Since the recognition of the importance of antenatal as well as postnatal depression, a number of studies have looked at the prevalence of depression among pregnant women in the developed and developing world. Prevalence rates vary because of a variety of methodological factors. Many studies use the Edinburgh Postnatal Depression Scale (EPDS), a brief, self-report measure intended to screen for depressive symptoms (Cox, Holden, & Sagovksy, 1987), omitting the somatic items in other depression in