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Depression at two months postpartum: results from the 2021 French National Perinatal Survey
  • +21
  • Alexandra Doncarli,
  • Virginie Demiguel,
  • Camille Le Ray,
  • Catherine Deneux-Tharaux,
  • Elodie Lebreton,
  • Gisèle Apter,
  • Julie Boudet-Berquier,
  • anne Chantry,
  • Catherine Crenn-Hébert,
  • Marie-Noëlle Vacheron,
  • Nolwenn Regnault,
  • Sarah Tebeka,
  • Nathalie Lelong,
  • Hélène Cinelli,
  • Beatrice Blondel,
  • Benoit Salanave,
  • Jeanne Fresson,
  • Annick Vilain,
  • Thomas Deroyon,
  • Philippe Raynaud,
  • Sylvie Rey,
  • Khadoudja Chemlal,
  • Nathalie Rabier-Thoreau,
  • Frédérique Collombet-Migeon
Alexandra Doncarli
Sante publique France

Corresponding Author:[email protected]

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Virginie Demiguel
Sante publique France
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Camille Le Ray
Universite Paris Cite Faculte de Sante
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Catherine Deneux-Tharaux
Universite Paris Cite Faculte de Sante
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Elodie Lebreton
Sante publique France
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Gisèle Apter
Groupe Hospitalier du Havre
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Julie Boudet-Berquier
Sante publique France
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anne Chantry
Universite Paris Cite Faculte de Sante
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Catherine Crenn-Hébert
Hopital Louis-Mourier
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Marie-Noëlle Vacheron
Groupe Hospitalier Universitaire Paris psychiatrie & neurosciences
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Nolwenn Regnault
Sante publique France
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Sarah Tebeka
Sante publique France
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Nathalie Lelong
Centre de Recherche en Epidemiologie et Statistiques
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Hélène Cinelli
Centre de Recherche en Epidemiologie et Statistiques
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Beatrice Blondel
Centre de Recherche en Epidemiologie et Statistiques
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Benoit Salanave
Sante publique France
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Jeanne Fresson
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Annick Vilain
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Thomas Deroyon
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Philippe Raynaud
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Sylvie Rey
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Khadoudja Chemlal
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Nathalie Rabier-Thoreau
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Frédérique Collombet-Migeon
France Ministere des Solidarites et de la Sante Direction Generale de la Sante
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Abstract

Objectives. To estimate postpartum depression at two months (PPD) prevalence and its related risk factors. Design. Multicentre prospective cohort study. Setting. France. Population or sample. Representative sample of 7,133 women participating to the French National Perinatal Survey (ENP) over one week in March 2021. Methods. Data on maternal characteristics, course of pregnancy/delivery, and child’s health were collected from face-to-face interviews in maternity wards and/or medical records, and a self-questionnaire (including the Edinburgh Postnatal Depression Scale (EPDS)) at two months postpartum. Women with an EPDS score >=13 were considered to have PPD. Poisson regression models with robust variance were used to estimate adjusted prevalence ratios (aPR) for PPD. Main Outcome Measures. PPD Results. PPD prevalence at two months was 16.7% (95%CI[15.7-17.7]). Factors significantly associated with PPD were: i/ age<=29 or >=40 years (maximum aPR=1.41 95%CI[1.12-1.77] obtained for 15-24 year-olds vs 35-39 year-olds), ii/ being born in North Africa (1.29[1.02-1.64] vs France), iii/ having a lower level of health literacy (1.23[1.14-1.35]), iv/ having a history of psychological (1.45[1.24-1.69]) or psychiatric (1.52[1.23-1.88]) care since adolescence (vs none), v/ receiving little/no support or good support during pregnancy (1.80[1.52-2.14] and 1.31[1.15-1.48] vs. receiving very good support), vi/ reporting feelings of sadness (1.92[1.65-2.25]), anhedonia (1.69[1.36-2.11]) or both (2.61[2.26-3.01]) during pregnancy (vs none of these feelings), vii/ having had an instrumental vaginal delivery (1.18[1.01-1.38] vs spontaneous vaginal delivery). Conclusions. Our findings on PPD (prevalence and risk factors) could guide policies on early identification and preventive support for women in the perinatal period.
Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
30 Apr 2024Assigned to Editor
30 Apr 2024Submission Checks Completed
11 Jun 2024Editorial Decision: Revise Major
14 Jul 20241st Revision Received
16 Jul 2024Assigned to Editor
16 Jul 2024Submission Checks Completed
16 Jul 2024Review(s) Completed, Editorial Evaluation Pending
24 Jul 2024Reviewer(s) Assigned
06 Aug 2024Editorial Decision: Revise Major
21 Aug 20242nd Revision Received
19 Sep 2024Submission Checks Completed
19 Sep 2024Assigned to Editor
19 Sep 2024Review(s) Completed, Editorial Evaluation Pending
19 Sep 2024Reviewer(s) Assigned
21 Sep 2024Editorial Decision: Revise Major
14 Oct 20243rd Revision Received
21 Oct 2024Submission Checks Completed
21 Oct 2024Assigned to Editor
21 Oct 2024Review(s) Completed, Editorial Evaluation Pending
21 Oct 2024Reviewer(s) Assigned