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December 04-05, 2019 | Dubai, UAE
Annual Congress on
Midwifery and Gynaecology 2019
December 04-05, 2019
Midwifery nursing and Gynaecology
J Nurs Res Pract, Volume 3 |
ISSN: 2632-251X
Volume 3
Journal of Nursing Research and Practice
Assessing the quality of facility intrapartum care in China: A contribution to the
adaptation of Childbirth Experience Questionnaire (CEQ)
Xiu zhu
Peking University, China
Objective:
To adapt Childbirth Experience Questionnaire (CEQ) to Chinese context. And then to identify
problems in intrapartum care in China.
Design:
Questionnaire validation study and cross-sectional study.
Setting:
Postnatal wards at 50 birth facilities from 4 randomly chosen regions, Zhejiang province, China.
Participants: Women who gave trans-vaginal birth in the investigated facilities during the study periods.
Method:
A forward-backward translation procedure involved the creator of CEQ was conducted. Women
completed an online questionnaire which contained demographic information, CEQ-C and clinical information.
Then we performed psychometric analyses to assess its internal consistency and its content, structural and
discriminant validity.
Results
: Overall, 1747 women participated in this study. The Cronbach’s alpha of CEQ-C was 0.88. The
exploratory factor analysis supported the four dimensions but excluded three items from the original CEQ, and
adjusted model was approved by the confirmatory factor analysis (SRMR=0.037, RMSEA=0.036, CFI=0.966,
TLI=0.959). Four more factors (perceived pain, pain relief method, prenatal education and companionship)
were identified. Insuficient and excessive intervention were revealed: only 27% attended prenatal education
and 33.6% used pain relief method, whereas, 41.7% were administrated augmentation and 93.1% received
continuous electronic fetal heart rate monitoring during labor.
Conclusions:
The adjusted CEQ-C is reliable and valid and is easy and promising to measure childbirth
experience in Chinese women at facility setting so as to help improve intrapartum care quality. Efforts are
needed in respectful, evidence based intrapartum care to provide positive experience for women..
zhuxiu001@163.comComparisonwithother studies fromWestern countries (womenwitha laborduration≤12h)
Comparisonwithother studies fromWestern countries (womenwitha laborduration>12h)