“…Particularly when untreated or undertreated, BD is associated with poor Ob and neonatal outcomes and increases the risk for substance use, self-injury, suicide, and postpartum psychosis. 13 As the postpartum period is a high-risk time for new onset or recurrence of BD illness, and most postpartum mood episodes among individuals with BD present as depression, routine screening for depression in the postpartum period is likely to also identify individuals with bipolar depression. While ~3% of the general population has BD, 23% of those who screen positive for depression in the postpartum period will have an underlying BD.…”