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Translation and validation of the Dutch version of the Birth Satisfaction Scale-Revised (BSS-R)

Emmens, Berbel; Hollins Martin, Caroline J.; Martin, Colin R.


Berbel Emmens

Colin R. Martin


Recent observations suggest birth satisfaction may be significantly associated with postpartum post-traumatic stress disorder (PP-PTSD). The Birth Satisfaction Scale-Revised (BSS-R) is increasingly used Internationally as a short, valid and reliable multi-dimensional measure of birth experience. The current study sought to develop a Dutch version of the BSS-R (D-BSS-R) for clinical and research application in the Netherlands.

Post-translation, a cross-sectional design with an embedded between-subjects component was used to evaluate key indices of validity and reliability of the D-BSS-R in a purposive sampled cohort of 244 Dutch-speaking women in the Netherlands. Confirmatory factor analysis, divergent, convergent and known-groups discriminant validity were evaluated as was the internal consistency of the measure.

The D-BSS-R was found to be a generally valid and reliable measure of birth experience with the key measurement characteristics of the original English-language measure transferring well to the Dutch context. Statistically significant negative correlations were observed between all D-BSS-R sub-scales and a validated measure of PTSD.

The D-BSS-R represents a valid and reliable measure of birth experience suitable and appropriate for use in the Netherlands. The study corroborates previous suggestions of linkage between birth satisfaction and PP-PTSD using a robust and diagnostically valid measure of trauma.

Journal Article Type Article
Acceptance Date Sep 6, 2021
Online Publication Date Nov 18, 2021
Publication Date 2023
Deposit Date Dec 2, 2021
Publicly Available Date Dec 2, 2021
Journal Journal of Reproductive and Infant Psychology
Print ISSN 0264-6838
Electronic ISSN 1469-672X
Publisher Routledge
Peer Reviewed Peer Reviewed
Volume 41
Issue 2
Pages 213-227
Keywords Birth satisfaction, birth experience, scales, psychometrics, trauma
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Translation and validation of the Dutch version of the Birth Satisfaction Scale-Revised (BSS-R) (909 Kb)

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Copyright Statement
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

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