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INVESTIGATING WHETHER THE EDINBURGH POSTNATAL DEPRESSION SCALE (EPDS) CONTROLLED ANTENATALLY IS EXACT IN ANTICIPATING POSTNATAL DEPRESSION UPSETTING SIGNS

Dr. Usman Farooq, Dr. Ahmad Fauzan, Dr. Areeba Rashad

Objective: To examine whether 10-thing Edinburgh Postnatal Depression Scale controlled antenatally is exact in anticipating postnatal depression troublesome signs, and whether a two-thing EPDS has near perceptive precision. Masses: One thousand 620 and thirty females from comprehensive network. Methods: Our current research was led at Lahore general Hospital, Lahore from October 2018 to September 2019. Average characteristics, area under authority working properties twist, affectability, expresses and farsighted estimations of antenatal EPDS for the likelihood of making postnatal depression troublesome reactions were resolved. Assessments were recurrent for each trimester, the couple of cut-off characteristics and a two-thing EPDS (low perspective and anhedonia). Principal result measures: Postpartum difficult symptoms, portrayed as EPDS score ≥12. Results: Average EPDS scores were basically developed throughout each trimester in females through postnatal anxiety difficult indications than in these lacking reactions (P < 0.002). By means of overwhelming cut-off (≥14), AUC was reasonable (0.75), affectability was 19.2% (10% CI 12.2–25.2), positive insightful worth remained 41.8% (95% CI 28.7–55.9), disposition was 96.9% (95% CI 93.0–94.6) and negative farsighted worth remained 92.7% (95% CI 91.3–94.0). Using a lower cut-off worth (≥5), affectability was 71.6% (95% CI 62.4–78.3) and distinction was 65.4% 4 (96% CI 63.8–65.9), anyway positive farsighted worth was low (15.9%, 95% CI 13.1–19.0). Negative judicious worth was exceptionally high at 98.2% (96% CI 95.7–98.3). Results were equivalent during the second and third trimester. The farsighted correctness of two-thing EPDS seemed to be unremarkable. Conclusion: The EPDS was not enough correct in predicting peril of postnatal anxiety difficult reactions. Everything considered, while by means the ≥6 cut-off worth, it might remain passable for starting screening, trailed by further examinations and conceivably antenatal interference once positive. In addition, once undesirable, females might be comforted that postnatal depression troublesome symptoms are unlikely. A two-thing form demonstrated poor perceptive precision. Keywords: Antenatal despair, postpartum sadness, predictive accurateness.