Restricted accessResearch articleFirst published online 2025-11
Obstetric quality of recovery: A weak surrogate measure of psychological distress and psychological wellness for cesarean delivery parturients—A prospective observational study
The obstetric quality of recovery score (ObsQoR-11) is a widely used self-report assessment in obstetric settings following cesarean deliveries (CD). However, this measure may not assess psychological variables as originally intended, which may inform quality care. The primary aim of this study was to explore the relationship between ObsQoR-11 and validated scales that measure peritraumatic distress and psychological wellness. 220 Canadian patients who underwent scheduled or unscheduled CD (mean age = 35.00 years, SD = 4.18) completed self-report surveys assessing: obstetric quality of recovery, peritraumatic distress, and psychological wellness. ObsQoR-11 exhibited significant but weak correlations with peritraumatic distress and psychological wellness. Peritraumatic distress and psychological wellness are independent constructs that should be measured separately in clinical practice outside of routine assessments using ObsQoR-11. As there was low convergent construct validity with these two measures, these psychological assessments may assist in providing additional assessments of holistic outcomes following cesarean delivery.
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