Paediatric Anaesthesia and Intensive Care
Background and Goal of Study: Maternal satisfaction during labor and delivery is influenced by four major categories: control and self-efficacy; involvement in the decision-making; maternal expectations and level of pain. The purpose of our study was to create and validate a questionnaire to assess maternal satisfaction with epidural analgesia.
Materials and Methods: The questionnaire was developed as follows: review of the international literature and open interviews to opinion leaders and mothers; postpartum audio-recorded interviews to a pilot sample of 50 mothers to determine qualitative assessment of the frequency analysis; construction of preliminary questionnaire including all the dimensions identified (103 items) and items operationalization; administration of the preliminary questionnaire and removal of less discriminating items; development of a 2nd questionnaire (76 items) given to 251 mothers and subjected to exploratory factor analysis and preliminary reliability assessment; removal of items with unacceptable factor saturation and construction of final questionnaire (36 items). This final version was administered to mothers and statistically validated by confirmatory factor, internal consistency, construct validity and internal consistency reliability analysis.
Results and Discussion: The final questionnaire included 36 items evaluated on a 5 point Likert scale which are reported in the Table. According to the statistical analysis we identified two macro-dimensions of maternal satisfaction. The first included questions related to the subjective positive experience of woman which were related to emotional and relational aspects but also to the experience of epidural analgesia, which contributed to the creation of satisfaction with childbirth. The second included items related to the relationship with the hospital staff.
Conclusion: Satisfaction is multidimensional and therefore difficult to define, assess and measure. We built and validated a questionnaire to assess maternal satisfaction with epidural analgesia and we hope it will be an useful tool to evaluate properly maternal satisfaction.