Table 4

Assessment of partial mediation of the effect of intellectual and developmental disabilities on the occurrence of caesarean section

MediatorsValues on the logarithmic scaleIndirect effect aRR (95% CI)Percentage of effect explained
Total effect
aβ (95% CI)
Direct effect
aβ (95% CI)
Indirect effect*
aβ (95% CI)
Pre-pregnancy health conditions0.09 (0.03 to 0.15)0.07 (0.00 to 0.13)0.025 (0.022 to 0.028)1.025 (1.022 to 1.029)27.8%
Pregnancy complications—maternal0.09 (0.03 to 0.15)0.08 (0.02 to 0.14)0.012 (0.007 to 0.018)1.012 (1.007 to 1.018)13.3%
Pregnancy complications—placental0.09 (0.03 to 0.15)0.09 (0.03 to 0.15)
Pregnancy complications—fetal0.09 (0.03 to 0.15)0.10 (0.03 to 0.16)
  • Mediation models control for maternal age, parity, neighbourhood income quintile, and rural residence.

  • *Indirect effect=total effect—direct effect; describes the magnitude of the effect of intellectual and developmental disabilities through the mediator.

  • –: No indirect effect.

  • aRR, adjusted relative risks.