Outcome | Baseline | 1-month follow-up | 3-month follow-up | ||||||
---|---|---|---|---|---|---|---|---|---|
DMPA | IUD | p | DMPA | IUD | p | DMPA | IUD | p | |
Depression | n=116 | n=118 | n=111 | n=117 | n=113 | n=117 | |||
Categorical data | |||||||||
EPDS ≥9 | 62 | 55 | 0.36 | 27 | 21 | 0.27 | 20 | 17 | 0.63 |
EPDS ≥12 | 35 | 29 | 0.41 | 13 | 10 | 0.55 | 9 | 10 | 0.93 |
BDI-II ≥14 | 22 | 17 | 0.44 | 34 | 27 | 0.25 | 30 | 23 | 0.13 |
BDI-II ≥29 | 2 | 0 | 0.24 | 11 | 7 | 0.39 | 8 | 2 | 0.05 |
Continuous data [median (IQR)] | |||||||||
EPDS | 9 (3.0–21.0) | 8 (2.0–20.0) | 0.20 | 4 (1.0–18.0) | 2 (0–21.0) | 0.04* | 2 (0.5–19.0) | 2 (0–19.0) | 0.10 |
BDI-II | 6 (2.5–12.5) | 5 (2.0–11.5) | 0.10 | 8 (4.5–19.5) | 9 (4.5–14.5) | 0.20 | 9 (4.5–14.5) | 5 (2.0–11.5) | 0.002* |
Sexual activity | n=116 | n=118 | n=111 | n=117 | n=113 | n=117 | |||
Resumption of sexual intercourse | NA | NA | 14 | 30 | 0.02† | 53 (111) | 64 (115) | 0.29 | |
Menstruation | n=110 | n=117 | n=110 | n=115 | |||||
None | NA | NA | 64 | 72 | 0.70 | 32 | 32 | 0.90 | |
Light flow | NA | NA | 26 | 23 | 0.50 | 30 | 19 | 0.07 | |
Heavy flow | NA | NA | 4 | 5 | 0.90 | 8 | 14 | 0.30 | |
Dysmenorrhoea | n=56 | n=59 | n=84 | n=91 | |||||
Mild to severe pain | NA | NA | 9 | 13 | 0.50 | 16 | 26 | 0.10 | |
Infant feeding | n=115 | n=116 | n=101 | n=109 | n=113 | n=116 | |||
Breastmilk only | 90 | 87 | 0.60 | 60 | 67 | 0.80 | 47 | 50 | 0.90 |
Formula only | 14 | 14 | 0.80 | 24 | 18 | 0.20 | 34 | 22 | 0.07 |
Both | 11 | 15 | 0.50 | 17 | 24 | 0.40 | 32 | 44 | 1.90 |
*p<0.05 (Wilcoxon test).
†Yates corrected Chi-square (χ2) test.
BDI, Beck Depression Inventory; DMPA, depot medroxyprogesterone acetate; EPDS, Edinburgh Postnatal Depression Scale; IQR, interquartile range; IUD, intrauterine device; NA, not applicable.