BackgroundThe Childbirth Experience Questionnaire (CEQ) was originally designed to study women’s perceptions of labour and birth. The main objective of our study was to adapt the CEQ to the Spanish context and determine its psychometric properties. This would provide an opportunity to evaluate women’s experiences in order to improve evidence in the Spanish context as recommended by national guidelines.MethodsThe CEQ was translated into Spanish using a standard forward and back translation method (CEQ-E). A convenience sample of 364 women was recruited from 3 Spanish hospitals; all participants were able to read and write in Spanish. Mothers with high risk pregnancies or preterm deliveries were excluded from the study. A self-administered questionnaire on sociodemographic variables was completed by participants before discharge. Data on childbirth variables were obtained from maternity records. Between 1 and 3 months postpartum a postal CEQ-E questionnaire was sent.The CEQ-E structure was examined by a confirmatory factor analysis of polychoric correlations using a diagonally weighted least squares estimator. Reliability was assessed using Cronbach’s alpha. Construct validity was conducted by testing differences in CEQ-E scores between known-groups (to differ on key variables).Results226 (62.1%) of the recruited participants completed the postal questionnaire. The CEQ-E factor structure was similar to the original one. The Spanish version showed fit statistics in line with standard recommendations: CFI = 0.97; NNFI = 0.97; RMSEA = 0.066; SRMS = 0.077. The internal consistency reliability of the CEQ-E was good for the overall scale (0.88) and for all subscales (0.80, 0.90, 0.76, 0.68 for “own capacity”, “professional support”, “perceived safety” and “participation”, respectively) and similar to the original version. Women with a labour duration ≤ 12 h, women with a labour not induced, women with a normal birth and multiparous women showed higher overall CEQ-E scores and “perceived safety” subscale scores. Women with a labour duration ≤ 12 h and those with previous experience of labour obtained higher scores for the “own capacity” and “participation” subscales.ConclusionsThe results of this study indicate that the CEQ-E can be considered a valid and reliable measure of women’s perceptions of labour and birth in Spain.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1100-z) contains supplementary material, which is available to authorized users.

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Quality-improvement interventions based on participation, training, audit and feedback of information, and provision of resources are useful for the implementation of the BFHI, which is associated with a significant increase in breastfeeding rates.

3Objective: To translate the Iowa Infant Feeding Scale (IIFAS) into Spanish, to test its 4 psychometric properties and to explore item reduction for the Spanish version. initiation, exclusiveness, and duration of breastfeeding after delivery.

IntroductionParents' perception that their child may be vulnerable to serious life-threatening illnesses can have negative effects on how they exercise their parenting. No studies have yet been carried out on parent´s perception of their child’s vulnerability, when the child has not suffered a severe illness. This study tries to analyze the relationship between parent´s perception of their children´s vulnerability and parental competence, and analyzes the mediating role of postnatal depression and parental stress.MethodThe study was carried out on mothers and fathers of full-term infants who did not have any serious illnesses. A total of 965 people (385 fathers and 580 mothers) participated in the study.ResultsThe results revealed an association between parental perception of their child’s vulnerability and parent’s perception of parental competence through depression and parental stress. However, this association was different for fathers and mothers.ConclusionThe variable of perception of child’s vulnerability was a relevant factor to understand parental competence.