Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population-based cohort study.
Identifieur interne : 000038 ( Main/Exploration ); précédent : 000037; suivant : 000039Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population-based cohort study.
Auteurs : J. Blanc [France] ; N. Rességuier [France] ; E. Lorthe [France, Portugal] ; F. Goffinet [France] ; L. Sentilhes [France] ; P. Auquier [France] ; B. Tosello [France] ; C. D'Ercole [France]Source :
- BJOG : an international journal of obstetrics and gynaecology [ 1471-0528 ] ; 2021.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Anxiété (chirurgie), Anxiété (épidémiologie), Complications de la grossesse (chirurgie), Complications de la grossesse (psychologie), Complications de la grossesse (épidémiologie), Césarienne (psychologie), Césarienne (statistiques et données numériques), Dépression (chirurgie), Dépression (épidémiologie), Femelle (MeSH), France (épidémiologie), Grossesse (MeSH), Humains (MeSH), Mères (psychologie), Naissance prématurée (chirurgie), Naissance prématurée (psychologie), Naissance prématurée (épidémiologie), Nouveau-né (MeSH), Âge gestationnel (MeSH), Études prospectives (MeSH).
- MESH :
- chirurgie : Anxiété, Complications de la grossesse, Dépression, Naissance prématurée.
- psychologie : Complications de la grossesse, Césarienne, Mères, Naissance prématurée.
- statistiques et données numériques : Césarienne.
- épidémiologie : Anxiété, Complications de la grossesse, Dépression, France, Naissance prématurée.
- Adulte, Femelle, Grossesse, Humains, Nouveau-né, Âge gestationnel, Études prospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Anxiety (epidemiology), Anxiety (surgery), Cesarean Section (psychology), Cesarean Section (statistics & numerical data), Depression (epidemiology), Depression (surgery), Female (MeSH), France (epidemiology), Gestational Age (MeSH), Humans (MeSH), Infant, Newborn (MeSH), Mothers (psychology), Pregnancy (MeSH), Pregnancy Complications (epidemiology), Pregnancy Complications (psychology), Pregnancy Complications (surgery), Premature Birth (epidemiology), Premature Birth (psychology), Premature Birth (surgery), Prospective Studies (MeSH).
- MESH :
- geographic , epidemiology : France.
- epidemiology : Anxiety, Depression, Pregnancy Complications, Premature Birth.
- psychology : Cesarean Section, Mothers, Pregnancy Complications, Premature Birth.
- statistics & numerical data : Cesarean Section.
- surgery : Anxiety, Depression, Pregnancy Complications, Premature Birth.
- Adult, Female, Gestational Age, Humans, Infant, Newborn, Pregnancy, Prospective Studies.
Abstract
OBJECTIVE
To evaluate whether caesarean delivery before 26 weeks of gestation was associated with symptoms of depression and anxiety in mothers in comparison with deliveries between 26 and 34 weeks.
DESIGN
Prospective national population-based EPIPAGE-2 cohort study.
SETTING
268 neonatology departments in France, March to December 2011.
POPULATION
Mothers who delivered between 22 and 34 weeks and whose self-reported symptoms of depression (Center for Epidemiologic Studies Depression Scale: CES-D) and anxiety (State-Trait Anxiety Inventory: STAI) were assessed at the moment of neonatal discharge.
METHODS
The association of caesarean delivery before 26 weeks with severe symptoms of depression (CES-D ≥16) and anxiety (STAI ≥45) was assessed by weighted and design-based log-linear regression model.
MAIN OUTCOME MEASURES
Severe symptoms of depression and anxiety in mothers of preterm infants.
RESULTS
Among the 2270 women completing CES-D and STAI questionnaires at the time of neonatal discharge, severe symptoms of depression occurred in 25 (65.8%) women having a caesarean before 26 weeks versus in 748 (50.6%) women having a caesarean after 26 weeks. Caesarean delivery before 26 weeks was associated with severe symptoms of depression compared with caesarean delivery after 26 weeks (adjusted relative risk [aRR] 1.42, 95% CI 1.12-1.81) adjusted to neonatal birthweight and severe neonatal morbidity among other factors. There was no evidence of an association between mode of delivery and symptoms of anxiety.
CONCLUSIONS
Mothers having a caesarean delivery before 26 weeks' gestation are at high risk of symptoms of depression and may benefit from specific preventive care.
TWEETABLE ABSTRACT
Mothers having caesarean delivery before 26 weeks' gestation are at high risk of symptoms of depression.
