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Density notification is becoming increasingly central to breast screening, and our results highlight an urgent need for a national consensus. Although perinatal universal depression and psychosocial assessment is recommended in Australia, its clinical performance and cost-effectiveness remain uncertain. To compare the performance and cost-effectiveness of two models of psychosocial assessment Usual-Care and Perinatal Integrated Psychosocial Assessment (PIPA). Women attending their first antenatal visit were prospectively re