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This machine-readable record includes the response pattern and should only be shared intentionally.
The Edinburgh Postnatal Depression Scale, or EPDS, is a 10-question screen for emotional distress during pregnancy and after birth. It asks about the previous seven days, not your whole pregnancy, not your whole postpartum experience, and not only your hardest moment today. The result is a total score from 0 to 30 that helps show whether low mood, anxiety, self-criticism, panic, overload, or self-harm thoughts need closer follow-up.
This page keeps that standard score and adds a more practical reading of it. Once all 10 answers are complete, it shows the total, places it in the usual 0 to 9, 10 to 12, and 13 or higher follow-up ranges, separates Question 10 as its own safety signal, highlights the highest-scored items, and builds a pattern view across enjoyment, worry and panic, coping load, and low mood. Those extra groupings are here to make the result easier to discuss. They are not official EPDS subscales.
That matters because two people can land on the same total for very different reasons. One score may be driven mostly by sadness and crying. Another may be pushed up by worry, panic, and self-blame. A third may reflect feeling unable to cope even when the classic low-mood items are quieter. The item contribution map and review areas help you see that difference before you rely on the headline number alone.
The page also adds context settings that many people want in real use. You can frame the summary for pregnancy or several postpartum windows through the first year, switch the wording between screening, monitoring, and visit preparation, and enter a previous EPDS total plus the interval since that earlier screen. None of those settings changes today's score. They only change how the result is described around the score.
Scoring stays in the browser, which limits routine data transfer, but privacy still depends on what you keep or share afterward. Saved links can recreate the answer state, and downloaded CSV, DOCX, PNG, or JSON files preserve sensitive mental-health details outside the page. The EPDS is a screening tool, not a diagnosis. Any score above 0 on Question 10 should be treated as a direct safety conversation rather than as just another point inside the total.
The formal EPDS result is the sum of 10 item scores. More positive answers on the first two questions score lower, while more frequent distress on the remaining questions scores higher. The total therefore stays on a 0 to 30 scale even though the emotional content of the items differs from one question to the next.
| Score or item | General meaning | How this page treats it |
|---|---|---|
| 0 to 9 | Below the common follow-up flag. | Shown as a lower range, with reminders to still review lived experience and any standout answers. |
| 10 to 12 | Commonly treated as a monitor and repeat range. | Presented as a borderline result that often warrants a repeat EPDS in about 2 to 4 weeks when concerns continue. |
| 13 to 30 | Common follow-up flag for possible depressive symptoms. | Marked as a stronger referral or review lane, with pregnancy and postpartum wording adjusted by stage. |
| Question 10 above 0 | Self-harm thoughts need separate safety assessment. | Given its own badge, summary line, and support language so it cannot disappear inside the total. |
| Questions 3 to 5 | Often reviewed for anxiety symptoms as well as depressive distress. | Grouped into the worry and panic area and called out when they are carrying a large share of the score. |
| Added layer | Rule used here | Why it helps |
|---|---|---|
| Stage context | The wording can be framed for pregnancy, 0 to 6 weeks after birth, 7 weeks to 6 months, or 6 to 12 months after birth. | Keeps the follow-up note aligned with the current care period without changing the score. |
| Review lens | The summary can be framed as a screening snapshot, monitoring follow-up, or visit preparation. | Lets the report match the reason the EPDS is being used today. |
| Previous-score comparison | If you enter an earlier total, the page displays the arithmetic difference and optional interval in weeks. | Useful for repeat screens, while still making clear that the current EPDS score itself does not change. |
| Review areas | The answers are summarized into enjoyment, worry and panic, coping load, and low mood. | Makes the main symptom pattern easier to spot before reading the full answer table. |
| Exports | The page can save the dial and item map as PNG or CSV, the answer table as CSV or DOCX, and a structured JSON record. | Supports visit notes and repeat checks, but also creates files that need to be handled as sensitive personal information. |
The score ranges on this page follow widely used EPDS guidance: 10 to 12 is treated as a monitor and repeat band, 13 or more as a follow-up flag, and Question 10 as a separate safety issue. The page also gives extra weight to Questions 3, 4, and 5 because current guidance notes that those items may point to anxiety even when the total score is not in the highest range.
Those conveniences should still be read with care. The review areas are page-specific reading aids, not official EPDS subscales. The previous-score field is a plain subtraction, not a formal reliable-change calculation. The page also uses one general cutoff model rather than switching thresholds for translated or culturally specific versions of the EPDS, so local clinical guidance may sometimes read the same total differently.
All calculations happen locally in the browser, and this page does not require a separate server-side scoring step. That reduces routine data exposure, but copied text, exported files, and shareable URLs can all preserve the result outside the page. In practice, privacy depends not only on how the score is calculated, but also on how you store and share the record afterward.
Keep the recall window strict. The EPDS asks about the previous seven days. If you answer from a much longer stretch of memory, the score becomes harder to compare later and easier to misread now. A rough rule helps: answer from what the last week has actually felt like, not from what you think pregnancy or new parenthood is supposed to feel like.
