Table 4.
Models of prenatal care and mental health outcomes
| Healthy Start | Traditional PNC | difference | p-value | adjusted beta* | p-value | |||
|---|---|---|---|---|---|---|---|---|
| mean | std | mean | std | |||||
| depression | 10.5 | 6.7 | 9.0 | 5.8 | 1.5 | 0.03 | 0.77 | 0.25 |
| PTSD | 33.5 | 14.4 | 28.0 | 12.0 | 5.5 | <0.01 | 3.21 | 0.02 |
| pregnancy-related anxiety | 12.7 | 6.3 | 10.9 | 6.2 | 1.7 | 0.01 | 1.44 | 0.05 |
| perceived stress | 18.7 | 7.5 | 16.6 | 7.9 | 2.1 | 0.01 | 1.28 | 0.15 |
| N | % | N | % | OR (95% CI) | p-value | aOR (95% CI) | p-value | |
|---|---|---|---|---|---|---|---|---|
| likely depression (EDS>12) | 48 | 40.3 | 75 | 26.6 | 1.87 (1.19-2.93) | <0.01 | 1.46 (0.86, 2.48) | 0.16 |
| at risk for depression (EDS>8) | 69 | 58.0 | 143 | 50.7 | 1.34 (0.87-2.07) | 0.18 | 1.03 (0.62, 1.70) | 0.92 |
| likely PTSD | 18 | 15.0 | 17 | 6.1 | 2.73 (1.35-5.50) | <0.01 | 2.13 (0.96, 4.71) | 0.06 |
| high pregnancy-related anxiety | 26 | 21.7 | 44 | 15.6 | 1.50 (0.87-2.57) | 0.14 | 1.24 (0.68, 2.26) | 0.47 |
| high perceived stress | 26 | 21.7 | 45 | 16.0 | 1.46 (0.85-2.50) | 0.17 | 1.16 (0.63, 2.14) | 0.64 |
| Took prescription medicine for depression | 9.0 | 7.6 | 17.0 | 6.1 | 1.27 (0.55-2.93) | 0.58 | 1.16 (0.63, 2.14) | 0.65 |
| Counseling for depression | 18.0 | 15.1 | 17.0 | 6.1 | 2.76 (1.37-5.56) | <0.01 | 2.82 (1.27, 6.30) | 0.01 |
PTSD, post-traumatic stress disorder; PNC, prenatal care; EDS, Edinburgh depression scale; OR, odds ratio; CI, confidence interval
*
adjusted for age, partnership, race, smoking, income, body mass index, and current employment