ORIGINAL ARTICLE
Year : 2022  |  Volume : 16  |  Issue : 4  |  Page : 390-400

Validation of translated Obstetric Quality of Recovery (ObsQoR-10A) score after nonelective cesarean delivery (CD) in an Arabic-speaking population


1 Department of Public Health, London School of Hygiene and Tropical Medicine, London, UK
2 Department of Anesthesiology, King Abdulaziz Hospital, Ministry of National Guards Health Affairs, Al-Ahsa, Saudi Arabia
3 Department of Obstetrics and Gynecology, King Abdulaziz Hospital, Ministry of National Guards Health Affairs, Al-Ahsa, Saudi Arabia
4 Department of Anesthesiology, King Abdulaziz Hospital, Ministry of National Guards Health Affairs; King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS); and King Abdullah International Medical Research Center (KAIMRC), Al-Ahsa, Saudi Arabia

Correspondence Address:
Shumaila Mukarram
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_52_22

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Background: The ObsQoR-11 is a validated scale that assesses recovery after cesarean delivery (CD). This observational study aimed to evaluate the psychometric properties of its Arabic version. Methods: The original ObsQoR-11 was translated into an Arabic version (ObsQoR-10A). All participants completed the ObsQoR-10A at 24 h and 48 h postoperatively after CD. Validity, reliability, responsiveness, and feasibility were assessed. Results: The ObsQoR-10A correlated with Global Health Numerical Rating Scale (NRS) at 24 h (R = 0.68, 95% CI: 0.56–0.80, P < 0.001) and at 48 h (R = 0.66, 95% CI: 0.54–0.78, P < 0.001) and differentiated between good and poor recovery (median scores at 24 h 88 vs. 71, P < 0.001; at 48 h 95.5 vs. 70, P < 0.001). ObsQoR-10A correlated with hospital length of stay at 24 h (R = –0.21, 95% CI: –0.40 to –0.02, P = 0.03) and at 48 h (R = –0.21, 95% CI: –0.40 to –0.03, P = 0.02); gestational age at 24 h (R = 0.22, 95% CI: 0.03–0.40, P = 0.02); change in hemoglobin at 24 h (R = –0.30, 95% CI: 0.51 to –0.10, P < 0.01); and total opioids at 48 h (R = –0.45, 95% CI: –0.62 to –0.27, P < 0.001). There was a significant difference between 24 h and 48 h postoperative ObsQoR-10A scores (median difference: –18; P < 0.001 which shows responsiveness). Other key measures included a Cronbach's alpha of 0.87, split-half 0.75, and intra-class correlation >0.62 with no floor or ceiling effects. Median (IQR) completion time was 3 (3-5) and 3 (2.5-3.5) minutes at 24 h and 48 h. Conclusions: ObsQoR-10A is a valid, reliable, responsive, and a clinically feasible tool in an Arabic-speaking obstetric population.


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