Validation of the Spanish version of mackey childbirth satisfaction rating scale

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Título: Validation of the Spanish version of mackey childbirth satisfaction rating scale
Autor/es: Caballero, Pablo | Delgado García, Beatriz Elena | Orts-Cortés, María Isabel | Moncho, Joaquin | Pereyra-Zamora, Pamela | Nolasco, Andreu
Grupo/s de investigación o GITE: Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia
Centro, Departamento o Servicio: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia | Universidad de Alicante. Departamento de Enfermería
Palabras clave: Childbirth satisfaction | Labor | Survey research | Validation | Psychometric behavior | Reliability
Área/s de conocimiento: Enfermería
Fecha de publicación: 16-abr-2016
Editor: BioMed Central
Cita bibliográfica: BMC Pregnancy and Childbirth. 2016, 16:78. doi:10.1186/s12884-016-0862-7
Resumen: Background: The “Mackey Childbirth Satisfaction Rating Scale” (MCSRS) is a complete non-validated scale which includes the most important factors associated with maternal satisfaction. Our primary purpose was to describe the internal structure of the scale and validate the reliability and validity of concept of its Spanish version MCSRS-E. Methods: The MCSRS was translated into Spanish, back-translated and adapted to the Spanish population. It was then administered following a pilot test with women who met the study participant requirements. The scale structure was obtained by performing an exploratory factorial analysis using a sample of 304 women. The structures obtained were tested by conducting a confirmatory factorial analysis using a sample of 159 women. To test the validity of concept, the structure factors were correlated with expectations prior to childbirth experiences. McDonald’s omegas were calculated for each model to establish the reliability of each factor. The study was carried out at four University Hospitals; Alicante, Elche, Torrevieja and Vinalopo Salud of Elche. The inclusion criteria were women aged 18–45 years old who had just delivered a singleton live baby at 38–42 weeks through vaginal delivery. Women who had difficulty speaking and understanding Spanish were excluded. Results: The process generated 5 different possible internal structures in a nested model more consistent with the theory than other internal structures of the MCSRS applied hitherto. All of them had good levels of validation and reliability. Conclusions: This nested model to explain internal structure of MCSRS-E can accommodate different clinical practice scenarios better than the other structures applied to date, and it is a flexible tool which can be used to identify the aspects that should be changed to improve maternal satisfaction and hence maternal health.
Patrocinador/es: We are grateful to the Ministry of Heath of Spain for funding the study under the Healthcare Research Founding Carlos III (PI09/90257).
ISSN: 1471-2393
DOI: 10.1186/s12884-016-0862-7
Idioma: eng
Tipo: info:eu-repo/semantics/article
Derechos: © 2016 Caballero et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
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