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Table 1 Demographic, psychosocial, pain, and obstetric characteristics comparing cohort of women receiving and avoiding epidural labor analgesia

From: Obstetric pain correlates with postpartum depression symptoms: a pilot prospective observational study

 

No Epidural (n = 17)

Epidural (n = 55)

P-value

Demographic Characteristics

Age (years)

30.6 (4.3)

30.1 (4.8)

0.69

Body mass index (kg/m2)

29.7 (6.0)

32.2 (5.3)

0.20

Gravidity

  1

14 [82.4]

43 [78.2]

0.99

  2

2 [11.8]

9 [16.4]

  3

1 [5.9]

2 [3.6]

  4

0 [0]

1 [1.8]

Estimated gestational age (weeks)

40 {0,40,40}

40{1,39,40}

0.23

Race

  American Indian

0 [0]

2 [3.6]

0.99

  Asian

0 [0]

4 [7.3]

0.57

  African American

2 [11.8]

9 [16.4]

0.99

  White

16 [94.1]

44 [80]

0.27

  Other

0 [0]

1 [1.8]

0.99

Ethnicity

  Hispanic/Latino

0 [0]

4 [7.4]

0.57

  Non-Hispanic/Latino

17 [100]

50 [92.6]

Obstetric Variables

Mode of delivery

  Normal spontaneous vaginal delivery

15 [88.2]

41 [74.5]

0.95

  Assisted vaginal - forceps

0 [0]

0 [0]

  Assisted vaginal - vacuum

0 [0]

2 [3.6]

  Cesarean – non-reassuring fetus

1 [5.9]

3 [5.5]

  Cesarean - arrest of dilation/descent

1 [5.9]

7 [12.7]

  Cesarean - other

0 [0]

2 [3.6]

Perineal lacerations

  None

5 [29.4]

16 [29.63]

0.99

  First Degree

3 [17.6]

8 [14.8]

  Second Degree

9 [52.9]

27 [50]

  Third Degree

0 [0]

2 [3.7]

  Fourth Degree

0 [0]

1 [1.8]

Duration of labor (hours)

15.7 (6.3)

18.6 (8.5)

0.19

Psychological Variables

 History of Anxiety or Depression

8 [50.00]

17 [30.9]

0.16

 History of Mental Illness

1 [6.25]

6 [10.9]

0.99

 EPDS Baseline

4 {6,1,7}

3 {6,1,7}

0.62

 EPDS 6 weeks

3 {5,2,7}

3 {5,1,6}

0.76

 EPDS 3 months

4.1 (3.6)

4.1 (3.8)

0.93

 Anxiety State (STAI/state)

33.1 (8.1)

34.1 (10.4)

0.72

 Anxiety Trait (STAI/trait)

33.2 (7.6))

33.6 (10.1)

0.86

 Resiliency (ER-89)

45.5 (5.9)

42.8 (6.3)

0.13

 Pain Catastrophizing Scale (PCS)

10.5 (8.8)

10.5 (8.8)

0.99

 Perceived Social Support (PSS)

6.5 {0.8,5.9,6.7}

6.5 {1.3,5.8,7}

0.68

 Perceived Stress Scale (PSSc)

7 {0,7,7}

7 {0.8,6.3,7}

0.09

Employment status

 Employed outside home, full-time

13 [76.5]

37 [67.2]

0.80

 Employed outside home, part-time

1 [5.9]

8 [14.5]

 Homemaker

2 [11.8]

3 [5.5]

 Retired

0 [0]

0 [0]

 Unemployed

1 [5.9]

5 [9.1]

 Other

0 [0]

2 [3.6]

Marital status

 Single

2 [11.8]

15 [27.3]

0.40

 Married

15 [88.2]

39 [70.9]

 Widowed

0 [0]

0 [0]

 Divorced

0 [0]

1 [1.8]

Labor Pain, Satisfaction, & Expectations

 Baseline labor pain score (mm)

7.1 (4.6)

7.2 (7.1)

0.94

 Post-epidural analgesia average pain score (mm)

–

9.1 (5.6)

–

 Labor pain intensity max score (mm)

84.1 (14.4)

75.9 (23.0)

0.17

 Labor pain unpleasantness max score (mm)

86.3 (12.0)

77.9 (22.3)

0.14

 Labor pain intensity burden (AUC)

452.4 (316.2)

410.3 (240.3)

0.56

 Labor pain unpleasantness burden (AUC)

450.9 (675.4)

428.6 (276.1)

0.78

 Labor pain management satisfaction (score)

1.9 (0.6)

1.8 (0.4)

0.52

 Labor pain management expectation (score)

2.4 (0.9)

2.1 (0.7)

0.12

  1. Data are reported as mean (standard deviation), frequency [percent], or median {interquartile range, 25th percentile, 75th percentile}. EPDS Edinburgh Postnatal Depression Scale, STAI State Trait Anxiety Inventory, ER-89 Ego Resiliency Scale, PCS Pain Catastrophizing Scale, PSS Perceived Social Support Scale, PSSc Perceived Stress Scale, AUC Area under curve