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Background: Anxiety disorder, one of the highly disabling, prevalent and common mental disorders, is known to be more prevalent in persons with type 2 diabetes mellitus (T2DM) than the general population, and the comorbid presence of anxiety disorders is known to have an impact on the diabetes outcome and the quality of life. However, the information on the type of anxiety disorder and its prevalence in persons with T2DM is limited., Aims: To assess the prevalence and correlates of anxiety disorder in people with type 2 diabetes in different countries., Methods: People aged 18-65 years with diabetes and treated in outpatient settings were recruited in 15 countries and underwent a psychiatric interview with the Mini-International Neuropsychiatric Interview. Demographic and medical record data were collected., Results: A total of 3170 people with type 2 diabetes (56.2% women; with mean (SD) duration of diabetes 10.01 (7.0) years) participated. The overall prevalence of anxiety disorders in type 2 diabetic persons was 18%; however, 2.8% of the study population had more than one type of anxiety disorder. The most prevalent anxiety disorders were generalised anxiety disorder (8.1%) and panic disorder (5.1%). Female gender, presence of diabetic complications, longer duration of diabetes and poorer glycaemic control (HbA1c levels) were significantly associated with comorbid anxiety disorder. A higher prevalence of anxiety disorders was observed in Ukraine, Saudi Arabia and Argentina with a lower prevalence in Bangladesh and India., Conclusions: Our international study shows that people with type 2 diabetes have a high prevalence of anxiety disorders, especially women, those with diabetic complications, those with a longer duration of diabetes and poorer glycaemic control. Early identification and appropriate timely care of psychiatric problems of people with type 2 diabetes is warranted., Competing Interests: Competing interests: AB has received a research grant from Abbott, and fees for lectures from Lundbeck. CL has received travel expenses paid by unrestricted grants from Eli Lily and Sanofi to attend the World Diabetes Congress and the American Psychiatric Association conference. The Association for the Improvement of Mental Health Programs, which sponsored this programme and financially supported tasks related to its management and data analysis, received unrestricted grants from Eli Lilly and Sanofi. NS received travel support and fees from Janssen, Cilag, Lundbeck International Neuroscience Foundation, Servier: all outside the activities related to work on this study or on this paper. WW has received personal fees from Roche Pharma, outside the submitted work.

Background: The rising rate of cesarean section has been of concern worldwide. Maternalfactors and neonatal outcomes of cesarean section and vaginal delivery remain unclear, Objective: To compare the diferences of maternal factors and neonatal outcomes between mothers who underwent Elective Cesarean Section (ECS) and spontaneous vaginal delivery (SVD) MATERIAL AND METHOD: A cross-sectional descriptive research studied all delivery data of Queen Savang Vadhana Memorial Hospital between June 1, 2010 and May 31, 2011. Two thousand eight hundred seventy six deliveries were included. From these, 648 mothers delivered by ECS while 2,228 mothers delivered by SVD. The data quality was tested via the agreement between the 115 sampling delivery records and the same delivery of the extracted data. The percent agreement was 99% (minimum 97-maximum 100). Pearson's Chi-square test and an independent t-test were used to compare the distribution or mean of two groups as appropriate. The statistically significant diference was defined as p-value less than 0.05., Results: The statistically significant diferences of maternal factors, and neonatal outcomes between mothers who underwent ECS and SVD were found as follows. The ECS mother showed the mean age (28.7 (3.5) vs. 27.1 (3.8) years, p< O. 001), the mean (SD) of number of antenatal care (9.9 (2.8) vs. 7.0 (3.3) times, p< 0.001) and the mean (SD) of hematocrit (36.8 (3.3)% vs. 35.8 (3.5)%, p = 0.001) greater than SVD mother The neonates of ECS mother had weight greater than SVD (3,194.5 vs. 3,078.3 grams, p = 0.001), and showed the percentage of presence of respiratory distress syndrome (RDS) higher than the neonate of SVD mother (5.5% vs. 0.4%, p = 0.010). The neonates of SVD mother had mean Apgar scores at first minute (8.0 vs. 7.9 scores, p = 0.015) and at fifth minute (9.8 vs. 9.5 scores, p = 0.001) greater than the neonates of ECS mother They demonstrated the percentages of presence of meconium stain in amniotic fluid (MSAF) and presence of cord accident higher than neonate of CS mother (5.3% vs. 2.5%, p = 0.002, and 16.9% vs. 2.5%, p = 0.001, respectively)., Conclusion: The neonates of ECS mother had a greater weight and a higher risk for pulmonary problems. The neonates of SVD mother have a higher risk for MSAF cord accident, and meconium aspiration. It reflected the need for prolong process of labor and delivery prevention.