Measuring Desire for Control in the Childbirth Environment

Abstract

The experience of childbirth has demonstrable impact on a new mother's postpartum adjustment. The substantial prevalence of negative childbirth experiences has lead researchers to investigate factors characterizing positive versus negative experiences. Researchers have questioned whether congruence between desired and perceived control influences childbirth satisfaction. The current study was designed to develop an instrument to assess desire for control. Items were modified from three original instruments and administered to pregnant women recruited from outpatient obstetric clinics and online. Twenty-one items loaded on a single common factor reflecting desire for behavioral control in the childbirth setting. Four items loaded on a second factor reflecting desire for information. The 21 item scale (DCCh-B) discriminated from self-efficacy and health locus of control. Women who reported higher desire for control were more likely to choose non-traditional caregivers and labor support. Results of these preliminary analyses are presented with recommendations for future development of the DCCh-B.