BACKGROUND: Pregnant @entity1 are vulnerable to the deleterious impact of environmental stressors. The aims were to identify the environmental and pregnancy characteristics independently associated with prenatal @entity458 and access to mental health care. METHODS: We used data from the French cohort   tude Longitudinale Fran  aise depuis l'Enfance (ELFE), a nationally representative cohort of @entity1 followed-up from birth to adulthood. Information about prenatal psychological status and access to mental health care was collected during the maternity stay. Maternal/pregnancy characteristics independently associated with @entity458 and access to mental health care were explored using multivariate analyses. RESULTS: Of the 15,143 mothers included, 12.6% reported prenatal @entity458 . Prenatal distress was more frequent in @entity1 with very low economical status, @entity167 / @entity286 use, unplanned/unwanted pregnancy, late pregnancy declaration, multiparity and complicated pregnancy (high number of prenatal visits, prenatal diagnosis examination, @entity532 ). Of the @entity1 reporting prenatal distress, 25% had a prenatal consultation with a mental health specialist and 11% used psychotropic drugs during pregnancy. Decreased likelihood to consult a mental health specialist was found in young @entity1 , with intermediate educational level and born abroad. LIMITATIONS: Causal inferences should be made cautiously as the questionnaire did not collect information on the temporal sequence between @entity458 and associated characteristics. CONCLUSIONS: @entity1 with social and obstetrical vulnerabilities are at increased risk of poor mental health during pregnancy. Improving mental health care access during pregnancy is a public health priority.

Prenatal XXXX and access to mental health care in the ELFE cohort.

@entity1 :: ('9606', 'Species') :: ['women', 'children', 'Women'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity532 :: ('MESH:D003925', 'Disease') :: ['obstetrical complications'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress']
@entity458 :: (MESH:D020018,Disease) :: ['psychological distress']
