{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:21:26Z","timestamp":1785252086356,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T00:00:00Z","timestamp":1604448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Most Japanese institutions screen for post\u2010partum depression (PPD) using the Edinburgh Postnatal Depression Scale (EPDS) at outpatient visits conducted at 2\u2010 and 4\u2010week post\u2010partum, but there are no published data on the usefulness of EPDS scores 2\u2010week post\u2010partum. In the present study, relationships between 2\u2010week post\u2010partum EPDS scores and 4\u2010week post\u2010partum EPDS scores were investigated to determine whether 2\u2010week scores may facilitate early intervention in high\u2010risk mothers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of 451 deliveries from 2017 to 2019 was conducted at a single institution. EPDS scores were obtained using the Japanese EPDS 2\u2010 and 4\u2010week post\u2010partum, in conjunction with other perinatal data from medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 334 of 451 mothers (74.1%) completed the EPDS at both 2\u2010 and 4\u2010week post\u2010partum and were included in the analysis. Of 48 who had higher scores 2\u2010week post\u2010partum, 21 (43.8%) continued to be at high risk of PPD. Of 284 who had lower scores 2\u2010week post\u2010partum, 9 (3.2%) transitioned to scores indicating high risk. Women considered high\u2010risk 4\u2010week post\u2010partum tended to have exhibited higher scores 2\u2010week post\u2010partum. Women who had experienced more deliveries tended to exhibit lower scores, and psychiatric illness was strongly associated with higher EPDS scores (odds ratio 11.2, 95% confidence interval 3.7\u201333.8, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Two\u2010week EPDS scores closely reflected 4\u2010week scores, and may facilitate early intervention to prevent PPD. Primiparous mothers and those with a history of psychiatric illness should be followed\u2010up closely.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14540","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T12:39:13Z","timestamp":1604493553000},"page":"508-514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Edinburgh Postnatal Depression Scale scores at 2\u2010week post\u2010partum may reflect those at 4\u2010week post\u2010partum: A single\u2010center retrospective observational study"],"prefix":"10.1111","volume":"47","author":[{"given":"Hideki","family":"Matsuoka","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Kyoto Katsura Hospital  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichiro","family":"Iwami","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Kyoto Katsura Hospital  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Kyoto Katsura Hospital  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Suizu","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Kyoto Katsura Hospital  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Rakuwakai Otowa Hospital  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1607649"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080003251.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2068-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.161711"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.14390\/jsshp.HRP2018-006"},{"key":"e_1_2_7_7_1","unstructured":"Japanese Society of Perinatal Mental Health. 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