Obstetric violence assessment scale: development and validation

Authors

DOI:

https://doi.org/10.29352/mill0226.38806

Keywords:

experience; labor, obstetric; violence; women; psychometrics

Abstract

Introduction: Obstetric violence has been the subject of debate among health professionals and in the media.  

Objective: Develop and validate an instrument to measure women's obstetric violence perception of labor and delivery experience.

Methods: Based on the recommendations of the WHO, a scale composed of 38 statements was elaborated. The evaluation of the metric properties of the developed scale was carried out through an exploratory and confirmatory factor analysis involving 615 women.

Results: The final version of the scale, composed of 10 items, presented adequate adjustment indexes. The best quality model is composed of two dimensions (emotional and physical) (X2(34) = 150.946; p < 0.001, X2df = 4.440; CFI = 0.93; TLI = 0.88; GFI = 0.95; RMSEA = 0.07, p <0.001). The results revealed that the scale presents adequate internal consistency, in which the evaluation of exploratory factor validity verifies a good correlation between the variables. After analyzing the invariance of the type of calving, there was no metric invariance; however, the scalar invariance is sustainable.

Conclusion: The results demonstrate that the scale is adequate to assess the perception of obstetric violence in the experience of labor and delivery.

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References

Abbasi, S., Sadiq, S. S., Naz, S., Khalid, S., & Bukhari, A. (2022). Women’s experience with obstetric violence during hospital birth. Pakistan Journal of Medical and Health Sciences, 16(3), 506–508. https://doi.org/10.53350/pjmhs22163506

Akik, B. K. (2023). Obstetric Violence Questionnaire: Adaptation of a Turkish Self-Report Tool. Violence Against Women, 29(15–16), 3288–3301. https://doi.org/10.1177/10778012231181050

Barros, M. da L. F., & Franco, V. (2013). Decisão no parto por cesariana: Estudo qualitativo exploratório. International Journal of Developmental and Educational Psychology, 1(2), 673–680. https://www.redalyc.org/pdf/3498/349852173047.pdf

Cárdenas Castro, M., & Salinero Rates, S. (2021). Validación de la escala de violencia obstétrica y pruebas de la invarianza factorial en una muestra de mujeres chilenas. Interdisciplinaria Revista de Psicología y Ciencias Afines, 38(2), 209–223. https://doi.org/10.16888/interd.2021.38.2.14

Castro, R., & Frías, S. M. (2020). Obstetric violence in Mexico: Results from a 2016 national household survey. Violence Against Women, 26(6–7), 555–572. https://doi.org/10.1177/1077801219836732

Chadwick, R. (2021). The Dangers of Minimizing Obstetric Violence. Violence Against Women, 107780122110373. https://doi.org/10.1177/10778012211037379

Chadwick, R. (2023). The Dangers of Minimizing Obstetric Violence. Violence Against Women, 29(9), 1899–1908. https://pubmed.ncbi.nlm.nih.gov/34751065/

Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504. https://doi.org/10.1080/10705510701301834

Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9(2), 233–255. https://doi.org/10.1207/S15328007SEM0902_5

Costa, R., Figueiredo, B., Pacheco, A., Marques, A., & Pais, A. (2004). Questionário de experiência e satifação com o parto. Psicologia, Saúde & Doenças, 5(1), 159–187. https://repositorium.sdum.uminho.pt/bitstream/1822/5850/1/qesp%20artigo.pdf

Dwekat, I. M. M., Tengku Ismail, T. A., Ibrahim, M. I., & Ghrayeb, F. (2021). Exploring factors contributing to mistreatment of women during childbirth in West Bank, Palestine. Women and Birth, 34(4), 344–351. https://doi.org/10.1016/j.wombi.2020.07.004

Egan, L. A. V., Gutiérrez, M. A., Santiago, R. V., & Fernández, M. Â. L. (2016). ¿De qué hablamos cuando hablamos de violencia obstétrica? REVISTA CONAMED, 21(1), 7–25. https://dialnet.unirioja.es/servlet/articulo?codigo=7301335

Escobal, A. P. D. L., Andrade, A. P. M. D., Matos, G. C. D., Giusti, P. H., Cecagno, S., & Prates, L. A. (2022). Relationship between power and knowledge in choosing a cesarean section: Women’s perspectives. Revista Brasileira de Enfermagem, 75(2), e20201389. https://doi.org/10.1590/0034-7167-2020-1389

González, I. P. E., Espinosa Domínguez, E. E., García, C. Q., Chimeno, Á. R., & Borges, R. (2019). Comparison between different epidural analgesia modalities for labor. Revista Española de Anestesiología y Reanimación (English Edition), 66(8), 417–424. https://doi.org/10.1016/j.redare.2019.03.009

González-de La Torre Torre, H., González-Artero, P. N., Muñoz De León-Ortega, D., Lancha-de La Cruz, M. R., & Verdú-Soriano, J. (2023). Cultural Adaptation, Validation and Evaluation of the Psychometric Properties of an Obstetric Violence Scale in the Spanish Context. Nursing Reports, 13(4), 1368–1387. https://doi.org/10.3390/nursrep13040115

Jain, S., Dubey, S., & Jain, S. (2016). Designing and validation of questionnaire. International Dental & Medical Journal of Advanced Research - VOLUME 2015, 2(1), 1 – 3. https://abrir.link/qbZmI

Loke, A. Y., Davies, L., & Mak, Y. (2019). Is it the decision of women to choose a cesarean section as the mode of birth? A review of literature on the views of stakeholders. BMC Pregnancy and Childbirth, 19(1), 286. https://doi.org/10.1186/s12884-019-2440-2

Marôco, J. (2021a). Análise de equações estruturais: Fundamentos teóricos, software & aplicações (3rd ed.). ReportNumber.

