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Childbirth experience questionnaire: validating its use in the United Kingdom

Walker, Kate F.; Wilson, Philippa; Bugg, George; Dencker, Anna; Thornton, Jim


Clincial Associate Professor Inobstetrics / anne Mclaren Fellow

Philippa Wilson

George Bugg

Anna Dencker

Jim Thornton


The Childbirth Experience Questionnaire (CEQ) was developed in Sweden in 2010 and validated in 920 primiparous women. It has not been validated in the United Kingdom (UK). Measuring the impact of an intervention on a woman's childbirth experience is arguably as important as measuring its impact on outcomes such as caesarean delivery and perinatal morbidity or mortality and yet surprisingly it is rarely done. The lack of a robust validated tool for evaluating labour experience in the UK is a topical issue in the UK at present. Indeed NICE say 'A standardised method to measure and quantify women's psychological and emotional wellbeing and their birth experiences is urgently required to support any study investigating the effectiveness of interventions, techniques or strategies during birth.'
The Childbirth Experience Questionnaire and part of the Care Quality Commission Maternity Survey (2010) was sent to 350 women at one month postnatal. The CEQ was sent again two weeks later. The CEQ was tested for face validity among 25 postnatal mothers. Demographic data and delivery data was used to establish construct validity of the CEQ using the method of known-groups validation. The results of the scored CEQ sent out twice were used to measure test-retest reliability of the CEQ by calculating the quadratic weighted index of agreement between the two scores. Criterion validity was measured by calculating the Pearson correlation coefficient for the CEQ and Maternity Survey scores.
Face validity of the CEQ in a UK population was demonstrated with all respondents stating it was easy to understand and complete. A statistically significantly higher CEQ score for subgroups of women known to report a better birth outcome demonstrated construct validity of the CEQ. A weighted kappa of 0.68 demonstrated test-retest reliability of the CEQ. A Pearson correlation co-efficient of 0.73 demonstrated a strong correlation between the results of the CEQ and the results of the 'gold standard' assessment of childbirth experience in the UK: the Maternity Survey and hence criterion validity of the CEQ.
The Childbirth Experience Questionnaire is a valid and reliable measure of childbirth experience in the UK population.


Walker, K. F., Wilson, P., Bugg, G., Dencker, A., & Thornton, J. (2015). Childbirth experience questionnaire: validating its use in the United Kingdom. BMC Pregnancy and Childbirth, 15(86), doi:10.1186/s12884-015-0513-4

Journal Article Type Article
Publication Date Apr 7, 2015
Deposit Date Feb 18, 2016
Publicly Available Date Feb 18, 2016
Journal BMC Pregnancy and Childbirth
Electronic ISSN 1471-2393
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 15
Issue 86
Keywords Childbirth experience questionnaire, Content validity, Criterion validity, Construct validity, Test-retest reliability, Birth satisfaction
Public URL
Publisher URL
Copyright Statement Copyright information regarding this work can be found at the following address:


art%3A10.1186%2Fs12884-015-0513-4.pdf (411 Kb)

Copyright Statement
Copyright information regarding this work can be found at the following address:

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