University of Applied Sciences and Arts, Western Switzerland, 47 Avenue de Champel, 1206, Geneva, Switzerland.
Pôle Femmes et Enfants, Centre Hospitalier Universitaire de Clermont-Ferrand, site Estaing, 1 place Lucie et Raymond Aubrac, 63003, Clermont-Ferrand Cedex 1, France.
BMC Pregnancy Childbirth. 2017 Aug 30;17(1):279. doi: 10.1186/s12884-017-1462-x.
Due to its potential impact on women's psychological health, assessing perceptions of their childbirth experience is important. The aim of this study was to develop a multidimensional self-reporting questionnaire to evaluate the childbirth experience.
Factors influencing the childbirth experience were identified from a literature review and the results of a previous qualitative study. A total of 25 items were combined from existing instruments or were created de novo. A draft version was pilot tested for face validity with 30 women and submitted for evaluation of its construct validity to 477 primiparous women at one-month post-partum. The recruitment took place in two obstetric clinics from Swiss and French university hospitals. To evaluate the content validity, we compared item responses to general childbirth experience assessments on a numeric, 0 to 10 rating scale. We dichotomized two group assessment scores: "0 to 7" and "8 to 10". We performed an exploratory factor analysis to identify underlying dimensions.
In total, 291 women completed the questionnaire (response rate = 61%). The responses to 22 items were statistically significant between the 0 to 7 and 8 to 10 groups for the general childbirth experience assessments. An exploratory factor analysis yielded four sub-scales, which were labelled "relationship with staff" (4 items), "emotional status" (3 items), "first moments with the new born," (3 items) and "feelings at one month postpartum" (3 items). All 4 scales had satisfactory internal consistency levels (alpha coefficients from 0.70 to 0.85). The full 25-item version can be used to analyse each item by itself, and the short 4-dimension version can be scored to summarize the general assessment of the childbirth experience.
The Questionnaire for Assessing the Childbirth Experience (QACE) could be useful as a screening instrument to identify women with negative childbirth experiences. It can be used as both a research instrument in its short version and a questionnaire for use in clinical practice in its full version.
由于其对女性心理健康的潜在影响，评估她们的分娩体验很重要。本研究的目的是开发一种多维的自我报告问卷来评估分娩体验。
从文献回顾和先前的定性研究结果中确定了影响分娩体验的因素。共有 25 个项目来自现有工具或全新创建。一个草案版本被提交给 477 名初产妇进行结构有效性评估，这些初产妇在产后一个月时在瑞士和法国大学医院的两个产科诊所招募。为了评估内容有效性，我们将项目反应与数字、0 到 10 的评分量表上的一般分娩体验评估进行了比较。我们将两组评估分数分为“0 到 7”和“8 到 10”。我们进行了探索性因子分析以确定潜在维度。
共有 291 名女性完成了问卷（回应率为 61%）。在一般分娩体验评估中，22 个项目的反应在 0 到 7 组和 8 到 10 组之间存在统计学差异。探索性因子分析产生了四个子量表，分别命名为“与工作人员的关系”（4 个项目）、“情绪状态”（3 个项目）、“新生儿的第一刻”（3 个项目）和“产后一个月的感觉”（3 个项目）。所有 4 个量表的内部一致性水平均较高（alpha 系数为 0.70 至 0.85）。完整的 25 项版本可用于分析每个项目本身，而简短的 4 维度版本可用于评分以总结分娩体验的总体评估。
分娩体验评估问卷（QACE）可用作识别负面分娩体验的女性的筛选工具。它可以作为研究工具的简短版本和临床实践中的问卷使用。
