WeBirthStudy: Questionnaire for assessing waterbirth experience design and validation

ISRCTN ISRCTN48249712
DOI https://doi.org/10.1186/ISRCTN48249712
Submission date
21/06/2020
Registration date
01/07/2020
Last edited
15/01/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Water birth is the process of giving birth in water using a deep bath or birthing pool. Being in water during labour can help with pain as well as being more relaxing and soothing than being out of water. The water can help to support the weight, making it easier to move around and feel more in control during labour. Waterbirth has become an increasingly popular childbirth option. However, there is no specific questionnaire for evaluating waterbirth experience. The aim of this study was to design and develop a self-reporting questionnaire to evaluate the waterbirth experience.

Who can participate?
Adult women who have experience of waterbirth, and can speak Spanish.

What does the study involve?
The study sample will be recruited in Hospital Germans trias i Pujol, located in the Barcelona region and belong to the Catalan Health Service. Participants will be informed of the nature of the study and recruited in the delivery room or hospitalization ward. Recruitment will be continuous throughout different time periods on all days of the week during the period October 2022 to December 2024. Spanish Questionnaire for Assessing Waterbirth Experience (QAWE) version will be sent to the participants online between 1 and 3 months postpartum together a questionnaire on sociodemographic and clinical variables.
The study involves the waterbirth experience questionnaire creation and the description of the obstetrical and neonatal results obtained and also the description of the facility agents and barriers of waterbirth.

What are the possible benefits and risks of participating?
There are no risks of participating since postpartum women have to answer an online questionnaire after one month of birth. However, they will be contributing to the creation of a valid and reliable instrument, which allows health professionals to evaluate waterbirth experience and can be used to assess the quality of health care, incorporating the point of view of women, and contribute to the evaluation and monitoring of the changes introduced with the new delivery care model.

Where is the study run from?
Hospital Germans Trias i Pujol (Badalona) Spain.

When is the study starting and how long is it expected to run for?
June 2020 to December 2025

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Pablo Rodríguez Coll, prodriguezc.germanstrias@gencat.cat
Eva Gilaberte Martínez: eva.gilaberte@gmail.com
Roser Palau Costafreda, roser.palau@gmail.com

Contact information

Mr Pablo Rodriguez Coll
Scientific

Ronda Pinetons 6
Mollet del Vallés
Barcelona
08100
Spain

ORCiD logoORCID ID 0000-0002-9296-4178
Phone +34 633136676
Email prodriguezc.germanstrias@gencat.cat
Ms Roser Palau Costafreda
Public

Av. Mancomunitats Comarcals, 1, 3
Martorell
Barcelona
08760
Spain

Phone +34 696935618
Email roser.palau@gmail.com

Study information

Study designMulticentre observational transverse trial
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Hospital
Study typeScreening
Participant information sheet ISRCTN48249712_PIS.docx
Scientific titleDesign and validation of a questionnaire for assessing waterbirth experience
Study acronymWeBirthStudy
Study hypothesisWaterbirth has become an increasingly popular childbirth option. However, there is no specific questionnaire for evaluating waterbirth experience. The aim of this study was to design and develop a self-reporting questionnaire to evaluate the waterbirth experience
Ethics approval(s)

Approved 17/12/2021, COMITÉ DE ÉTICA DE LA INVESTIGACIÓN - HOSPITAL UNIVERSITARIO GERMANS TRIAS I PUJOL (Ctra. de Canyet s/n, Badalona, Barcelona, 08916, Spain; +34 934 65 12 00; avaluacionsceic.germanstrias@gencat.cat), ref: PI-21-326

ConditionScreening tool for evaluating waterbirth experience
InterventionParticipants will be informed and recruited in the delivery room or hospitalization ward. They will receive an e-mail from one to two months after waterbirth, inviting them to answer the online questionnaire that includes the created waterbirth questionnaire and a questionnaire on sociodemographic variables. If they do not answer, they will be recalled by the researcher's team. Once they answer the e-mail, their participation will be finished.
Intervention typeOther
Primary outcome measureWaterbirth Experience will be evaluated using the created specific questionnaire one month after birth as a minimum.
Secondary outcome measures1. Obstetrical results from participants will be obtained and of measured using hospital records
2. Neonatal results of participants' children will be obtained and measured using hospital records
3. Waterbirth facilitators and barriers will be obtained and measured from two focus group composed of 5 postpartum women who gave birth in water. Information will be recorded, transcribed and triangulated to obtain those barriers and facilitators identified by women participating in this phase of the study. Phase I: questionnaire creation
Overall study start date15/06/2020
Overall study end date01/12/2025

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participantsBetween 15 and 20 per item
Participant inclusion criteriaCurrent inclusion criteria as of 20/10/2023:

1. Older than 18 years
2. Able to understand Spanish
3. Have computer knowledge in order to answer an online questionnaire
4. Have used water immersion during birth

_____

Previous inclusion criteria:

1. Older than 18 years
2. Able to understand Spanish
3. Have computer knowledge in order to answer an online questionnaire
4. Have given birth using waterbirth
Participant exclusion criteriaDoes not meet inclusion criteria
Recruitment start date11/10/2022
Recruitment end date01/12/2025

Locations

Countries of recruitment

  • Spain

Study participating centre

Hospital Germans Trias i Pujol
Ctra. de Canyet s/n
Badalona
08916
Spain

Sponsor information

Hospital de Mollet
Hospital/treatment centre

Ronda Pinetons, 6
Mollet del Vallès
Barcelona
08100
Spain

Phone +34 935 63 61 00
Email gestioconeixement@fsm.cat
Website https://www.fsm.cat/web/
Fundació Hospital Sant Joan de Déu de Martorell
Hospital/treatment centre

Av. Mancomunitats Comarcals, 1, 3
Martorell
Barcelona
08760
Spain

Phone +34 937 74 20 20
Email uac@hmartorell.es
Website https://fhsjdm.cat/

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/11/2026
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 03/07/2020 No Yes

Additional files

ISRCTN48249712_PIS.docx
Uploaded 03/07/2020

Editorial Notes

15/01/2025: The following changes were made:
1. The overall end date was changed from 01/12/2024 to 01/12/2025.
2. The recruitment end date was changed from 01/12/2024 to 01/12/2025.
3. The intention to publish date was changed from 01/11/2025 to 01/11/2026
20/10/2023: The following changes were made to the trial record:
1. The ethics approval was added.
2. The overall end date was changed from 01/07/2021 to 01/12/2024.
3. The inclusion criteria were changed.
4. The recruitment start date was changed from 24/07/2020 to 11/10/2022.
5. The recruitment end date was changed from 31/12/2020 to 01/12/2024.
6. The study participating centres Fundació Hospital Sant Joan de Déu de Martorell, Hospital de Mollet were removed and Hospital Germans Trias i Pujol was added.
7. The plain English summary was updated to reflect these changes.
8. The intention to publish date was changed from 01/07/2022 to 01/11/2025.
9. The contact emails were updated.
03/07/2020: Uploaded protocol (not peer reviewed).
01/07/2020: Trial’s existence confirmed by Fundacio Sanitaria Mollet