title: [Early prenatal interview and antenatal education for childbirth and parenthood: Associated psychosocial and obstetric characteristics in women of the ELFE cohort].
abstract: OBJECTIVE
  Early prenatal interview (Entretien prénatal précoce [EPP]) is aimed at defining with couples their physical, psychological and social needs during perinatal period. Antenatal education for childbirth and parenthood (Préparation à la naissance et à la parentalité [PNP]) is aimed at promoting global perinatal health. The objective was to identify the psychological, demographic and obstetrical characteristics independently associated with participation in: (i) an EPP; (ii) a PNP.
  
  
  METHODS
  Multivariate analyses were applied to data collected during the maternity stay of mothers whose children were included in the French cohort French Longitudinal Study since the Childhood (ELFE), a nationally representative cohort of children followed-up from birth to adulthood.
  
  
  RESULTS
  Among the 14,595 mothers of the sample, 33% had an EPP and 52% a PNP. Primiparous mothers, born in France, with high educational level, employed or unemployed, with psychological difficulties more often benefit from EPP and/or PNP. Women who were young, benefiting from free health insurance (Couverture Maladie Universelle [CMU]), with unplanned pregnancy, with less antenatal care and obstetrical complications less often benefit from PNP.
  
  
  CONCLUSIONS
  The EPP and the PNP reach high sociodemographic level populations. They should be integrated into a wider system of prevention and care, in order to reach the most vulnerable populations and to contribute to the improvement of the psychological and social environment of all the women during the perinatal period.
authors: École de sages-femmes de Bordeaux, centre hospitalier universitaire de Bordeaux, 33000 Bordeaux, France; Inserm, U657, 33000 Bordeaux, France.
authors: S
authors: S
authors: Barandon
authors: Inserm, U657, 33000 Bordeaux, France; Bordeaux université, U657, 33000 Bordeaux, France.
authors: M
authors: M
authors: Balès
authors: Inserm, UMRS 1136, institut Pierre-Louis d'épidémiologie et de santé publique, Paris, France; Université de la Sorbonne, UPMC, Paris, France.
authors: M
authors: M
authors: Melchior
authors: Inserm, UMR 1153, équipe de recherche épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), centre de recherche épidémiologie et statistique Sorbonne Paris Cité, DHU risques et grossesse, université Paris Descartes, Paris, France.
authors: N
authors: N
authors: Glangeaud-Freudenthal
authors: Inserm, U657, 33000 Bordeaux, France; Bordeaux université, U657, 33000 Bordeaux, France.
authors: E
authors: E
authors: Pambrun
authors: Unité mixte ELFE, INED, Inserm, Paris, France; Service départemental de protection maternelle et infantile (PMI), conseil général des Hauts-de-Seine, Nanterre, France.
authors: C
authors: C
authors: Bois
authors: Inserm, U657, 33000 Bordeaux, France; Bordeaux université, U657, 33000 Bordeaux, France; Pôle universitaire psychiatrie adulte, centre hospitalier Charles-Perrens, 121, rue de la Béchade, Bordeaux, France.
authors: H
authors: H
authors: Verdoux
authors: Inserm, U657, 33000 Bordeaux, France; Bordeaux université, U657, 33000 Bordeaux, France; Pôle universitaire psychiatrie adulte, centre hospitalier Charles-Perrens, 121, rue de la Béchade, Bordeaux, France. Electronic address: alsutter@ch-perrens.fr.
authors: A-L
authors: AL
authors: Sutter-Dallay
mesh_terms: D000328:Adult; D005260:Female; D005602:France; D006801:Humans; D007406:Interview, Psychological; D008137:Longitudinal Studies; D010043:Outcome and Process Assessment, Health Care; D011247:Pregnancy; D064186:Prenatal Education / Q000379:methods*; D055815:Young Adult
keywords: Antenatal education for childbirth and parenthood; Early prenatal interview; Entretien prénatal précoce; Préparation à la naissance et à la parentalité; Psychosocial vulnerabilities; Vulnérabilités psychosociales