Pregnant women's preferences for mode of delivery questionnaire: Psychometric properties

Abstract

Introduction:The rate of caesarean delivery is increasing worldwide. Maternal beliefs may be influential on the mode of delivery. This study aimed to validate pregnant women's preferences for mode of delivery questionnaire among pregnant women.Materials and Methods:This was a cross-sectional study which was done in Ahvaz Public and Private Health Care Centers. A total of 342 low-risk pregnant women were included in a study conducted in spring 2011 in Ahvaz, Iran. After careful consideration and performing content and face validity, a 62-item measure was developed and subjects completed the questionnaire. Reliability was estimated using internal consistency and validity was assessed by performing face, content and structure and discriminate validity. Data were analyzed using explanatory factor analysis, t-test, and correlations in SPSS 16.Results:The findings of content and face validity showed almost perfect results for both content validity ratio = 1 and content validity index = 1. The explanatory factor analysis indicated a 7-subscale measure (Eigenvalue >1, factor loading >0.4), and discriminate validity revealed satisfying results P < 0.05 for 6 out of 7 subscales. Internal consistency as measured by the Cronbach's alpha coefficient was acceptable for subscales.Conclusions:In general, the findings suggest that this newly generated scale is a reliable and valid specific questionnaire for assessing pregnant women's preferences for mode of delivery. However, further studies are needed to establish stronger psychometric properties for the questionnaire.

Validity and reliability of Turkish pregnant women's preferences for mode of delivery questionnaire

“…The personal information form was used to collect the participants’ characteristics. The original questionnaire developed by Zamani-Alavijeh et al 13 consists of 21 items and 7 sub-dimensions. The questionnaire is in the 5-point Likert style (1= I Totally Disagree and 5=I Totally Agree).…”

Contributing factors of pregnant women’s beliefs towards mode of delivery: a cross-sectional study from Iran

“…This was asked by phone call 2 weeks after the due date of delivery. The present questionnaire was derived from relevant literature; e.g., Fathian [20], Zamani-Alavijeh [17], and Khaledi questionnaires [21]. Knowledge, attitude, and intention consisted of 10 items, 21 items, and 1 item, respectively, that have been from Fithian’s questionnaire.…”

“…In other words, the process of C-section decision-making, which is made by both pregnant women and doctors, is influenced by several factors [14]. Pregnant women’s self-efficacy, a false impression of the benefits of C-section, exaggerating the risks of vaginal delivery affect the mode of delivery [17]. Also, a positive correlation had been reported between attitude positive attitude toward C-section and requesting a C-section [18], perceived benefits and barriers, subjective norms are among other factors contributing to C-section [19].…”

Childbirth Self-Efficacy and Its Associated Factors among Pregnant Women in Arba Minch Town, Southern Ethiopia, 2023: A Cross-Sectional Study

“…As the evidence showed, women with low childbirth self-efficacy are more likely to experience severe pain during labor and delivery, use anesthesia during labor, and have a longer labor period, which could have a negative effect on the well-being and development of women and also newborn [ 8 ]. Pregnant women's low self-efficacy also affects the mode of delivery, in which women's childbirth fear increases the rate of cesarean section due to an exaggerated perception of the risk of vaginal delivery [ 9 ]. Moreover, low childbirth self-efficacy can affect maternal well-being and mother-infant bonding; it can lead to a condition of psychological distress as well as to severe forms of disease like postpartum depression [ 10 ].…”