Womens’ opinions on intrapartal care: development of a theory‐based questionnaire

Wilde‐Larsson, Bodil; Larsson, Gerry; Kvist, Linda J.; Sandin‐Bojö, Ann‐Kristin

doi:10.1111/j.1365-2702.2009.03055.x

Cited by 43 publications

(36 citation statements)

References 32 publications

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“…The QPP-I [16] was developed from a general measure of satisfaction: the Quality from the Patient’s Perspective questionnaire (QPP) [37] which has a theoretical foundation. Twenty-two items of the QPP-I are based on items from the short [38] and long version of the QPP [39].…”

Section: Resultsmentioning

confidence: 99%

“…For example, research looking at satisfaction with maternity care suggests the following dimensions are important: staff-woman interaction, information, involvement in decision making, pain relief, and birth environment [3,13-15]. Secondly, surveys of satisfaction with maternity services have been criticised for not being developed on the basis of theory [16]. Sitzia and Wood [7] argue that conceptual and theoretical issues should underpin the design and structure of a methodology.…”

Section: Introductionmentioning

confidence: 99%

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Measures of satisfaction with care during labour and birth: a comparative review

Sawyer

Ayers

Abbott

et al. 2013

BMC Pregnancy Childbirth

181

195

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BackgroundSatisfaction is the one of the most frequently reported outcome measures for quality of care. Assessment of satisfaction with maternity services is crucial, and psychometrically sound measures are needed if this is to inform health practices. This paper comparatively reviews current measures of satisfaction with care during labour and birth.MethodsA review of the literature was conducted. Studies were located through computerised databases and hand searching references of identified articles and reviews. Inclusion criteria were that the questionnaire was a multi-item scale of satisfaction with care during labour and birth, and some form of psychometric information (either information about questionnaire construction, or reliability, or validity) had to be reported.ResultsNine questionnaires of satisfaction with care during labour and birth were identified. Instruments varied in psychometric properties and dimensions. Most described questionnaire construction and tested some form of reliability and validity. Measures were generally not based on the main theoretical models of satisfaction and varied in scope and application to different types of samples (e.g. satisfaction following caesarean section). For an in-depth measure of satisfaction with intrapartum care, the Intrapartal-Specific Quality from the Patient’s Perspective questionnaire (QPP-I) is recommended. Brief measures with good reliability and validity are provided by the Six Simple Questions (SSQ) or Perceptions of Care Adjective Checklist (PCACL-R).ConclusionsDespite the interest in measures of satisfaction there are only a small number of validated measures of satisfaction with care during labour and birth. It is important that brief, reliable and valid measures are available for use in general and specific populations in order to assist research and inform practice.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Measures of satisfaction with care during labour and birth: a comparative review

Sawyer

Ayers

Abbott

et al. 2013

BMC Pregnancy Childbirth

181

195

View full text Add to dashboard Cite

show abstract

“…Own capacity also has a component of self-efficacy ( I felt capable ) and coping ( I felt that I handled the situation well ) and thus likens the domain-specific Childbirth Self-efficacy Inventory scale [18]. Unlike the above instruments, the recently validated QPP-I measures 10 domains of intrapartal care [20]. Developed primarily for use in evaluating quality of care, many of the domains assess aspects of the physical environment or the role performance of different professionals.…”

Section: Discussionmentioning

confidence: 99%

“…The Childbirth Self-efficacy Inventory (CBSEI) is also a unidimensional instrument measuring self-efficacy and coping during childbirth [18]. An exception is the Quality from the Patient's Perspective Intrapartal (QPP-I) instrument which assesses women's perceptions of childbirth care [20] in both one general factor and 10 subfactors. However, this questionnaire was developed primarily for evaluating quality of care and many of the domains assess aspects of the physical environment or the performance of different healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument

Dencker

Taft

Bergqvist

et al. 2010

BMC Pregnancy Childbirth

248

336

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BackgroundNegative 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.MethodsChildbirth 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.ResultsFactor 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.ConclusionThe CEQ measures important dimensions of the first childbirth experience and may be used to measure different aspects of maternal satisfaction with labour and birth.

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“…Specifically, in the area of maternal satisfaction, only a handful of valid measures exist [156]. The EXIT shows promise, having demonstrated construct validity, and internal consistency comparable to the Six Simple Questions [198], Consumer Satisfaction Questionnaire [199] and the Patient Perception Score [200], and superior to the Labour and Delivery Satisfaction Index [201], and the Intrapartal-Specific QPP Questionnaire [202].…”

Section: Experiential Outcomesmentioning

confidence: 99%

Induction of labour using prostaglandin (PGE2) vaginal gel

Beckmann¹

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In Australia each year, more than one in four pregnant women will undergo an induction of labour (IOL). PGE2 vaginal gel is the most commonly used IOL method in Australia and is an effective cervical priming agent, although there are no evidence-based recommendations regarding the optimal dosage and frequency of PGE2 vaginal gel that will deliver the safest, most effective, least costly and more positive healthcare experiences for women.The aim of this thesis was to compare two policies of PGE2 vaginal gel for induction of labour at term: a policy of amniotomy once technically possible (regardless of modified Bishop's score (MBS)), versus a policy of giving more PGE2 vaginal gel (repeat administration and amniotomy only when MBS ≥ 7). Four key objectives were addressed across the domains of clinical outcomes, healthcare experience and healthcare costs. A randomised controlled trial was undertaken to determine which policy of PGE2 vaginal gel IOL results in the shorter IOL-to-birth time and is associated with lower rates of obstetric intervention and morbidity. The data from this trial were then used to develop predictive models to help identify those women who might specifically benefit from one policy versus the other. A healthcare experience tool was developed de novo, validated, and the experiences of women who were induced according to a policy of early amniotomy and repeat PGE2, were compared. And finally, the healthcare costs of women in the two arms of the trial were analysed. A decision-analytic model, specifically a Markov chain, was developed to further investigate costs, and a Monte Carlo simulation was performed to confirm the robustness of these findings.This thesis finds that in women being induced with PGE2 vaginal gel, performing an amniotomy (even if the cervix is deemed unfavourable) is likely to result in similar clinical outcomes, but a shorter labour, a more positive healthcare experience, and lower healthcare costs, when compared to giving more PGE2.

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Womens’ opinions on intrapartal care: development of a theory‐based questionnaire

Cited by 43 publications

References 32 publications

Measures of satisfaction with care during labour and birth: a comparative review

Measures of satisfaction with care during labour and birth: a comparative review

Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument

Induction of labour using prostaglandin (PGE2) vaginal gel

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