DOI: 10.1111/1471-0528.16499
PubMed: 32931138
Affiliations:
- France, Portugal
- Aquitaine, Nouvelle-Aquitaine, Provence-Alpes-Côte d'Azur, Île-de-France
- Bordeaux, Marseille, Paris
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Blanc</name><affiliation wicri:level="3"><nlm:affiliation>Department of Obstetrics and Gynaecology, APHM, Nord Hospital, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Obstetrics and Gynaecology, APHM, Nord Hospital, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Resseguier, N" sort="Resseguier, N" uniqKey="Resseguier N" first="N" last="Rességuier">N. Rességuier</name><affiliation wicri:level="3"><nlm:affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Lorthe, E" sort="Lorthe, E" uniqKey="Lorthe E" first="E" last="Lorthe">E. Lorthe</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, INRA, Epidemiology and Statistics Research Centre/CRESS, Université de Paris, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, INRA, Epidemiology and Statistics Research Centre/CRESS, Université de Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>EPIUnit - Institute of Public Health, University of Porto, Porto</wicri:regionArea><wicri:noRegion>Porto</wicri:noRegion></affiliation></author><author><name sortKey="Goffinet, F" sort="Goffinet, F" uniqKey="Goffinet F" first="F" last="Goffinet">F. Goffinet</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, INRA, Epidemiology and Statistics Research Centre/CRESS, Université de Paris, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, INRA, Epidemiology and Statistics Research Centre/CRESS, Université de Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Maternité Port-Royal, AP-HP, AP-HP Centre-Université de Paris, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Maternité Port-Royal, AP-HP, AP-HP Centre-Université de Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Sentilhes, L" sort="Sentilhes, L" uniqKey="Sentilhes L" first="L" last="Sentilhes">L. Sentilhes</name><affiliation wicri:level="3"><nlm:affiliation>Department of Obstetrics and Gynaecology, Bordeaux University Hospital, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Obstetrics and Gynaecology, Bordeaux University Hospital, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Auquier, P" sort="Auquier, P" uniqKey="Auquier P" first="P" last="Auquier">P. Auquier</name><affiliation wicri:level="3"><nlm:affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Tosello, B" sort="Tosello, B" uniqKey="Tosello B" first="B" last="Tosello">B. Tosello</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neonatology, Assistance Publique des Hôpitaux de Marseille, North Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Neonatology, Assistance Publique des Hôpitaux de Marseille, North Hospital</wicri:regionArea><wicri:noRegion>North Hospital</wicri:noRegion><wicri:noRegion>North Hospital</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>CNRS, EFS, ADES, Aix-Marseille University, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CNRS, EFS, ADES, Aix-Marseille University, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="D Ercole, C" sort="D Ercole, C" uniqKey="D Ercole C" first="C" last="D'Ercole">C. D'Ercole</name><affiliation wicri:level="3"><nlm:affiliation>Department of Obstetrics and Gynaecology, APHM, Nord Hospital, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Obstetrics and Gynaecology, APHM, Nord Hospital, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author></analytic><series><title level="j">BJOG : an international journal of obstetrics and gynaecology</title><idno type="eISSN">1471-0528</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Anxiety (epidemiology)</term><term>Anxiety (surgery)</term><term>Cesarean Section (psychology)</term><term>Cesarean Section (statistics & numerical data)</term><term>Depression (epidemiology)</term><term>Depression (surgery)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Gestational Age (MeSH)</term><term>Humans (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Mothers (psychology)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Complications (epidemiology)</term><term>Pregnancy Complications (psychology)</term><term>Pregnancy Complications (surgery)</term><term>Premature Birth (epidemiology)</term><term>Premature Birth (psychology)</term><term>Premature Birth (surgery)</term><term>Prospective Studies (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Anxiété (chirurgie)</term><term>Anxiété (épidémiologie)</term><term>Complications de la grossesse (chirurgie)</term><term>Complications de la grossesse (psychologie)</term><term>Complications de la grossesse (épidémiologie)</term><term>Césarienne (psychologie)</term><term>Césarienne (statistiques et données numériques)</term><term>Dépression (chirurgie)</term><term>Dépression (épidémiologie)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Grossesse (MeSH)</term><term>Humains (MeSH)</term><term>Mères (psychologie)</term><term>Naissance prématurée (chirurgie)</term><term>Naissance prématurée (psychologie)</term><term>Naissance prématurée (épidémiologie)</term><term>Nouveau-né (MeSH)</term><term>Âge gestationnel (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Anxiété</term><term>Complications