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

Grundström, Hanna; Martin, Caroline J. Hollins; Malmquist, Anna; Nieminen, Katri; Martin, Colin R.


Hanna Grundström

Anna Malmquist

Katri Nieminen

Colin R. Martin


Optimizing women's childbirth experience is essential for development of quality mother infant relationships. The Birth Satisfaction Scale-Revised (BSS-R) can be used to measure birth satisfaction.

The current investigation sought to translate and validate a Swedish version of the BSS-R.

Following translation, a comprehensive psychometric validation of the Swedish-BSS-R (SW-BSS-R) was carried out using a multi-model, cross-sectional, between- and within-subjects design.

A total of (n=619) Swedish-speaking women participated, from which (n=591) completed SW-BSS-R were eligible for analysis.

Data analysis
Discriminant, convergent, divergent and predictive validity, internal consistency, test-retest reliability, and factor structure were evaluated.

The SW-BSS-R was found to have excellent psychometric properties and hence is a valid translation of the original UK(English)-BSS-R. Important insights into relationships between mode of birth, post-traumatic stress disorder (PTSD), and postnatal depression (PND) were observed.

Conclusions and implications for practice
The SW-BSS-R is a psychometrically valid translation of the original BSS-R and is suitable for use in a Swedish-speaking population of women. The study has also highlighted important dynamics between birth satisfaction and areas of significant clinical concern (i.e., mode of birth, PTSD and PND) in Sweden.

Journal Article Type Article
Acceptance Date May 24, 2023
Online Publication Date May 25, 2023
Publication Date 2023-09
Deposit Date May 29, 2023
Publicly Available Date Jun 5, 2023
Journal Midwifery
Print ISSN 0266-6138
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 124
Article Number 103745
Keywords Birth satisfaction, birth experience, scales, psychometrics


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