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Mental health in pregnancy and after birth (SIGN)
Recommendations for health and social care professionals
Questionnaires and scoring tools
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City Birth Trauma Scale
City Birth Trauma Scale (all questions and diagnostic subscales)

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

City Birth Trauma Scale (all questions and diagnostic subscales)

Mental health in pregnancy and after birth (SIGN)

Healthcare Improvement Scotland

Scoring - diagnostic criteria

Stressor Criterion - Women fulfil DSM-5 criterion A if they respond yes to Q1 or Q2.
Re-experiencing symptoms (1 needed) - score 1 or more on any question from Q3 to Q7 inclusive.
Avoidance symptoms (1 needed) - score 1 or more on Q8 or Q9.
Negative cognitions and mood (2 needed) - score 1 or more on 2 questions from Q10 to Q16 inclusive.
Hyperarousal (2 needed) - score 1 or more on 2 questions from Q17 to Q22 inclusive.
Duration - score 1 or more on Q26.
Distress and impairment - score 1 or more on Q27 or Q28.
Exclusion criteria - If there is a score of 1 or more on Q29 then exclude from diagnostic PTSD
PTSD with dissociative symptoms - Q23 and Q24 measure dissociative symptoms so if there is a score of 1 or more on either of these questions the diagnosis should be ‘PTSD with dissociative symptoms’.
PTSD with delayed onset - Score of 2 on Q25 means PTSD with delayed onset. Please note a score of 0 on Q25 suggests PTSD prior to birth so is a measure of prevalence rather than new incidence of PTSD due to birth.