de la grossesse</term><term>Dépression</term><term>Naissance prématurée</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Pregnancy Complications</term><term>Premature Birth</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Complications de la grossesse</term><term>Césarienne</term><term>Mères</term><term>Naissance prématurée</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cesarean Section</term><term>Mothers</term><term>Pregnancy Complications</term><term>Premature Birth</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Cesarean Section</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Césarienne</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Pregnancy Complications</term><term>Premature Birth</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Anxiété</term><term>Complications de la grossesse</term><term>Dépression</term><term>France</term><term>Naissance prématurée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Gestational Age</term><term>Humans</term><term>Infant, Newborn</term><term>Pregnancy</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Nouveau-né</term><term>Âge gestationnel</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate whether caesarean delivery before 26 weeks of gestation was associated with symptoms of depression and anxiety in mothers in comparison with deliveries between 26 and 34 weeks.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Prospective national population-based EPIPAGE-2 cohort study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>268 neonatology departments in France, March to December 2011.</p></div><div type="abstract" xml:lang="en"><p><b>POPULATION</b></p><p>Mothers who delivered between 22 and 34 weeks and whose self-reported symptoms of depression (Center for Epidemiologic Studies Depression Scale: CES-D) and anxiety (State-Trait Anxiety Inventory: STAI) were assessed at the moment of neonatal discharge.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The association of caesarean delivery before 26 weeks with severe symptoms of depression (CES-D ≥16) and anxiety (STAI ≥45) was assessed by weighted and design-based log-linear regression model.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Severe symptoms of depression and anxiety in mothers of preterm infants.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among the 2270 women completing CES-D and STAI questionnaires at the time of neonatal discharge, severe symptoms of depression occurred in 25 (65.8%) women having a caesarean before 26 weeks versus in 748 (50.6%) women having a caesarean after 26 weeks. Caesarean delivery before 26 weeks was associated with severe symptoms of depression compared with caesarean delivery after 26 weeks (adjusted relative risk [aRR] 1.42, 95% CI 1.12-1.81) adjusted to neonatal birthweight and severe neonatal morbidity among other factors. There was no evidence of an association between mode of delivery and symptoms of anxiety.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Mothers having a caesarean delivery before 26 weeks' gestation are at high risk of symptoms of depression and may benefit from specific preventive care.</p></div><div type="abstract" xml:lang="en"><p><b>TWEETABLE ABSTRACT</b></p><p>Mothers having caesarean delivery before 26 weeks' gestation are at high risk of symptoms of depression.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32931138</PMID><DateCompleted><Year>2021</Year><Month>01</Month><Day>19</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1471-0528</ISSN><JournalIssue CitedMedium="Internet"><Volume>128</Volume><Issue>3</Issue><PubDate><Year>2021</Year><Month>02</Month></PubDate></JournalIssue><Title>BJOG : an international journal of obstetrics and gynaecology</Title><ISOAbbreviation>BJOG</ISOAbbreviation></Journal><ArticleTitle>Association between extremely preterm caesarean delivery and maternal depressive and anxious symptoms: a national population-based cohort study.</ArticleTitle><Pagination><MedlinePgn>594-602</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/1471-0528.16499</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To evaluate whether caesarean delivery before 26 weeks of gestation was associated with symptoms of depression and anxiety in mothers in comparison with deliveries between 26 and 34 weeks.</AbstractText><AbstractText Label="DESIGN">Prospective national population-based EPIPAGE-2 cohort study.</AbstractText><AbstractText Label="SETTING">268 neonatology departments in France, March to December 2011.</AbstractText><AbstractText Label="POPULATION">Mothers who delivered between 22 and 34 weeks and whose self-reported symptoms of depression (Center for Epidemiologic Studies Depression Scale: CES-D) and anxiety (State-Trait Anxiety Inventory: STAI) were assessed at the moment of neonatal discharge.</AbstractText><AbstractText Label="METHODS">The association of caesarean delivery before 26 weeks with severe symptoms of depression (CES-D ≥16) and anxiety (STAI ≥45) was assessed by weighted and design-based log-linear regression model.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES">Severe symptoms of depression and anxiety in mothers of preterm infants.