Perinatal mood disorder (PMD) is the leading complication that arises during pregnancy and the postpartum period. In Oregon, rates of PMD are purportedly higher than they are nationally. Since the advent of the Covid-19 pandemic, rates of PMD have increased while the number of mental health providers and community resources dwindled. In 2023, practice guidelines were updated to include the new recommendation that pregnant patients should now be screened for an additional time during the third trimester. However, clinics are lagging behind these updated recommendations and as a result are struggling in their timely detection and treatment of PMD. The aim of this project is to increase detection of PMD during the third trimester and improve provider comfortability with managing PMD in an ambulatory prenatal clinic in a suburb outside of Portland, Oregon.