Abstract:
BACKGROUND:Fear of childbirth is a common health concern for women during pregnancy. The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) is widely used to measure childbirth fear during pregnancy. However, this instrument is yet to be validated in Malawi, Africa. Our study aimed to assess the psychometric properties of the W-DEQ questionnaire in Malawi. METHODS:Healthy pregnant women in the third trimester (N = 476) at a district hospital in Malawi were included. Fear of childbirth, depressive symptoms, and quality of life were assessed using the W-DEQ, the Edinburg Postnatal Depression Scale, and the World Health Organization Quality of Life scale, respectively. The construct validity, reliability, and convergent validity of the W-DEQ were examined using exploratory and confirmatory factor analyses, Cronbach's alpha, and Pearson correlations. RESULTS:The mean age of participants was 28.2 (standard deviation = 6.8) years. Exploratory and confirmatory factor analysis of the Malawian version of the W-DEQ indicated a multidimensional structure with three factors: fear, negative appraisal, and a lack of self-efficacy, with acceptable goodness of model fit. The Malawian version of the W-DEQ showed a satisfactory internal consistency (α = 0.84) and was significantly correlated with depressive symptoms (r = 0.23, p < 0.001) and quality of life (r = - 0.17 ~ -0.26, ps < 0.05). CONCLUSIONS:Our findings support the Malawian W-DEQ version being a reliable and valid instrument for measuring childbirth fear in African women.
journal_name
BMC Pregnancy Childbirthjournal_title
BMC pregnancy and childbirthauthors
Khwepeya M,Huang HC,Lee GT,Kuo SYdoi
10.1186/s12884-020-03146-wsubject
Has Abstractpub_date
2020-08-08 00:00:00pages
455issue
1issn
1471-2393pii
10.1186/s12884-020-03146-wjournal_volume
20pub_type
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
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更新日期:2013-06-07 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12884-016-0988-7
更新日期:2016-08-03 00:00:00
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更新日期:2019-07-09 00:00:00
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更新日期:2021-01-22 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章,随机对照试验
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更新日期:2013-03-12 00:00:00
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journal_title:BMC pregnancy and childbirth
pub_type: 杂志文章
doi:10.1186/s12884-017-1351-3
更新日期:2017-06-06 00:00:00
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journal_title:BMC pregnancy and childbirth
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2019-07-19 00:00:00
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更新日期:2018-10-19 00:00:00
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