Marôco, J. (2021b). Análise estatística com o SPSS statistics, v.18-27 (8th ed.). Report Number.

Marôco, J., & Garcia-Marques, T. (2006). Qual a fiabilidade do alfa de Cronbach? Questões antigas e soluções modernas? Laboratório de Psicologia, 4(1), 65–90. http://publicacoes.ispa.pt/index.php/lp/article/viewFile/763/706

Martínez-Galiano, J. M., Martinez-Vazquez, S., Rodríguez-Almagro, J., & Hernández-Martinez, A. (2021). The magnitude of the problem of obstetric violence and its associated factors: A cross-sectional study. Women and Birth, 34(5), e526–e536. https://doi.org/10.1016/j.wombi.2020.10.002

Martins, A. P. D. C., Jesus, M. V. N. D., Júnior, P. P. D. P., & Passos, C. M. D. (2018). Aspectos que influenciam a tomada de decisão da mulher sobre o tipo de parto. Revista Baiana de Enfermagem‏, 32. https://doi.org/10.18471/rbe.v32.25025

Matos, D. A. S., & Rodrigues, E. C. (2019). Análise Fatorial. Enap.

Melo, A. D. S., Silva, S. B. S. D., Costa, F. B. D., Barbosa, M. D. S. A., Nascimento, K. C. D., & Reis, R. P. D. (2020). Assistência de enfermagem frente à violência obstétrica: Um enfoque nos aspectos físicos e psicológicos. Brazilian Journal of Development, 6(10), 83635–83650. https://doi.org/10.34117/bjdv6n10-703

Melo, B. L. P. L., Moreira, F. T. D. S., Moreira De Alencar, R., Magalhães, B. D. C., Cavalcante, E. R., Maia, E. R., & Albuquerque, G. A. (2022). Violência obstétrica à luz da Teoria da Diversidade e Universalidade do Cuidado Cultural. Revista Cuidarte. https://doi.org/10.15649/cuidarte.1536

Mena-Tudela, D., Cervera-Gasch, A., Alemany-Anchel, M. J., Andreu-Pejó, L., & González-Chordá, V. M. (2020). Design and validation of the PercOV-S questionnaire for measuring perceived obstetric violence in nursing, midwifery and medical students. International Journal of Environmental Research and Public Health, 17(21), 8022. https://doi.org/10.3390/ijerph17218022

Mendes, J., Sousa Santos, A. P., & Tavares, M. (2022). Perceções da violência obstétrica pelas parturientes e profissionais de saúde: Uma revisão scoping. Revista Portuguesa de Investigação Comportamental e Social, 8(2), 1–15. https://doi.org/10.31211/rpics.2022.8.2.271

Paiz, J. C., De Jezus Castro, S. M., Giugliani, E. R. J., Dos Santos Ahne, S. M., Aqua, C. B. D., Souto, A. S., & Giugliani, C. (2022). Development of an instrument to measure mistreatment of women during childbirth through item response theory. PLOS ONE, 17(7), e0271278. https://doi.org/10.1371/journal.pone.0271278

Perrotte, V., Chaudhary, A., & Goodman, A. (2020). “At Least Your Baby Is Healthy” Obstetric Violence or Disrespect and Abuse in Childbirth Occurrence Worldwide: A Literature Review. Open Journal of Obstetrics and Gynecology, 10(11), 1544–1562. https://doi.org/10.4236/ojog.2020.10110139

Ribeiro, K. G., Ribeiro, T. C. D. S. M., Dias, R. D. S. F., Neta, M. E., Leite, M. G., Silva, K. S., Moraes, D. S., Gusmão, R. O. M., De Freitas, M. A., & Junior, R. F. D. S. (2021). Caracterização da violência obstétrica na produção científica: Uma revisão integrativa. Revista Eletrônica Acervo Saúde, 13(4), e6604. https://doi.org/10.25248/reas.e6604.2021

Silva, J. C. O., Brito, L. M. C., Alves, E. S., Medeiros Neto, J. B. D., Santos Junior, J. L. P. D., Marques, N. M., Lopes, T. M. D. O., Alexandre, J. D. A., & Santos, L. J. R. P. (2023). Impactos da violência obstétrica no Brasil: Uma revisão de literatura. Research, Society and Development, 12(2), e10812239950. https://doi.org/10.33448/rsd-v12i2.39950

Terribile, D. C., & Filho, C. I. S. (2023). Perceptions of the Brazilian obstetrics physicians about the term obstetric violence: A cross-sectional study. Revista Da Associação Médica Brasileira, 69(2), 252–256. https://doi.org/10.1590/1806-9282.20220945

Toronto, C. E., & Remington, R. (Eds.). (2020). A step-by-step guide to conducting an integrative review. Springer International Publishing. https://doi.org/10.1007/978-3-030-37504-1

White VanGompel, E. W., Lai, J., Davis, D., Carlock, F., Camara, T. L., Taylor, B., Clary, C., McCorkle‐Jamieson, A. M., McKenzie‐Sampson, S., Gay, C., Armijo, A., Lapeyrolerie, L., Singh, L., & Scott, K. A. (2022). Psychometric validation of a patient‐reported experience measure of obstetric racism© (The PREM‐OB ScaleTM suite). Birth, 49(3), 514–525. https://doi.org/10.1111/birt.12622

WHO. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization. https://iris.who.int/handle/10665/260178

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Published

2025-02-13

How to Cite

Tavares, M., Alexandre-Sousa, P., Carvalho, S., Loureiro, S., & Mendes, J. (2025). Obstetric violence assessment scale: development and validation . Millenium - Journal of Education, Technologies, and Health, (26), e38806. https://doi.org/10.29352/mill0226.38806

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Section

Life and Healthcare Sciences