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Objective. To develop a conceptual framework and preliminary item bank for childbirth-specific patient-reported outcome (PRO) domains. Data Sources. Women, who were U.S. residents, [greater than or equal to]18 years old, and [greater than or equal to]20 weeks pregnant, were surveyed regarding their childbirth values and preferences (V&P) using online panels. Study Design. Using community-based research techniques and Patient-Reported Outcomes Management Information System (PROMIS[R]) methodology, we conducted a comprehensive literature review to identify self-reported survey items regarding patient-reported V&P and childbirth experiences and outcomes (PROs). The V&P/PRO domains were validated by focus groups. We conducted a cross-sectional observational study and fitted a multivariable logistic regression model to each V&P item to describe "who" wanted each item. Principal Findings. We identified 5,880 V&P/PRO items that mapped to 19 domains and 58 subdomains. We present results for the 2,250 survey respondents who anticipated a vaginal delivery in a hospital. Wide variation existed regarding each V&P item, and personal characteristics, such as maternal confidence and ability to cope well with pain, were frequent predictors in the models. The resulting preliminary item bank consisted of 60 key personal characteristics and 63 V&P/PROs. Conclusions. The conceptual framework and preliminary (PROMIS[R]) item bank presented here provide a foundation for the development of childbirth-specific V&P/PROs. Key Words. Childbirth, patient expectations, satisfaction, patient-reported outcomes, patient-centered outcomes research, With nearly 4 million births annually (Hamilton et al. 2015), childbirth is the number-one reason for hospital admission (McDermott et al. 2017), and women rely on the medical system to [...]

Patient-reported outcomes, obtained with a validated survey instrument, are critical to improving clinical research, health care quality, and patient care. Using them in women's health care will benefit both patients [...]