Epidural Labor Analgesia Is Associated with a Decreased Risk of the Edinburgh Postnatal Depression Scale in Trial of Labor after Cesarean: A Multicenter, Prospective Cohort Study
Table 2
Perinatal variables of parturients who completed the study for TOLAC.
Variable
TOLAC (CTRL)
TOLAC (EXP)
Statistical value
value
N (all)
N (%) or mean ± SD
N (all)
N (%) or mean ± SD
Mode of delivery
160
263
<0.001
VBAC
111 (69.38%)
225 (85.55%)
Cesarean
49 (30.63%)
38 (14.45%)
Instrumental delivery in VBAC
27
43
1
Vacuum extraction
15 (13.51%)
23 (10.22%)
Forceps
12 (10.81%)
20 (8.89%)
Episiotomy
149
42 (28.19%)
256
111 (43.36%)
0.003
Perineum/Cervical laceration
149
70 (46.98%)
255
106 (41.57%)
0.3
Uterine rupture
160
0 (0%)
263
0 (0%)
1
Estimated blood loss after delivery (mL)
154
260
1
≤500
151 (98.05%)
255 (98.08%)
>500
3 (1.95%)
5 (1.92%)
Labor duration in VBAC
The first labor duration (min)
108
334.14 ± 225.94
221
526.93 ± 266.85
6050.5
<0.001
The second labor duration (min)
102
28.09 ± 31.62
217
46.14 ± 32.64
5836
<0.001
The third labor duration (min)
108
8.62 ± 3.87
222
9.43 ± 5.03
11211.5
0.294
Initiating lactation period (hours)
157
11 ± 13
262
7 ± 12
24276.5
0.002
VAS pain at epidural (cm)
T0: time 0
99
6.34 ± 2.16
219
8.20 ± 1.19
5191.5
<0.001
T1: PCEA after 30 min
100
7.00 ± 2.16
217
0.94 ± 1.61
21103
<0.001
T2: cervical:6 cm
100
7.67 ± 2.33
211
1.09 ± 1.71
20404.5
<0.001
T3: cervical:10 cm
99
8.64 ± 2.13
210
1.78 ± 2.00
20213
<0.001
T4: immediate delivery of the fetus
97
1.65 ± 2.44
209
1.88 ± 1.60
8062
0.002
Feeding patterns within 48 hours
158
233
0.361
Breast
152 (96.20%)
218 (93.56%)
Milk
6 (3.80%)
15 (6.44%)
Feeding amounts within 48 hours
147
230
0.491
Normal
137 (93.20%)
219 (95.22%)
Discomfort within 42 days
159
33 (20.75%)
256
28 (10.94%)
0.007
EPDS score 48 hours
<0.001
<10
117
117 (73.58%)
237
237 (91.51%)
≥10
42
42 (26.42%)
22
22 (8.49%)
EPDS score 42 days
<0.001
<10
119
119 (74.84%)
241
241 (93.41%)
≥10
40
40 (25.16%)
17
17 (6.59%)
Comparisons were made using Student’s t-test or Wilcoxon rank sum test for nonnormally distributed variables. Comparisons were made using Pearson’s chi-squared test and Fisher’s exact test for proportions.
