Reviewer ’s report  
 
Title: Perinatal Mood and Anxiety Disorders, Serious Mental Illness, and Delivery -Related 
Health  Outcomes, United States, 2006 -2015  
 
Version: 0 Date: 10 Feb 2020  
 
Reviewer: Hamdia Ahmed  
 
Reviewer's report:  
 
The present study examined the prevalence of perinatal mood and anxiety disorders which is 
important and neglected health problem in many co mmunities during pregnancy. The researchers 
implied well the all section of the manuscript. However following are few comments.  
 
Introduction  
 
line 31: there is mentioned that PMAD are chronic conditions, but if they happen during 
pregnancy or postpartum it is not consider as chronic. Please clarify it why they are chronic.  
line 42: "Screening by itself..." is not clear.  
 
material and methods  
 
study sample, line 67: it would be better if researcher clarify and explain the previously 
published methods.  
Statistical analysis, line 98 -99: Here researchers mentioned that they used weighted 
frequencies.......but in table 2 they wrote unweighted in brackets. Please clarify it.  
 
Results  
 
line 116: the values for first weighted mentioned in brackets is equal to 1,0 82,377 and for second 
one is equal to 247,665. Please check again.  
line 160: I did not understand that what the researchers mean by "Comment". May it is 
discussion section as I couldn't see it. Also What is the difference between principle findings 
(line 1 62) and results (line 168)? Please clarify it.  
 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments t o the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Unable to assess  
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an  
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects req uire further  
assessment in your comments to the editors.  
 
I recommend additional statistical review  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
Declaration of competing interests  
Please complete a declaration of  competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an  
organisation that may in any way gain or lose financially from the publication of this  
manuscript, eithe r now or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents r elating to the content of the  
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds  or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing inter ests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests.  
 
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on my report to the authors and, if the manuscript is accepted for publication, my named report  
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I agree to the open peer review policy of the journal