</AbstractText><AbstractText Label="RESULTS">Among the 2270 women completing CES-D and STAI questionnaires at the time of neonatal discharge, severe symptoms of depression occurred in 25 (65.8%) women having a caesarean before 26 weeks versus in 748 (50.6%) women having a caesarean after 26 weeks. Caesarean delivery before 26 weeks was associated with severe symptoms of depression compared with caesarean delivery after 26 weeks (adjusted relative risk [aRR] 1.42, 95% CI 1.12-1.81) adjusted to neonatal birthweight and severe neonatal morbidity among other factors. There was no evidence of an association between mode of delivery and symptoms of anxiety.</AbstractText><AbstractText Label="CONCLUSIONS">Mothers having a caesarean delivery before 26 weeks' gestation are at high risk of symptoms of depression and may benefit from specific preventive care.</AbstractText><AbstractText Label="TWEETABLE ABSTRACT">Mothers having caesarean delivery before 26 weeks' gestation are at high risk of symptoms of depression.</AbstractText><CopyrightInformation>© 2020 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Blanc</LastName><ForeName>J</ForeName><Initials>J</Initials><Identifier Source="ORCID">0000-0002-1542-504X</Identifier><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, APHM, Nord Hospital, Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rességuier</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lorthe</LastName><ForeName>E</ForeName><Initials>E</Initials><Identifier Source="ORCID">0000-0002-9654-8104</Identifier><AffiliationInfo><Affiliation>INSERM, INRA, Epidemiology and Statistics Research Centre/CRESS, Université de Paris, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goffinet</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>INSERM, INRA, Epidemiology and Statistics Research Centre/CRESS, Université de Paris, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Maternité Port-Royal, AP-HP, AP-HP Centre-Université de Paris, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sentilhes</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, Bordeaux University Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Auquier</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tosello</LastName><ForeName>B</ForeName><Initials>B</Initials><Identifier Source="ORCID">0000-0002-1801-9944</Identifier><AffiliationInfo><Affiliation>Department of Neonatology, Assistance Publique des Hôpitaux de Marseille, North Hospital, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>CNRS, EFS, ADES, Aix-Marseille University, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>d'Ercole</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, APHM, Nord Hospital, Marseille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>EA3279, CEReSS, Health Service Research and Quality of Life Centre, Aix-Marseille University, Marseille, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>10</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BJOG</MedlineTA><NlmUniqueID>100935741</NlmUniqueID><ISSNLinking>1470-0328</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002585" MajorTopicYN="N">Cesarean Section</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005865" MajorTopicYN="N">Gestational Age</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009035" MajorTopicYN="N">Mothers</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011248" MajorTopicYN="N">Pregnancy Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D047928" MajorTopicYN="N">Premature Birth</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Anxiety</Keyword><Keyword MajorTopicYN="Y">caesarean</Keyword><Keyword MajorTopicYN="Y">depression</Keyword><Keyword MajorTopicYN="Y">extreme prematurity</Keyword><Keyword MajorTopicYN="Y">patient involvement</Keyword><Keyword MajorTopicYN="Y">prematurity</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>15</Day><Hour>12</Hour><Minute>18</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32931138</ArticleId><ArticleId IdType="doi">10.1111/1471-0528.16499</ArticleId></ArticleIdList><ReferenceList><Title>References</Title><Reference><Citation>Affonso DD, De AK, Horowitz JA, Mayberry LJ. 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D'Ercole</name><name sortKey="Goffinet, F" sort="Goffinet, F" uniqKey="Goffinet F" first="F" last="Goffinet">F. Goffinet</name><name sortKey="Goffinet, F" sort="Goffinet, F" uniqKey="Goffinet F" first="F" last="Goffinet">F. Goffinet</name><name sortKey="Lorthe, E" sort="Lorthe, E" uniqKey="Lorthe E" first="E" last="Lorthe">E. Lorthe</name><name sortKey="Resseguier, N" sort="Resseguier, N" uniqKey="Resseguier N" first="N" last="Rességuier">N. Rességuier</name><name sortKey="Sentilhes, L" sort="Sentilhes, L" uniqKey="Sentilhes L" first="L" last="Sentilhes">L. Sentilhes</name><name sortKey="Tosello, B" sort="Tosello, B" uniqKey="Tosello B" first="B" last="Tosello">B. Tosello</name><name sortKey="Tosello, B" sort="Tosello, B" uniqKey="Tosello B" first="B" last="Tosello">B. Tosello</name></country><country name="Portugal"><noRegion><name sortKey="Lorthe, E" sort="Lorthe, E" uniqKey="Lorthe E" first="E" last="Lorthe">E. 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