Your mental health is part of prenatal care
And prevention, not just screening, has evidence behind it.
Perinatal depression affects as many as 1 in 7 women. The US Preventive Services Task Force gives a grade B recommendation that clinicians provide or refer pregnant and postpartum people at increased risk to counselling interventions, based on convincing evidence that cognitive behavioural therapy and interpersonal therapy prevent it.
Increased risk includes a history of depression, current depressive symptoms, low income, and young or single parenthood. Evidence for non-counselling approaches, including exercise, education and preventive medication, was judged inadequate.
Recall that Black women in one large US health system were less likely to receive a prenatal depression screen at all (odds ratio 0.8).