Early prenatal interview and antenatal education for childbirth and parenthood: Associated psychosocial and obstetric characteristics in women of the ELFE cohort

• Published in: Journal de gynecologie, obstetrique et biologie de la reproduction Vol. 45; no. 6; p. 599
• Main Authors: Barandon, S, Balès, M, Melchior, M, Glangeaud-Freudenthal, N, Pambrun, E, Bois, C, Verdoux, H, Sutter-Dallay, A-L
• Format: Journal Article
• Language: French
• Published: France 01.06.2016
• Subjects: Adult; Female; France; Humans; Interview, Psychological; Longitudinal Studies; Outcome and Process Assessment (Health Care); Pregnancy; Prenatal Education - methods; Young Adult; Psychosocial vulnerabilities; Vulnérabilités psychosociales; Antenatal education for childbirth and parenthood; Préparation à la naissance et à la parentalité; Entretien prénatal précoce; Early prenatal interview
• ISSN: 1773-0430
• DOI: 10.1016/j.jgyn.2015.06.026

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. 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. 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. 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.