title: Validation of the Spanish version of Mackey childbirth satisfaction rating scale.
abstract: 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.
authors.affiliation: Department of Community Nursing, Preventive Medicine and Public Health and History of Science Health. Faculty of Health Sciences. University of Alicante, 03690 San Vicente del Raspeig, Alicante, Spain. pablo.caballero@ua.es.
authors.forename: Pablo
authors.initials: P
authors.lastname: Caballero
authors.affiliation: Obstetrics and Gynecology Service, University Hospital of Vinalopó, Alicante, Spain.
authors.forename: Beatriz E
authors.initials: BE
authors.lastname: Delgado-García
authors.affiliation: Department of Nursing, University of Alicante, Alicante, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Orts-Cortes
authors.affiliation: Department of Community Nursing, Preventive Medicine and Public Health and History of Science Health. Faculty of Health Sciences. University of Alicante, 03690 San Vicente del Raspeig, Alicante, Spain.
authors.forename: Joaquin
authors.initials: J
authors.lastname: Moncho
authors.affiliation: Department of Community Nursing, Preventive Medicine and Public Health and History of Science Health. Faculty of Health Sciences. University of Alicante, 03690 San Vicente del Raspeig, Alicante, Spain.
authors.forename: Pamela
authors.initials: P
authors.lastname: Pereyra-Zamora
authors.affiliation: Department of Community Nursing, Preventive Medicine and Public Health and History of Science Health. Faculty of Health Sciences. University of Alicante, 03690 San Vicente del Raspeig, Alicante, Spain.
authors.forename: Andreu
authors.initials: A
authors.lastname: Nolasco
mesh_terms: D000293:Adolescent; D000328:Adult; D036861:Delivery, Obstetric / Q000379:methods / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007802:Language; D008875:Middle Aged; D036801:Parturition / Q000523:psychology*; D017060:Patient Satisfaction; D010865:Pilot Projects; D011247:Pregnancy; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014177:Translations; D055815:Young Adult
keywords: Childbirth satisfaction; Labor; Psychometric behavior; Reliability; Survey research; Validation