Read the result in layers. Start with the total score and the Question 10 status. Then look at the highest-scored items. After that, use the review areas and the item contribution map to see what kind of distress is carrying the total. This order matters because the total gives overall intensity, but the item pattern tells you what the next conversation should actually focus on.
The stage setting is there for wording, not math. If you switch from pregnancy to a postpartum window, the total and item scores stay the same. The same rule applies to the review lens. Screening, monitoring, and visit preparation are three different ways to frame the summary, not three different scoring systems.
The previous-score box is most useful when the earlier number came from another complete EPDS run. Comparing today's score with a rough memory, a different questionnaire, or a result collected over a different recall window can make a weak comparison look more precise than it really is. If you are tracking change over time, consistency matters more than frequency.
Do not let a lower total stop you from noticing a strong pattern. Questions 3 to 5 can still matter when worry or panic is the main problem. Question 7 can reflect unhappiness-related sleep disruption, but postpartum sleep can also be broken for many non-mood reasons. A repeated borderline score, a lower score with a positive Question 10, or a score that does not match how daily life actually feels can all justify follow-up.
If you are using the page for a visit, the most useful export is often the answer table or JSON record rather than the total alone. Those formats preserve which items were high, what the exact responses were, and how the page summarized the current stage, urgency, and trend. That makes the conversation more specific and reduces the need to rebuild the whole week from memory.
A total from 0 to 9 usually sits below the common follow-up threshold, but that is not the same as saying everything is fine. If the week has still felt hard, if one or two answers are much higher than the rest, or if someone is minimizing distress, the safer reading is to treat the score as one piece of evidence rather than a final answer.
A total from 10 to 12 is often handled as a monitor and repeat band. It is below the more familiar 13-point flag, yet it is not a clean all-clear. In practical terms, this range often means symptoms deserve closer review now and another EPDS in about 2 to 4 weeks if concern continues. The page reflects that by showing how far the total is from 13 and by naming the result as a repeat-soon lane rather than a routine pass.
A total of 13 or more is commonly treated as a follow-up flag for possible depressive symptoms in perinatal care. That still does not diagnose depression on its own. The score needs to be read with functioning, context, history, and direct clinical judgment. On this page, the stage setting matters here because pregnancy guidance and postpartum follow-up wording are not identical, even though the score threshold is the same general one.
Question 10 changes the interpretation path. A positive response there should move the result out of total-only reading and into direct safety assessment. The page therefore separates it from the rest of the summary, gives it its own badge, and raises the support urgency even if the total score would otherwise look modest. If self-harm thoughts feel active, actionable, or hard to control, urgent human help matters more than finishing any chart or export.
The review areas then help explain what is driving the score. A high enjoyment score suggests reduced pleasure and anticipation. A worry-heavy pattern puts more attention on self-blame, anxiety, and panic. A high coping-load score points to feeling overloaded. A low-mood pattern highlights sadness, crying, and sleep difficulty linked to unhappiness. These are not diagnostic categories. They are a clearer way to describe which parts of the last week are hurting most.
Trend context can also matter. If the total is unchanged but the strongest items have shifted, the overall burden may look stable while the emotional profile has changed. If the total is higher than before, ask which answers rose and whether the result crossed a threshold. If the total is lower, that is useful too, but the most reassuring sign is not only a smaller number. It is a softer item pattern and easier day-to-day coping.
Someone scores 11 overall. The total sits in the 10 to 12 range, and the highest points come from self-blame, worry, and panic. The number is not yet at 13, but the page still shows that anxiety is carrying much of the distress. That is a good example of why the item pattern matters as much as the lane label.
Another person scores below the usual follow-up flag, yet Question 10 is not zero. The page does not treat that as routine self-tracking. It raises the support urgency because a safety item should be followed up directly even when the rest of the score looks lighter.
A postpartum result comes back at 15. The page places it in the flagged follow-up range, shows how far above 13 the score sits, and may highlight low mood or worry depending on which answers scored highest. The practical message is not self-diagnosis. It is to arrange review or ongoing care rather than waiting and hoping the pattern settles on its own.
A repeat screen three weeks later lands on the same total as before, but the leading items move from panic into sadness, crying, and sleep difficulty from unhappiness. The number alone suggests no change. The item map shows something more useful: the burden has shifted, so the follow-up discussion should shift too.
No. Those settings only change the wording around the score. The total still comes from the 10 answers alone.
Current EPDS guidance notes that those items may suggest anxiety symptoms. The page groups them into the worry and panic area so that anxiety is less likely to be missed when the total score is borderline.
No. They are page-specific reading aids. The formal EPDS result remains the set of item responses and the total score.
Yes, as long as the earlier number came from another complete EPDS result collected over a comparable seven-day window. The page shows a simple score difference, not a formal change-significance test.
The scoring runs in the browser and this page does not rely on a separate server calculation. The bigger privacy risk comes from saved links, copied text, and downloaded files that preserve the result outside the page.
You can download the follow-up dial and item contribution map as PNG or CSV, export the answered-question review as CSV or DOCX, and copy or download a JSON record that includes the summary and item-level responses.