Background
Postpartum Depression (PPD) is an illness affecting an average of 13% of women annually. The consequences of PPD can be devastating to the patient, as well as to the physical and emotional development of the child. Once PPD is diagnosed there are many interventions available.

A chart review performed in our practice revealed a PPD diagnosis rate of 4.5%, far below the national average. Previous efforts focused on improving that rate through provider education and improving use of a validated screening tool. A second chart review showed an increase in our rate of PPD to approximately 9%, an improvement but still below the national average.

Methods
An educational brochure on PPD and a copy of the screening questionnaire was mailed to postpartum patients along with their appointment reminder. A second chart review was performed to determine the effect of the intervention on the diagnosis rate within the practice.

Results
Data was collected regarding use of the screening tool, diagnosis of PPD, and treatment of PPD subsequent to the above intervention. There was an improvement in the diagnosis rate of PPD within our practice to 30% which was statistically significant.

Conclusions
Diagnosis of PPD can be improved through both physician and patient education about the disease as well as through the use of the EPDS screening tool.