to 4 weeks when concern continues. A 13 to 30 total reaches the follow-up flag used in many perinatal pathways for possible depressive symptoms.

The review areas are practical reading aids, not official EPDS subscales. Enjoyment uses Questions 1 and 2. Worry, panic, and self-criticism use Questions 3 to 5. Coping load uses Question 6. Low mood and visible distress use Questions 7 to 9. Question 10 remains a separate safety cue because its meaning is not the same as ordinary symptom load.

When comparing repeated screens, use complete EPDS runs from similar 7-day windows. A total can stay stable while the pattern changes from anxiety-led to low-mood-led, and a lower total can still need action if the safety item changes.

Technical Details:

The EPDS total is a sum of 10 ordinal item scores. Each scored choice contributes 0, 1, 2, or 3 points, so the total range is 0 to 30. Higher totals indicate more symptoms reported in the previous 7 days, but a screening score is not a diagnostic finding and should be interpreted with clinical context.

The scale mixes positive-affect items, anxiety-related items, coping load, low-mood items, and a self-harm item. That mixture is why the total and the item pattern should be read together. Two people can both score 12 and need different follow-up conversations if one result is driven by panic and self-blame while the other is driven by sadness, crying, and sleep disruption.

Formula Core

EPDS total = ∑ i=1 10 qi 0 ≤ qi ≤ 3 , 0 ≤ EPDS total ≤ 30

A response pattern of 1, 1, 2, 2, 1, 2, 1, 2, 1, and 0 sums to 13/30. That reaches the follow-up flag even though no item is scored 3. If the final item were 1 instead of 0, the same total would also carry a separate Question 10 safety signal.

Score or item Report lane Technical interpretation
0 to 9 Lower score range Below the common closer-review and 13+ bands; still check high items and lived concern.
10 to 12 Repeat-soon range A monitoring lane often paired with another EPDS when symptoms persist or support needs remain unclear.
13 to 30 Follow-up flag range A common threshold for clinician review of possible depressive symptoms in perinatal care.
Question 10 > 0 Safety assessment Direct safety review is needed regardless of the total.
Review area Items Maximum What the area helps explain
Enjoyment and anticipation 1, 2 6 Loss of pleasure, laughter, and looking forward to things.
Worry, panic, and self-criticism 3, 4, 5 9 Self-blame, anxiety, worry, and panic that may justify attention even below 13.
Coping load 6 3 Whether ordinary demands are feeling unmanageable.
Low mood and visible distress 7, 8, 9 9 Unhappiness-related sleep difficulty, sadness, misery, and crying.
Safety and immediate follow-up 10 3 Self-harm thoughts, interpreted separately from routine symptom bands.

Chart images and CSV chart downloads document the completed scoring view. The answer review export is more sensitive because it includes item-level responses, so it is best reserved for clinical review, care planning, or a trusted support conversation.

Limitations and Privacy:

The EPDS is one screening instrument. It does not cover every perinatal mental-health risk, and it cannot replace assessment for psychosis, bipolar symptoms, trauma, obsessive intrusive thoughts, family violence, substance use, medical illness, severe sleep deprivation, feeding distress, or practical support needs.

  • Use local clinical pathways when their cutoffs or referral rules differ from the bands shown here.
  • Do not treat a lower score as reassurance when Question 10 is above zero or safety is uncertain.
  • Translated, adapted, or clinician-administered versions may need different wording, support, or thresholds.
  • Copied links, CSV files, DOCX exports, and chart files can expose private mental-health answers if shared or stored carelessly.

Worked Examples:

Worry-led repeat-soon result

A total of 11/30 sits in the 10 to 12 range. If most points come from Questions 3, 4, and 5, the follow-up conversation should include self-blame, anxiety, and panic rather than treating the result as a mild low-mood screen only.

Lower total with safety priority

A total of 8/30 can look below the usual follow-up bands, but a Question 10 score of 1/3 changes the response. Self-harm thoughts need direct review before the total is interpreted as lower risk.

Flagged total with mixed drivers

A score of 15/30 reaches the 13+ flag. If the item contribution map shows points from both coping load and low mood, the total gives urgency while the item pattern gives the care team a more useful starting point.

Same total, changed pattern

Two completed EPDS runs can both score 10/30. If the first run is panic-led and the second is led by sadness, crying, and sleep difficulty, the support plan may need to change even though the total did not.

FAQ:

Does the EPDS diagnose postpartum depression?

No. The EPDS is a screening scale. A higher score can prompt assessment, but diagnosis and treatment decisions require clinical judgment.

Why does the EPDS use the last 7 days?

The 7-day window keeps the screen current and makes repeated scores easier to compare. Mixing several weeks together can blur whether symptoms are improving, worsening, or shifting.

Why is Question 10 separate from the total?

Question 10 asks about self-harm thoughts. Any score above zero should be reviewed directly because safety cannot be judged from the total alone.

Are the review areas official EPDS subscales?

No. They are reading aids for this report. The formal screen remains the 10 item responses and the total score, with Question 10 handled as a safety item.

Why did the full report not appear?

The report appears only after all 10 questions have valid answers. Use the progress text and numbered navigator to find the unanswered item.

Glossary:

EPDS
Edinburgh Postnatal Depression Scale, a 10-item self-report screen for emotional distress during pregnancy and after birth.
7-day reference window
The previous week covered by the answers. Keeping this window stable helps repeated screens make sense.
Repeat-soon range
The 10 to 12 band used here as a cue for closer review and another screen when concern continues.
Follow-up flag
A total of 13 or more, commonly used as a prompt for clinical review of possible depressive symptoms.
Question 10
The self-harm-thought item, interpreted as a separate safety signal whenever it scores above zero.

References: