HEALTHCARE (BASEL), cilt.12, sa.17, ss.1745-1755, 2024 (SCI-Expanded)
Background: Evaluation of specific and dynamic pain, such as labor pain, with a situation-specific measurement tool will increase the quality of care given during childbirth. The Rating Scale
of Pain Expression during Childbirth (ESVADOPA) is a situation-specific measurement tool for labor
pain. The aim was to examine the psychometric properties of a Turkish version of the ESVADOPA
scale. Methods: This study utilized a methodological design. Participants were 158 pregnant women
at term and in spontaneous labor. Two measurements were performed during the passive and
active phases of labor. To avoid bias between the raters, all the evaluations were performed by a
single midwife. Validity analyses of the scale were performed using exploratory factor analysis and
confirmatory factor analysis. Results: The scale was composed of a one-factor structure that had an
eigenvalue of over 1 and explained 71.79% of the variance. Cronbach’s alpha internal consistency
coefficient of the scale is 0.92. An analysis of the factor structure showed that the item factor loads
ranged between 0.729 and 0.897. In the confirmatory factor analysis, the results showed that the data
had a good fit with the model. Conclusions: The Turkish version of the ESVADOPA was found to
have high reliability and validity for determining the expression of pain during childbirth.