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Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument
Anna Dencker1, Charles Taft, Liselotte Bergqvist
1Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. anna.dencker@gu.se
BMC Pregnancy and Childbirth
|December 15, 2010
Summary
A new Childbirth Experience Questionnaire (CEQ) was developed to assess first-time mothers' childbirth experiences. This validated tool identifies maternal satisfaction with labor and birth, aiding in identifying mothers needing support.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Psychological Well-being
Background:
- Negative childbirth experiences are linked to postpartum depression and affect future pregnancy decisions.
- Assessing mothers' postpartum experiences is crucial for identifying needs and improving care.
- No validated tool existed to comprehensively evaluate first-time mothers' childbirth experiences.
Purpose of the Study:
- To develop and evaluate a questionnaire for assessing various aspects of the first childbirth experience.
- To create a reliable and valid instrument for measuring maternal satisfaction with labor and birth.
Main Methods:
- Domains derived from literature, midwife consultations, and interviews with mothers.
- Pilot testing for face validity with 25 primiparous women.
- Factor analysis and multitrait scaling analysis on 920 returned questionnaires from a larger cohort.
Main Results:
- A 22-item questionnaire (CEQ) emerged with four dimensions: Own capacity, Professional support, Perceived safety, and Participation.
- These dimensions explained 54% of the variance in childbirth experiences.
- The CEQ demonstrated good reliability, validity, and sensitivity in discriminating between different groups.
Conclusions:
- The developed Childbirth Experience Questionnaire (CEQ) effectively measures key dimensions of the first childbirth experience.
- The CEQ can be utilized to assess maternal satisfaction with labor and birth.
- This tool can aid in identifying mothers requiring additional support and highlight areas for care improvement.
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