Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, UK.
BMC Pregnancy Childbirth. 2019 May 14;19(1):167. doi: 10.1186/s12884-019-2284-9.
As maternity services evolve and the population of women served also changes, there is a continuing need to effectively document the views of women with recent experience of care. A woman's maternity experience can have a positive or negative effect upon her emotional well-being and health, in the immediate and the long-term, which can also impact the infant and the wider family system. Measuring women's perceptions of maternity services is an important way of monitoring the quality of care provision, as well as providing key indicators to organisations of the services that they are providing. It follows that, without information identifying possible areas in need of improvement, it is not clear what changes should be made to improve the experiences of women during their journey through maternity services from pregnancy to the early weeks at home with a new baby . The objective is to describe the development process and psychometric properties of a measure of women's experience of maternity care covering the three distinctly different phases of maternity - pregnancy, labour and birth, and the early postnatal period.
Data from a national survey of women who had recently given birth (n = 504) were used. Exploratory and confirmatory factor analytic methods were employed. The measure was assessed for underlying latent factor structure, as well as for reliability, internal consistency, and validity (predictive, convergent and discriminant).
The models developed confirmed the use of three separate, but related scales about experience of maternity care during pregnancy, labour and birth and the postnatal period. Data reduction was effective, resulting in a measure with 36 items (12 per scale).
The need for a psychometrically robust and qualitatively comprehensive measure of women's experience of maternity care has been addressed in the development and validation of this prototype measure. The whole measure can be used at one time point, or the three separate subscales used as individual measures of experience during particular phases of the maternity journey with identified factor structures in their own right.
随着产科服务的发展以及服务人群的变化，我们需要不断地有效记录近期接受过产科护理的女性的观点。女性的孕产体验会对其情绪健康和身体健康产生即时和长期的积极或消极影响，这也会对婴儿和更广泛的家庭系统产生影响。衡量女性对产科服务的看法是监测护理质量的重要方法，同时也是为服务机构提供其提供服务的关键指标。因此，如果没有识别可能需要改进的领域的信息，就不清楚应该进行哪些改变，以改善女性在经历从怀孕到分娩后早期与新生儿在家的这段时间内的产科服务体验。其目的是描述一种衡量女性产科护理体验的方法的开发过程和心理计量学特性，该方法涵盖了妊娠、分娩和产后三个截然不同的孕产阶段。
使用了一项针对近期分娩的女性（n=504）的全国性调查的数据。采用了探索性和验证性因子分析方法。该测量方法用于评估潜在的潜在因素结构，以及可靠性、内部一致性和有效性（预测性、收敛性和判别性）。
开发的模型证实了在妊娠、分娩和产后期间使用三个单独但相关的产科护理体验量表。数据的减少是有效的，结果得到了一个包含 36 个项目的测量方法（每个量表 12 个项目）。
本原型测量方法的开发和验证解决了需要一种心理计量学上可靠且定性上全面的衡量女性产科护理体验的方法的问题。整个测量方法可以在一个时间点使用，也可以使用三个单独的子量表作为特定孕产阶段的个体体验测量方法，每个子量表本身都具有确定的因素结构。
