The PFPRQ demonstrated good internal consistency and evidence of construct and criterion-related validity.

The PFPRQ may provide valuable insights into women’s health perceptions to inform risk communication and preconception counseling.

The PFPRQ may offer insights into women’s health perceptions to guide risk communication and preconception counseling.

To develop the Perception of Future Pregnancy Risk Questionnaire (PFPRQ) to assess perceived risk related to future pregnancies by adapting the existing Perception of Pregnancy Risk Questionnaire. The PFPRQ was psychometrically evaluated among parous, reproductive-age women with cardiometabolic disease risk factors.

A cross-sectional study.

The PFPRQ was evaluated for construct validity using exploratory factor analysis. Criterion-related validity was assessed through correlations with the Generalized Anxiety Disorder-7 (GAD-7) scale, the American Diabetes Association Diabetes Risk Test, and demographic variables. Reliability was examined using Cronbach’s alpha.

The PFPRQ, consisting of 7 items rated on a visual analog scale from 0 (no risk at all) to 100 (extremely high risk), was administered to 243 participants and demonstrated a single-factor structure (Risks for Mother and Baby in Future Pregnancy) with high internal consistency reliability (Cronbach’s alpha = 0.89). Higher scores on the PFPRQ indicate higher perception of risk. Criterion-related validity showed a weak positive correlation between anxiety and PFPRQ scores (Spearman’s rho = 0.173, p = 0.007). Higher PFPRQ scores were also associated with diagnosis of high blood pressure (p < 0.001), intention for future pregnancy (p < 0.001), and willingness to delay pregnancy for health reasons (p = 0.02), supporting its criterion-related validity of the PFPRQ.

The PFPRQ demonstrated good internal consistency and showed evidence of construct and criterion-related validity for assessing perceived future pregnancy risk among reproductive-age women with cardiometabolic factors. It provides valuable insights to support risk communication and preconception counseling.

Cardiometabolic

Pregnancy risk

Psychometrics

Reproductive-age women

exploratory factor analysis

generalized anxiety disorder-7

international classification of diseases

perception of pregnancy risk questionnaire

perception of future pregnancy risk questionnaire

type 2 diabetes mellitus

© 2026 The Authors. Published by Elsevier B.V. on behalf of International Society for the Study of Hypertension in Pregnancy.