Maternal Mental Health Screening Form

Supporting new mothers through the postpartum period requires sensitive, evidence-based screening tools that can identify mental health concerns early. This Maternal Mental Health Screening Form combines the internationally validated Edinburgh Postnatal Depression Scale (EPDS) with infant bonding and breastfeeding assessments to provide a holistic view of maternal wellbeing.

Designed for midwives, health visitors, obstetricians, pediatricians, lactation consultants, and mental health professionals, this template helps healthcare providers identify mothers who may need additional support during the critical postpartum period. The form can be completed during routine postnatal visits, well-baby checks, or as part of ongoing maternal care programs.

The Edinburgh Postnatal Depression Scale is the gold standard screening tool for postpartum depression, validated across cultures and healthcare settings. Combined with questions about mother-infant bonding and feeding challenges, this form provides a comprehensive picture that goes beyond depression screening alone—recognizing that feeding difficulties and bonding concerns often intersect with maternal mental health.

Paperform makes maternal health screening more accessible and effective. Create forms that feel supportive rather than clinical, with conditional logic that adapts questions based on responses and automatic scoring that flags high-risk cases for immediate follow-up. Use Stepper (stepper.io) to automate care pathways—routing high-risk scores to mental health teams, scheduling follow-up appointments, and ensuring no mother falls through the cracks during this vulnerable time.

With Paperform's GDPR compliance, data residency controls, and SOC 2 Type II certification, you can collect sensitive mental health information securely while maintaining the warmth and accessibility that new mothers need. Whether you're a hospital maternity unit, community health service, or specialized perinatal mental health program, this template provides a professional, evidence-based foundation for supporting maternal wellbeing.