Development of two instruments for assessing maternity health needs: protocol of a clinimetric study

Paz-Pascual, Carmen; Artieta-Pinedo, Isabel; Espinosa, Maite; Bully, Paola

doi:10.1186/s12884-020-03377-x

Cited by 8 publications

(6 citation statements)

References 26 publications

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“…The data is part of a broader investigation that analyses the needs of women during pregnancy, childbirth and postpartum, and the resources they have available to them to adapt to the new situation. The study protocol and results have been published previously [ 21 , 22 ]. It is a cross-sectional study, carried out in the xxx, which serves a population of just over 2 million inhabitants.…”

Section: Methodsmentioning

confidence: 99%

“…The questions are part of a larger questionnaire designed to detect the psychosocial needs of women during the perinatal period and which has been validated with 250 women, presenting good characteristics of reliability, validity and usability. The protocol and results have been published [ 21 , 22 ]. The degree of agreement or disagreement with each of the expressed preferences was considered the outcome variable.…”

Section: Methodsmentioning

confidence: 99%

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Does the birth plan match what is relevant to women? Preferences of Spanish women when giving birth

Artieta-Pinedo,

Paz-Pascual,

Garcia-Alvarez

et al. 2024

BMC Women's Health

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Background To support women in making shared decisions, it is important to know what is relevant to them. The aim is to explore which of the options included in birth plans (BP) are of most interest to women, and which are more controversial. In addition, the possible association of this variability with personal characteristics. Methods The data are part of a cross-sectional descriptive study, carried out in xxx, on the clinimetric characteristics of two instruments to measure women’s needs in labour and postpartum. Women were recruited consecutively by their midwives during pregnancy check-ups, receive a link to a digital questionnaire and were allowed to provide links to the questionnaires to other pregnant women. Women were asked to determine their level of agreement with statements about the birth environment, accompaniment, pain relief, medical intervention and neonatal care. The relationship between agreement with each statement, socio-demographic variables and fear of childbirth (W-DEQ-A) was analysed using a combination of descriptive statistics to analyse frequencies, and regression models to test the effect of socio-demographic variables and fear of childbirth on those items with the greatest variability. Results Two hundred forty-seven women responded. More than 90% preferred a hospital delivery, with information about and control over medical intervention, accompanied by their partner and continuous skin-to-skin contact with the newborn. There are other questions to which women attach less importance or which show greater variability, related to more clinical aspects, like foetal monitoring, placenta delivery, or cord clamping… Various factors are related to this variability; parity, nationality, educational level, risk factor or fear of childbirth are the most important. Conclusions Some items referring to the need for information and participation are practically unanimous among women, while other items on technical interventions generate greater variability. That should make us think about which ones require a decision after information and which ones should be included directly. The choice of more interventional deliveries is strongly associated with fear of childbirth.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Does the birth plan match what is relevant to women? Preferences of Spanish women when giving birth

Artieta-Pinedo,

Paz-Pascual,

Garcia-Alvarez

et al. 2024

BMC Women's Health

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“…This study is part of a broader piece of research in which the perceptions and needs of women during pregnancy, childbirth and postpartum have been analysed, as well as the resources available to them to adapt to each moment of the process. The protocol developed is now available for consultation [ 37 ].…”

Section: Methodsmentioning

confidence: 99%

Development and evaluation of the psychometric properties of a digital questionnaire for the evaluation of perinatal psychosocial needs

Bully,

Artieta-Pinedo,

Paz-Pascual

et al. 2023

BMC Pregnancy Childbirth

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Background If the purpose of maternal education is for women to take control of their own health and that of their family in the process, it is essential to have a simple instrument that allows them to self-assess, globally, how prepared they are to face future childbirth and maternity. As there is nothing similar in our area, the objective of this study was to design a complete, specific measurement questionnaire, with good metric quality and in digital format, for the assessment of perinatal psychosocial needs. Methods A cross-sectional study was carried out, to evaluate the psychometric properties of a digital measurement questionnaire. The questionnaire was developed in 4 steps following the recommendations of the International Test Commission. The participants were 263 pregnant women who were recruited in primary health care appointments in the Basque Healthcare Service (Osakidetza); they completed the newly created questionnaire and all the test selected as gold standard. Their mean age was 33.55 (SD = 4.73). The analysis of the psychometric characteristics was based on mixed expert judgment procedures (focus group of healthcare professionals, item assessment questionnaire and interviews with users) and quantitative procedures (EFA, CFA, association with the gold standard and classification agreement index, ordinal alpha and McDonald's omega). Results The final version of the questionnaire was made up of 55 items that evaluate 8 aspects related to perinatal psychosocial well-being (anxious-depressive symptoms, pregnancy acceptance, partner support, coping, internal locus of control, childbirth self-efficacy, perception of childbirth as a medicalized event, and fear of childbirth). Various tests were made of the validity and reliability of the scores, providing metric guarantees for their use in our context. Conclusions The use of this complete, quick-to-use tool with good psychometric properties will allow pregnant women to take stock of their situation, assess whether they have the necessary resources in the psychological and social sphere, and work together with midwives and other health professionals in the areas that are lacking.

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“…The data is part of a broader investigation that analyses the needs of women during pregnancy, childbirth and postpartum, and the resources they have available to them to adapt to the new situation. The study protocol has been published previously (21). It is a cross-sectional study, carried out in the xxx, which serves a population of just over two million inhabitants.…”

Section: Design and Selection Of Participantsmentioning

confidence: 99%

Does the birth plan match what is relevant to women? Women's preferences when giving birth

Artieta-Pinedo

Paz-Pascual

García-Álvarez

et al. 2023

Preprint

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Background: To support women in making shared decisions, it is important to know what is relevant to them. The aim is to explore which of the options included in birth plans are of most interest to women, and whether the variability is associated with personal characteristics Methods: Participants were asked about their degree of agreement with statements about delivery environment, accompaniment, pain relief, medical intervention and neonatal care. The relationship between agreement with each statement, sociodemographic variables and fear of childbirth (W-DEQ-A) was analysed. Results: 247 women responded. More than 90% preferred a hospital delivery, with information about and control over medical intervention, accompanied by their partner and continuous skin-to-skin contact with the newborn. There are other questions to which women attach less importance or which show greater variability in their responses; these are questions related to more clinical aspects. More than 30% had a neutral opinion on foetal monitoring, placenta delivery, or cord clamping. There are various factors that are related to this variability;parity, nationality, educational level, risk factor or fear of childbirth are the most important. Conclusions: The birth plan currently on offer is only partly tailored to women's areas of interest. There are some issues, mostly identified as very important, that should form the basis of childbirth care rather than being an option: these are the aspects more connected to human relationships in childbirth. Other clinical issues, which present greater variability, must be offered for reflection, together with the information and support necessary for decision-making.

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Development of two instruments for assessing maternity health needs: protocol of a clinimetric study

Cited by 8 publications

References 26 publications

Does the birth plan match what is relevant to women? Preferences of Spanish women when giving birth

Does the birth plan match what is relevant to women? Preferences of Spanish women when giving birth

Development and evaluation of the psychometric properties of a digital questionnaire for the evaluation of perinatal psychosocial needs

Does the birth plan match what is relevant to women? Women's preferences when giving birth

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