Abstract
The Obstetric Quality of Recovery (ObsQoR-11) score is a new scoring tool that assesses maternal recovery after cesarean section (CS). We aimed to validate the translated Korean version of ObsQoR-11 (ObsQoR-11K) after elective CS. We validated ObsQoR-11K between March 2021 to August 2021. Validity (convergent, discriminant, and construct), reliability (Cronbach’s α, inter-item, split-half, and test-retest correlation), responsiveness, and clinical feasibility (recruitment rate and time for ObsQoR-11K completion) of ObsQoR-11K were evaluated. One hundred and twenty women completed the ObsQoR-11K 24 h after CS, and 24 women repeated it 25 h after CS. We found good convergent validity between the ObsQoR-11K score and the global health numerical rating scale (NRS) (ρ = 0.73 (95% CI 0.64 to 0.81); p < 0.001). The ObsQoR-11K score discriminated well between good (NRS ≥ 70 mm, n = 68, 69.6 ± 13.7) and poor recovery (NRS < 70 mm, n = 52, 50.6 ± 12.6, p < 0.001). The ObsQoR-11K score showed acceptable internal consistency (Cronbach’s α = 0.78), split-half reliability (0.89), intra-class correlation > 0.4, and no floor or ceiling effect. Of the participants, 100% completed the ObsQoR-11K and median (IQR) time for ObsQoR-11K completion was 81 s (66–97.5 s). ObsQoR-11K is a valid and reliable scoring tool for assessing maternal recovery after elective CS in Korean women.
Highlights
Cesarean section (CS) is one of the most frequently performed surgical procedures in obstetrics and gynecology [1]
Since they were utilized for individuals under general anesthesia, they may not be suitable for the evaluation of mothers who mainly underwent regional anesthesia
From March 2021 to August 2021, 147 women scheduled for elective CS were assessed for eligibility
Summary
Cesarean section (CS) is one of the most frequently performed surgical procedures in obstetrics and gynecology [1]. QoR scoring tools for this obstetric population are limited. Several scoring tools, including QoR-40 [4], QoR-15, [5] EuroQol-5D [6], and Short Form Health Survey [7], have been used to measure maternal recovery after CS, but they have not been validated in obstetric settings. These scoring tools do not include items such as neonatal care, which is necessary for discharge. Since they were utilized for individuals under general anesthesia, they may not be suitable for the evaluation of mothers who mainly underwent regional anesthesia
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