Childbirth Experience Questionnaire (CEQ) in the Sri Lankan setting: translation, cultural adaptation and validation int
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RESEARCH NOTE
Childbirth Experience Questionnaire (CEQ) in the Sri Lankan setting: translation, cultural adaptation and validation into the Sinhala language Malitha Patabendige1* , Thilina S. Palihawadana2, Rasika P. Herath2 and Prasantha S. Wijesinghe2
Abstract Objective: To adapt the CEQ into Sri Lankan Sinhala cultural context and to determine the psychometric properties of CEQ. This would yield an opportunity to evaluate childbirth experience among Lankan population. Results: Out of 390, 226 (57.9%) postnatal mothers completed the CEQ after 1 month postpartum. Face validity and content validity were demonstrated with all participants stating that CEQ was easy to understand and complete. For reliability, internal consistency was acceptable for the overall score (0.85) and for all four domains in CEQ (0.65, 0.80, 0.70, 0.83 for “own capacity”, “professional support”, “perceived safety” and “participation”, respectively). A weighted kappa of 0.61–0.80 for all 22 items in CEQ demonstrated a good test–retest reliability. This Sri Lankan version showed fit statistics in line with standard recommendations in exploratory factor analysis. Women with spontaneous onset of labour (except for “professional support” in women with spontaneous onset of labour) and women with a normal birth showed significantly higher CEQ scores. However, oxytocin augmentation could not yield a difference in CEQ scores. Keywords: Childbirth experience questionnaire, Birth satisfaction, Low-resource settings Introduction Childbirth Experience Questionnaire (CEQ) was derived and validated among first-time mothers in 2010 in Sweden [1]. It has been validated into several languages [2–6]. Main text CEQ measures four domains of the woman’s childbirth experience. Those are Own capacity, Professional support, Perceived safety and Participation, comprising of 22 items [2, 7]. CEQ is a self-administered tool to assess
*Correspondence: [email protected] 1 University Obstetrics Unit, North Colombo Teaching Hospital (NCTH), Ragama, Sri Lanka Full list of author information is available at the end of the article
experience of women in different aspects of their labour and childbirth [7]. Women’s perceptions and experiences in childbirth are being barely evaluated in the Sri Lankan setting despite relatively better maternal and neonatal statistics in the region [8]. Every year 25–30 women commit suicide during pregnancy or within 1 year after birth in Sri Lanka [9]. Psychological morbidity among pregnant and postnatal mothers is an important area. Therefore, there is an urgent need to evaluate the quality of maternity care. CEQ seems to be the first tool validated in Sri Lanka aiming to assess childbirth experience. This would yield an opportunity to evaluate childbirth experience among Lankan population. Objectives were to conduct a linguistic translation, cultural adaptation and to conduct a validation study
© The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International Li
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