Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum

Authoring Organization

Publication Month/Year

May 19, 2023

Document Type


Country of Publication


Document Objectives

To review evidence on the current understanding of mental health conditions in pregnancy and postpartum, with a focus on mood and anxiety disorders, and to outline guidelines for screening and diagnosis that are consistent with best available scientific evidence. The conditions or symptoms reviewed include depression, anxiety and anxiety-related disorders, bipolar disorder, suicidality, and postpartum psychosis. For information on psychopharmacologic treatment and management, refer to American College of Obstetricians and Gynecologists (ACOG) Clinical Practice Guideline Number 5, “Treatment and Management of Mental Health Conditions During Pregnancy and Postpartum”. This Clinical Practice Guideline includes recommendations on the screening and diagnosis of perinatal mental health conditions including depression, anxiety, bipolar disorder, acute postpartum psychosis, and the symptom of suicidality. Recommendations are classified by strength and evidence quality. Ungraded Good Practice Points are included to provide guidance when a formal recommendation could not be made because of inadequate or nonexistent evidence.

Inclusion Criteria

Female, Adult

Health Care Settings


Intended Users

Nurse, nurse practitioner, physician, physician assistant


Assessment and screening, Management, Prevention

Diseases/Conditions (MeSH)

D019052 - Depression, Postpartum, D049590 - Postpartum Period


pregnancy, postpartum, postpartum depression, postpartum period

Source Citation

Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum: ACOG Clinical Practice Guideline No. 4:. Obstetrics & Gynecology 141(6):p 1232-1261, June 2023. | DOI: 10.1097/AOG.0000000000005200