The specific aim for the Iowa Depression and Clinical Research Center at the University of Iowa is to develop up to four items for the PRAMS, (Pregnancy Risk Assessment Monitoring System), Core Questionnaire that will serve as reliable and valid indicators of depression during the postpartum period. This study consists of three phases. In phase one, we conducted a focus group and had a total of ten women to participate from five different areas, including ethnic minority women. During that time, we (the focus) thoroughly reviewed 44 potential items for the PRAMS. In phase two, we will use the same approach but to a larger sample of women. This sample will include 1000 diverse postpartum women over a period of seven months. In the third and final phase, the 44 items will be reduced to a maximum of four items that will be used by the PRAMS and will serve as reliable and valid indicators of depression during the postpartum period.