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Psychometric properties of the Birth Satisfaction Scale-Revised (BSS-R) for US mothers

Barbosa-Leiker, Celestina; Hollins Martin, Caroline J.; Martin, Colin R.; Fleming, Susan


Celestina Barbosa-Leiker

Colin R. Martin

Susan Fleming


Objective: The aims of this study were to continue the scale development process of the Birth Satisfaction Scale-Revised (BSS-R) by refining the scale to make it culturally relevant for US participants, examining the factor structure of the BSS-R, and describing the level of birth satisfaction in a sample of US mothers. Background: The Birth Satisfaction Scale (BSS) was developed in the UK to assess satisfaction of the childbearing women’s experiences of labour and its outcomes. One of the goals of the development of the BSS was to make comparisons across cultures. Methods: One hundred and eighty-one first-time US mothers participated in this study. Confirmatory factor analysis was used to examine a one-factor higher-order model containing three lower-order factors. The higher-order factor was hypothesised to be Experience of childbearing; the lower-order factors were hypothesised as Stress, Quality of Care and Women’s attributes. Results: The results of the higher-order factor model indicated good fit, χ2 = 37.72, p = .22; comparative fit index (CFI) = .99; root mean square error of approximation (RMSEA) = .03; standardised root mean square residual (SRMR) = .04. Cronbach’s α indicated the subscales and total scale were reliable for the US sample (α ranged from .74 to .89). The BSS-R total score was 15.52 (SD = 8.35), and the stress, quality of care, and women’s attributes subscales were 7.15 (SD = 3.80), 4.61 (SD = 3.83) and 3.79 (SD = 2.26), respectively. Conclusion: The BSS-R can provide maternal health professionals and researchers with an instrument to quantify childbearing women’s birthing satisfaction, which in turn can assist in heightening the overall patient care experience.

Journal Article Type Article
Acceptance Date Feb 16, 2015
Online Publication Date Apr 10, 2015
Publication Date Oct 20, 2015
Deposit Date Jul 24, 2015
Publicly Available Date Jul 24, 2015
Print ISSN 0264-6838
Electronic ISSN 1469-672X
Publisher Routledge
Peer Reviewed Peer Reviewed
Volume 33
Issue 5
Pages 504-511
Keywords birth satisfaction; intrapartum care; maternal–infant care;
Public URL
Publisher URL
Contract Date Jul 24, 2015