Research Article
Psychometric Evaluation of the Persian Version of the Childbirth
Experience Questionnaire (CEQ)
Samiyeh Kazemi ,
1
Anna Dencker ,
2
Farzaneh Pazandeh ,
3,4
Ali Montazeri ,
5
Sedigheh Sedigh-Mobarakabadi ,
4
and Sepideh Hajian
4
1
Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti
University of Medical Sciences, Tehran 19968-35119, Iran
2
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg 457, 40530, Sweden
3
School of Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK
4
Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of
Medical Sciences, Tehran 19968-35119, Iran
5
Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR,
Tehran 13157-95795, Iran
Correspondence should be addressed to Farzaneh Pazandeh; pazandehf@gmail.com
Received 21 August 2020; Revised 7 November 2020; Accepted 30 November 2020; Published 10 December 2020
Academic Editor: Gaetano Valenti
Copyright © 2020 Samiyeh Kazemi et al. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Women’s childbirth experience is an outcome indicator for evaluating maternity care. This study evaluated the psychometric
properties of the Persian version of the Childbirth Experience Questionnaire (P-CEQ). The study recruited two hundred and
fifty primiparous postpartum women in the 1-3 months following birth from one private and three public hospitals in
Mazandaran province, Iran. First, face validity and content validity were evaluated. Moreover, confirmatory factor analysis
(CFA) was conducted, and discriminant validity was assessed by applying the known-groups method. Intraclass correlation
coefficient (ICC) was measured to confirm the stability and Cronbach’s alpha to confirm the internal consistency. CFA also
confirmed the values of fit indices (RMSEA = 0.05, SRMSR = 0.06, CFI >0.93, χ
2
/df = 1.80). ICC was 0.88 and Cronbach’s alpha
for all items was 0.85. Furthermore, discriminant validity of the P-CEQ was approved given that it effectively differentiated
women whose stay in the labor unit exceeded twelve hours from those with a shorter stay. The P-CEQ questionnaire is a valid
and reliable tool for assessing childbirth experiences. It is an easy-to-use questionnaire that can be used for evaluating quality of
care in terms of women’s childbirth experience. It can be used in maternity services that aim to improve quality of care during
labor and childbirth.
1. Introduction
Childbirth is an invaluable process that affects the health of
women and their babies and their emotional connection, as
well as sexual activity and the desire to have further children
[1, 2]. A positive childbirth experience creates a positive atti-
tude toward normal childbirth by creating a sense of control,
power, satisfaction, and reassurance for women [3, 4]. The
negative childbirth experience is linked to lower rates of
breastfeeding, increased maternal-infant communication
disorders at birth, and may lead to postpartum depression
and posttraumatic stress disorder (PTSD) [5, 6]. The World
Health Organization (WHO) has issued guidelines recogniz-
ing a “positive childbirth experience” as a significant end-
point for all women undergoing labor [2].
In recent years, significant reductions in maternal and
newborn mortality rates have been reported in Iran, mostly
due to increased birth facilities and skilled birth attendants
[7]. However, a review of the existing literature in Iran shows
that the medicalization of childbirth has led to increasing
medical interventions and technologies including early
admission in labor, stimulation and induction of labor,
Hindawi
BioMed Research International
Volume 2020, Article ID 6879283, 7 pages
https://doi.org/10.1155/2020/6879283