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Abstract
Satisfaction has become an important outcome measure. The purpose of this study was
to develop a valid, reliable maternal satisfaction scale for women undergoing caesarean
section. After Research Ethics Board approval, each patient gave verbal consent. To
ensure face validity, patients were interviewed before and after caesarean section.
Interviewing until no new items were generated ensured content validity. A draft scale
using a 7 point Likert scale was given to 115 patients. Items endorsed by less than
15% of patients were deleted. Item-total correlations, principal component and factor
analysis were performed and items in factors with less than three items or complex
loadings excluded. Correlating the new scale to a Visual Analogue Scale (VAS) for
satisfaction assessed construct validity. Reliability, as measured by internal consistency,
was tested using Cronbach's α. Twenty-five women were interviewed for item generation.
Patients were both nulliparous and multiparous and all received regional anaesthesia
for elective or non-emergent caesarean section. Six items of the 33 on the draft scale
were excluded because of lack of endorsement. Five items were excluded after principal
component and factor analysis and two after item-total correlations. The correlation
between the scale total and the VAS was 0.48. Cronbach's α was 0.82 for the total
scale. Maternal sense of control was the item most related to satisfaction. This scale
provides more detailed information than a simple VAS. In the population studied, this
tool was found to be a valid and reliable method for assessing maternal satisfaction
in women undergoing non-emergent caesarean section.
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© 1999 Published by Elsevier Inc.
