A Rasch-based dimension of delivery experience: spontaneous vs. medically assisted conception

作者：Mannarini Stefania^*; Boffo Marilisa; Bertucci Veronica; Andrisani Alessandra; Ambrosini Guido

来源：Journal of Clinical Nursing, 2013, 22(17-18): 2404-2416.

DOI：10.1111/jocn.12264

• assessment
• assisted reproduction technology
• birth experience
• childbearing
• conception
• delivery perception
• latent dimension
• Rasch model

Aims and objectivesTo devise a set of indices representative of a latent dimension of delivery perception, aimed at the assessment of birth experience after both spontaneous and medically assisted conception. %26lt;br%26gt;BackgroundBirth experience is of great importance for its prognostic value for the woman and newborn%26apos;s psychophysical well-being, especially after the experience of assisted reproduction technology. Up to date, a delivery perception assessment measure targeted to both spontaneously and medically assisted conceiving women does not exist yet. %26lt;br%26gt;DesignMeasure development and psychometric analysis; quantitative and qualitative analysis of women%26apos;s delivery experience measures. %26lt;br%26gt;MethodsThirty-one indices characterising seven relevant aspects of birth perception were devised from the literature and evaluated on a 4-point Likert-type scale by 98 childbearing women (54 spontaneously and 44 medically assisted conceiving) in the 24-48hours postpartum time frame. Women%26apos;s obstetric history information was also collected. The dimension psychometric definition was pursued within a latent trait perspective, by applying the many-facet Rasch measurement model. %26lt;br%26gt;ResultsA latent delivery perception dimension composed of 18 valid and reliable indices, qualifying six labour and delivery perception clinical aspects, was identified. Medically assisted conceiving women evidenced a more positive birth perception, but when analysing each index, they showed peculiar intense worries about themselves and their baby%26apos;s health, even if they felt more satisfied, safer and stronger in almost every labour and birth aspect. %26lt;br%26gt;ConclusionsThe delivery perception dimension integrates all relevant birth experience aspects in 18 easy-to-administer indices and provides a valid, reliable and feasible assessment tool for both the clinical practice and research purposes. %26lt;br%26gt;Relevance to clinical practiceThe delivery perception dimension clearly discriminates between women%26apos;s types of conception and identifies relevant differences in their birth experience, which are interesting for their clinical implications within a prognostic and intervention perspective of support provision in the early postpartum period.

• 出版日期2013-9