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Identifying cases of depression during pregnancy is difficult because of the overlapping symptoms of depression and normal pregnancy. Few obstetrics clinics screen for depression so that only the most severe cases of the illness are recognized by the physician.

References for Rates of undiagnosed depression:

*Yonkers KA, Chantilis SJ (1995). Recognition of depression in obstetric/gynecology pratices. American Journal of Obstetrics and Gynecology, 173:632-638.

**Marcus SM, Flynn HA, Blow RC, Barry RC (2003). Depressive symptoms among pregnant women in obstetric settings. Journal of Women’s Health (Larchmt) 12:373-380.