{"id":17416,"date":"2025-08-01T01:00:15","date_gmt":"2025-08-01T05:00:15","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=17416"},"modified":"2026-01-30T09:44:53","modified_gmt":"2026-01-30T14:44:53","slug":"prenatal-depression-screening-and-follow-up-pnd-e","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/","title":{"rendered":"Prenatal Depression Screening and Follow-up (PND-E)"},"content":{"rendered":"<p><span data-contrast=\"auto\">The percentage of deliveries in which persons were screened for clinical depression while pregnant and, if screened positive, received follow-up care.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Depression Screening. The percentage of deliveries in which persons were screened for clinical depression during pregnancy using a standardized instrument.<\/span><\/li>\n<li><span data-contrast=\"auto\">Follow-Up on Positive Screen. The percentage of deliveries in which persons received follow-up care within 30 days of a positive depression screen finding.<\/span><\/li>\n<\/ul>\n<h2>Why it Matters<\/h2>\n<p><span data-contrast=\"none\">Depression is an overwhelming feeling of sadness and hopelessness that can last for months or years. Maternal depression is an all-encompassing term for the spectrum of depressive conditions that can affect people when they are pregnant and after giving birth. Perinatal depression refers to minor and major depression episodes during pregnancy and\/or the first 12 months after childbirth <sup><a href=\"#ref-1\">1<\/a><\/sup>. Perinatal depression rates among women range from 12%\u201315%, with postpartum depression rates alone estimated to be as high as 20% in some parts of the United States <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Depression has significant consequences for birthing people, their infants and their families <sup><a href=\"#ref-3\">3<\/a><\/sup>. Women with untreated depression during pregnancy are at risk of developing severe postpartum depression and suicidality, and of delivering premature or low-birthweight babies <sup><a href=\"#ref-4\">4<\/a><\/sup>. Postpartum depression hinders infant attachment, bonding and can lead to developmental disorders that last into adolescence. During infancy, important caregiving activities such as breastfeeding, sleep, adherence to well-child visits and vaccine schedules can be compromised in depressed mothers <sup><a href=\"#ref-5\">5<\/a><\/sup> <sup><a href=\"#ref-6\">6<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">Screening for and treating postpartum depression has been shown to be cost-saving. One study found that screening for and treating postpartum depression and psychosis cost an estimated $1,000 per woman resulting in an estimated $10,200 in savings per remission <sup><a href=\"#ref-7\">7<\/a><\/sup>.<\/span><\/p>\n<p><span data-contrast=\"none\">The PDS-E and PND-E measures are based on recommendations from the U.S. Preventive Services Task Force (USPSTF) and American College of Obstetricians and Gynecologists (ACOG) <sup><a href=\"#ref-8\">8<\/a><\/sup> <sup><a href=\"#ref-9\">9<\/a><\/sup> <sup><a href=\"#ref-10\">10<\/a><\/sup>. The USPSTF recommends screening for pregnant and postpartum women. The ACOG recommends multiple postpartum visits no later than 12 weeks after birth that include a full assessment of psychological well-being, including screening for postpartum depression and anxiety with a validated instrument. The American Academy of Pediatrics (AAP) recommends that pediatricians screen mothers for postpartum depression at the infant\u2019s 1-, 2-, 4- and 6-month visits <sup><a href=\"#ref-11\">11<\/a><\/sup>. The USPSTF and ACOG also recommend that screening be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment and appropriate follow-up.<\/span><\/p>\n<p><span data-contrast=\"none\">Note: Not all people who become pregnant or give birth identify as women or mothers, and we prioritize the use of non-gendered language throughout this volume. However, the terms \u201cwomen,\u201d \u201cmother\u201d and \u201cmaternal&#8221; have been used historically to describe this concept, and we use them here to avoid editing cited data.<\/span><\/p>\n<p><span data-contrast=\"none\"><i>Developed with support from the California HealthCare Foundation (CHCF). CHCF works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit <\/i><\/span><a href=\"https:\/\/www.chcf.org\/\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">https:\/\/www.chcf.org\/<\/span><\/span><\/a><span data-contrast=\"none\"><i> to learn more. Also supported by the Zoma Foundation.<\/i><\/span><\/p>\n<h2>Historical Results \u2013 National Averages<\/h2>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of deliveries in which persons were screened for clinical depression while pregnant and, if screened positive, received follow-up care.\u00a0 Depression Screening. The percentage of deliveries in which persons were screened for clinical depression during pregnancy using a standardized instrument. Follow-Up on Positive Screen. The percentage of deliveries in which persons received follow-up care [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-17416","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Prenatal Depression Screening and Follow-up (PND-E) - NCQA<\/title>\n<meta name=\"description\" content=\"The percentage of members 18 years of age and older who were screened for unhealthy alcohol use using a standardized tool and received appropriate follow-up care if they screened positive.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prenatal Depression Screening and Follow-up (PND-E) - NCQA\" \/>\n<meta property=\"og:description\" content=\"The percentage of members 18 years of age and older who were screened for unhealthy alcohol use using a standardized tool and received appropriate follow-up care if they screened positive.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-30T14:44:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/\",\"url\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/\",\"name\":\"Prenatal Depression Screening and Follow-up (PND-E) - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-08-01T05:00:15+00:00\",\"dateModified\":\"2026-01-30T14:44:53+00:00\",\"description\":\"The percentage of members 18 years of age and older who were screened for unhealthy alcohol use using a standardized tool and received appropriate follow-up care if they screened positive.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/prenatal-depression-screening-and-follow-up-pnd-e\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Report Cards\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"State of Health Care Quality Report\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Prenatal Depression Screening and Follow-up (PND-E)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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