The Study Of Maternal Childbirth Experience Of Spontaneous Labor

Purpose To use the combination of quantitative and qualitative research method for a comprehensive understanding of the demand and status of maternal childbirth experience.to provide a theoretical basis for obstetric medical personnel on professional support and improving maternal childbirth experienceMethods This study was using the combination ofqualitative and quantitative methods in a hospital in Hefei.The first part of the firststudy of quantitative research of maternal childbirth experiences of Spontaneous Labor：Firstly, to obtain the consent of Dencker, according to the questionnaire localization program, eventually the English version ofthe questionnaire formed the Chinese Childbirth Experience Questionnaire. In September 2014～October 2015 by convenient sampling method in a hospital in Hefei for 298, in 1-3 days postpartum, maternal childbirth experience used the Chinese version of the questionnaire and the Positive and Negative Affect Scale (PANAS) measured as a criterion to evaluate CEQ2.0 criterion-related validity. Internal consistency reliability using Cronbach’s alpha, retest reliability using the Spearman correlation coefficient evaluation, content validity using the method of expert evaluation, structure validity of using principal component factor analysis method;The second part:The Chinese Childbirth Experience Questionnaire was adopted to investigate in a hospital in Hefei for 411 puerpera, Using t test, analysis of variance and multivariate stepwise regression analysis to describe the current situation and related social demographic factors of maternal childbirth experience in Hefei.The second study of qualitative research of the maternal childbirth experience:The research used Positive psychology theory as the instruction, adopted qualitative research methods, applicated depth of semi-structured interview and on-site observation to interview 10 puerpera, and used the content analysis method to analysis the data.Results Part I:The Chinese version CEQ2.0 content evaluation results with experts, entry content validity was 0.8-1.0, the content validity index was 0.904; Exploratory factor analysis indicated seven factors those explained 64.46% of the total variances. The Cronbach’s a of the CEQ2.0 was 0.81.PartII:The total score of maternal childbirth experience was (74.27±0.41) points; Single factor analysis showed that seven aspects has a certain effect on maternal childbirth experience level (P< 0.05),such as maternal age, one-child, type (primipara, multipara), perineum tear, the total labor time, the number of pregnancy and spouse age;Further multiple stepwise regression analysis showed that demographic factors influencing level of maternal childbirth experience was maternal age.The second study:This research adopts phenomenological research methods in the qualitative research and concluded six themes of maternal childbirth experience,such as emotional experience, support and demand, pain, shorten labor, on fetal health, and the influence of expectant mothers at the same time.ConclusionThe indexes of the Chinese CEQ2.0 were within acceptable levels of psychology measurement and suited for maternal childbirth experience in China’s cultural background. This study through quantitative and qualitative to fully understand the maternal childbirth experience, and help medical staff to evaluate the maternal objective demand and grasp its individual labor experience, later laid a theoretical foundation to further improve maternal childbirth experience.