A simple tool to measure patient perceptions of operative birth
Article first published online: 23 SEP 2009
© 2009 The Authors Journal compilation © RCOG 2009 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 116, Issue 13, pages 1755–1761, December 2009
How to Cite
Siassakos, D., Clark, J., Sibanda, T., Attilakos, G., Jefferys, A., Cullen, L., Bisson, D. and Draycott, T. (2009), A simple tool to measure patient perceptions of operative birth. BJOG: An International Journal of Obstetrics & Gynaecology, 116: 1755–1761. doi: 10.1111/j.1471-0528.2009.02363.x
- Issue published online: 11 NOV 2009
- Article first published online: 23 SEP 2009
- Accepted 31 July 2009. Published Online 23 September 2009.
- Patient satisfaction;
- operative birth;
- quality improvement;
- outcome assessment
Objective To assess the feasibility and validity of a maternal satisfaction measurement tool, the SaFE study Patient Perception Score (PPS), after operative delivery.
Design Cross-sectional survey.
Setting A large maternity unit in England.
Sample 150 women who had had an operative birth.
Methods We recruited women within 24 hours of birth and quantified their satisfaction with two questionnaires: PPS, and the Mackey Childbirth Satisfaction Rating Scale (CSRS; modified).
Main Outcome Measures Participation rate to determine feasibility; Cronbach’s alpha as measure of internal consistency; PPS satisfaction scores for groups of accoucheurs of different seniority to assess construct validity; correlation coefficient of PPS scores with total scores from the CSRS questionnaire to establish criterion validity.
Results Participation rate approached 85%. We observed high scores for most births except a few outliers. Internal consistency of the PPS was high (Cronbach’s alpha = 0.83). Total PPS scores correlated strongly with total CSRS scores (Spearman’s r = 0.64, P < 0.001).
Conclusions The PPS is a simple and valid tool for patient-centred assessments. High scores were observed for most births but there were a small minority of accoucheurs who consistently scored poorly and these data could be used during appraisal and training.