Assessing the perception of the childbirth experience in Italian women: A contribution to the adaptation of the childbirth perception questionnaire

作者:Bertucci Veronica; Mannarini Stefania*; Serena Andrea; Saccardi Carlo; Cosmi Erich; Andrisani Alessandra; Ambrosini Guido
来源:Midwifery, 2012, 28(2): 265-274.
DOI:10.1016/j.midw.2011.02.009

摘要

Background: childbirth is a crucial experience in women%26apos;s life as it has a substantial psychological, emotional and physical impact. A childbirth positive experience is important to the woman, infant%26apos;s health and well-being, and mother-infant relationship. Furthermore, it is useful for the care providers to guarantee the best preparation, health service and support to childbearing women. The Childbirth Perception Questionnaire (CPQ) is a 27-item instrument designed to assess women%26apos;s perception of their childbirth experience. %26lt;br%26gt;Objectives: to provide a first attempt to adapt the Childbirth Perception Questionnaire (CPQ) using a sample of Italian women. The psychometric properties of the scale and the quality of women%26apos;s childbirth experience perception were assessed. Furthermore, the potential relation between the childbirth perception and the pain perception was explored. %26lt;br%26gt;Design: two separate studies were conducted. In Study 1, the factor structure and the reliability of the Italian translation of CPQ were assessed. Also a quantitative analysis of respondents%26apos; mean ratings was conducted. In Study 2 the relation between the CPQ and the Italian Pain Questionnaire (IPQ) was examined. %26lt;br%26gt;Setting: an inpatient gynaecologic-obstetric unit in a university medical centre in Italy. %26lt;br%26gt;Participants: 195 women in Study 1 and 92 women in Study 2 completed the questionnaires. %26lt;br%26gt;Methods: in Study 1 the translated form of CPQ was administered in the 24-48 hours post partum. In Study 2, the participants completed the Italian version of the CPQ and the Italian Pain Questionnaire (IPQ) in the same postpartum time frame. Socio-demographic details and information about women%26apos;s obstetric history were collected in both Study 1 and Study 2. %26lt;br%26gt;Findings: an exploratory factor analysis revealed a 24-item scale with a three-factor structure. The Italian version of the questionnaire was labelled Childbirth Experience Perception Scale (CEPS) and composed of three subscales: Labour and Delivery Perception, Control Perception and Change Perception. The questionnaire presented satisfactory internal consistency%26apos;s indexes both in Study 1 (alpha coefficients range:.66-.83) and in Study 2 (alpha coefficients range:.70-.86). The analysis of women%26apos;s mean scores on CEPS revealed a significant effect of age, social economic status, amniocentesis test, type of childbirth, childbirth preference, and disagreement between actual and preferred childbirth (p %26lt; .05). A significant correlation between the CEPS and IPQ scales was found (p %26lt; .05). %26lt;br%26gt;Conclusion: the current research evidenced that the Italian first adaptation of the CPQ, the Childbirth Experience Perception Scale, may be a valid and reliable measure of childbirth experience perception for use in different women%26apos;s health clinical outcome and studies.

  • 出版日期2012-4