Table 6.
Univariate and multivariate analysis of PPD in TOLAC 42 days after delivery.
| Variable | Univariate | Multivariate (n = 386) | ||
|---|---|---|---|---|
| Independent | P value | OR (95% CI) | P value | OR (95% CI) |
|
| ||||
| Epidural analgesia | <0.001 | 0.210 (0.112–0.380) | <0.001 | 0.235 (0.113–0.469) |
|
| ||||
| Hospital name | ||||
| MCH | 1 (reference) | |||
| BA | 0.49 | 0.742 (0.293–1.638) | ||
| LG | 0.078 | 0.337 (0.080–0.970) | ||
|
| ||||
| General information | ||||
| Age (year) | 0.764 | 1.012 (0.938–1.092) | ||
| Gestational age (day) | 0.413 | 1.012 (0.987–1.045) | ||
| BMI (kg/m2) | 0.306 | 0.949 (0.855–1.044) | ||
| Maternal education >12 y | 0.714 | 0.890 (0.484–1.702) | ||
| Husband education >12 y | 0.683 | 0.873 (0.464–1.728) | ||
| Housewives | 0.499 | 1.378 (0.496–3.287) | ||
| Family income (¥/mo)∗ | ||||
| ≤10,000 | 1 (reference) | |||
| 10,001–20,000 | 0.45 | 0.715 (0.307–1.774) | ||
| >20,000 | 0.26 | 0.618 (0.275–1.494) | ||
|
| ||||
| History of depression and trauma | 0.065 | 6.473 (0.764–54.851) | ||
|
| ||||
| Impact of childbirth on work or re-employment | 0.309 | 1.705 (0.547–4.456) | ||
|
| ||||
| Maternity leave time | ||||
| No | 1 (reference) | |||
| Legal time | 0.775 | 0.731 (0.119–14.063) | ||
| Full-time | 0.719 | 1.486 (0.240–28.690) | ||
|
| ||||
| Anxiety and depression during pregnancy | 0.018 | 1.979 (1.125–3.487) | ||
|
| ||||
| Cigarettes, alcohol, long-term medication | 0.35 | 3.170 (0.146–33.618) | ||
|
| ||||
| Whether the husband is satisfied with the baby's sex | 0.276 | 1.963 (0.676–8.341) | ||
|
| ||||
| Caring health knowledge during pregnancy | ||||
| ① Routine obstetric examination | 0.881 | 1.122 (0.303–7.273) | ||
| ② Attend maternity classes | 0.254 | 0.713 (0.392–1.264) | ||
| ③ Learn about parenting through cell phones or books | 0.314 | 1.581 (0.695–4.270) | ||
|
| ||||
| Unplanned pregnancy | 0.027 | 1.891 (1.074–3.329) | ||
|
| ||||
| Whether the maternal is the only child in one's family | 0.939 | 0.968 (0.382–2.142) | ||
|
| ||||
| Changes in marital relationship during pregnancy | 0.038 | 12.873 (1.214–279.754) | ||
|
| ||||
| SAS | 0.001 | 1.079 (1.031–1.130) | 0.097 | 1.051 (0.991–1.114) |
|
| ||||
| SSRS | <0.001 | 0.922 (0.885–0.961) | 0.017 | 0.945 (0.901–0.990) |
|
| ||||
| MMSE | 0.991 | 0.998 (0.768–1.293) | ||
|
| ||||
| Prepartum Laboratory test | ||||
| HGB (g/L: 115–150) | 0.015 | 1.027 (1.006–1.051) | 0.08 | 1.027 (0.997–1.058) |
| PLT (125–350) | 0.111 | 0.996 (0.990–1.001) | ||
|
| ||||
| Initiating lactation period (hours) | 0.104 | 1.016 (0.996–1.036) | ||
|
| ||||
| Delivery outcome | ||||
|
| ||||
| Mode of delivery (Cesarean VS VBAC) | 0.401 | 1.325 (0.667–2.503) | ||
|
| ||||
| Episiotomy | 0.34 | 0.735 (0.382–1.362) | ||
|
| ||||
| Perineum/Cervical laceration | 0.015 | 2.121 (1.166–3.931) | 0.076 | 1.850 (0.942–3.689) |
|
| ||||
| Feeding patterns within 48 hours (milk VS breast) | 0.234 | 1.887 (0.597–5.055) | ||
|
| ||||
| Feeding amounts within 48 hours (Abnormal VS normal) | 0.474 | 0.581 (0.091–2.080) | ||
|
| ||||
| Neonatal weight ≥ 3500 | 0.296 | 1.403 (0.727–2.603) | ||
|
| ||||
| Admission to neonatal ward after birth | 0.451 | 0.625 (0.146–1.839) | ||
|
| ||||
| Discomfort within 42 days | <0.001 | 7.692 (4.108–14.466) | <0.001 | 5.934 (2.823–12.524) |
Hosmer and Lemeshow goodness of fit (GOF) test; X-squared (χ2) = 10.156, df = 8, P value = 0.254. McFadden's pseudo-R squared = 0.230. Cox and Snell pseudo-R squared = 0.162. Nagelkerke pseudo-R squared = 0.302.