Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument
Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument
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DOI：
10.1186/1471-2393-10-81
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发表时间：
2010-12-10
影响因子：
3.1
通讯作者：
Berg, Marie
中科院分区：
文献类型：
--
作者：
Dencker, Anna;Taft, Charles;Berg, Marie
背景：第一次分娩的负面经历增加了母亲产后抑郁的风险，并可能对母亲对未来怀孕的态度和分娩方式的选择产生负面影响。需要有评估母亲分娩经历的产后问卷，以帮助确定需要支助和咨询的母亲，以及隔离可能需要改进的分娩和生育管理和护理领域。本研究的目的是编制和评估一份关于初产母亲不同方面分娩经历的问卷。方法：通过文献检索、与有经验的助产士的讨论和对初产母亲的访谈，得出分娩领域。对25名初产妇女进行了分娩体验问卷(CEQ)初稿的脸部效度试验。修订后的问卷在产后1个月邮寄给1177名正常妊娠和自然分娩的初产妇女，回收920份可评价的问卷。使用主成分分析和Promax旋转进行探索性因素分析以确定分娩体验的维度。采用多特征标度分析来检验标度假设和量表的可靠性。结果：对22个项目的问卷进行因素分析，得到4个因素可解释总方差的54%。这些维度被标记为自身能力、专业支持、感知安全和参与。多因素尺度分析证实了四维模型的拟合，并在所有四个分量表上都取得了尺度上的成功。问卷具有较好的敏感度，各维度具有较好的区分能力。结论：CEQ量表测量了初产经历的重要维度，可以用来测量母亲对分娩和分娩满意度的不同方面。
Background: Negative experiences of first childbirth increase risks for maternal postpartum depression and may negatively affect mothers' attitudes toward future pregnancies and choice of delivery method. Postpartum questionnaires assessing mothers' childbirth experiences are needed to aid in identifying mothers in need of support and counselling and in isolating areas of labour and birth management and care potentially in need of improvement. The aim of this study was to develop and evaluate a questionnaire for assessing different aspects of first-time mothers' childbirth experiences.Methods: Childbirth domains were derived from literature searches, discussions with experienced midwives and interviews with first-time mothers. A draft version of the Childbirth Experience Questionnaire (CEQ) was pilot tested for face validity among 25 primiparous women. The revised questionnaire was mailed one month postpartum to 1177 primiparous women with a normal pregnancy and spontaneous onset of active labor and 920 returned evaluable questionnaires. Exploratory factor analysis using principal components analysis and promax rotation was performed to identify dimensions of the childbirth experience. Multitrait scaling analysis was performed to test scaling assumptions and reliability of scales. Discriminant validity was assessed by comparing scores from subgroups known to differ in childbirth experiences.Results: Factor analysis of the 22 item questionnaire yielded four factors accounting for 54% of the variance. The dimensions were labelled Own capacity, Professional support, Perceived safety, and Participation. Multitrait scaling analysis confirmed the fit of the four-dimensional model and scaling success was achieved in all four sub-scales. The questionnaire showed good sensitivity with dimensions discriminating well between groups hypothesized to differ in experience of childbirth.Conclusion: The CEQ measures important dimensions of the first childbirth experience and may be used to measure different aspects of maternal satisfaction with labour and birth.