Childbirth Attitudes Questionnaire Analysis

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2.3.1. Childbirth Attitudes Questionnaire (CAQ)
Childbirth Attitudes Questionnaire (CAQ) was first created by Harman (19), but he did not examine the reliability and validity of the Scale. Lowe revised the scale and demonstrated reliability and validity of the Scale (3). The original version of the Scale consists of 16 items that are scored on a 4-point Likert scale ranging from 1 to 4. Items begin with “fear of” such as “fear of the baby being injured during childbirth,” “fear of being torn during childbirth,” ‘‘fear of having to have a caesarean section,’’ and ‘‘fear of something being wrong with the baby’’. The internal consistency of the 16 items was good (Cronbach’s alpha = 0.83). The Farsi CAQ consisted of 14 items with total points
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The State Anxiety Inventory measures anxiety at the time of assessment, which can fluctuate over time. The Trait Anxiety Inventory measures anxiety level as a personal characteristic, which is stable over time. Each scale included 20 items with a response scale of 1-4. The scales’ total score ranges from 20 to 80, with higher scores indicating higher anxiety. The STAI showed good internal consistency (Cronbach’s alpha = 0.89) (22). Mahram translated the scale into Farsi and confirmed the validity of the instrument. The internal consistency of the state (Cronbach’s alpha = 0.91) and trait (Cronbach’s alpha = 0.90) items were excellent (23).
2.3.3. Edinburgh Postpartum Depression Scale (EPDS)
The Edinburgh Postpartum Depression Scale (EPDS) was developed by Cox et al. (24) to use in postpartum women. It consisted of 10 items. Each item is rated on a 4-point Likert scale, yielding maximum scores of 30. The scale was translated into Farsi and validated. The EPDS discriminated well between women with caesarean and women with vaginal delivery (25).
2.3.4. Wijma Delivery Expectancy/Experience Questionnaires
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Some women confused and stated that the questionnaire was hard to rate. A sentence was substituted instead of a two-tailed phrase for each item except items 32 and 33; so that women could rate each item on a 6-point Likert scale ranging from 0 (completely agree) to 5 (completely disagree).
2.5. Research ethics
The Ethics Committee of Sabzevar University of Medical Sciences approved the study protocol (Approval No: Medsab.Rec.93.38). permission to translate and use the W-DEQ was obtained from the author before the beginning of the study. Women were ensured that their information will be kept confidential. They had signed the informed consent form before they were instructed on how to complete the questionnaires.
2.6. Statistical

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