# Development and validation of an instrument to monitor obstetric care provided in maternity hospitals

## TL;DR

This study created and validated a reliable tool to monitor obstetric care in maternity hospitals using expert feedback.

## Contribution

A validated monitoring instrument with 61 items and high content validity for obstetric care.

## Key findings

- A checklist with 61 monitoring items was developed and validated.
- Content validity index exceeded 0.78 after two rounds of expert evaluation.
- The instrument is reliable for monitoring obstetric care across all assessed domains.

## Abstract

to develop and validate an instrument to monitor obstetric care provided in maternity hospitals.

this methodological study was conducted in two stages: (1) development of the instrument based on a narrative review and (2) content validation through evaluation of the instrument by nine experts.

three documents were developed: the first, a checklist with 61 monitoring items; the second, a document specifying the operational definition of each item; and the third, guidance for calculating the indicator generated by each item. The content validity index was greater than 0.78 after two rounds of data collection.

the monitoring instrument provided evidence of content validity from experts across all assessed domains and can therefore be considered reliable for monitoring obstetric care.

construir e validar um instrumento para monitorar a assistência obstétrica realizada em maternidades.

estudo metodológico realizado em duas etapas: 1) construção do instrumento com base na revisão narrativa; e 2) validação deconteúdo mediante a avaliação do instrumento por nove juízes.

foram construídos três documentos: o primeiro, um checklist com 61 itens de monitoramento; o segundo, um documento definindo cada item; e o terceiro, uma orientação para cálculo de indicador fornecido por cada item. Obteve-se o índice de validade de conteúdo superior a 0,78 após duas rodadas de coleta de dados.

o instrumento de monitoramento apresentou evidências de validade de conteúdo por juízes em todos os quesitos analisados; logo, mostra-se seguro para o monitoramento da assistência obstétrica.