Spanish validation and factor structure of the Birth Satisfaction Scale-Revised (BSS-R)

Abstract

Acknowledgements: Thank you to every pregnant woman who joined and completed our study. This study is a part of a Doctoral Thesis of Mr. Borja Romero-Gonzalez. Spanish validation and factor structure of the Birth Satisfaction Scale-Revised (BSS-R) Objective: To translate and validate a Spanish-language version of the Birth Satisfaction Scale-Revised (BSS-R) and describe key measurement properties. Design: A cross-sectional instrument validation design examining factor structure, validity and reliability. Setting: Three public hospital sites in Spain. Participants: 202 women who had given birth within the past four weeks provided complete questionnaire data for analysis. Measurements and findings: Measures included the Spanish version of the BSS-R (S-BSS-R) and the Perceived Stress Scale (PSS). The tri-dimensional measurement model of the BSS-R was found to offer a good fit to Spanish data. Known-groups discriminant validity was found to be excellent with women experiencing a non-intervention delivery having higher S-BSS-R scores (p <0.05) compared to those having an intervention. Women who had no pain control were found to have greater S-BSS-R total and S-BSS-R women's attributes and stress experienced sub-scale scores compared to those who received pain control (p <0.05). Total scale internal reliability was also found to be acceptable. Evidence for good divergent and convergent validity was also found across total and sub-scale S-BSS-R scores. Key conclusions: The S-BSS-R was found to have generally good to excellent psychometric properties and represents a valid and reliable translation of the original version of the BSS-R for use in Spanish-speaking populations. The development of the S-BSS-R enables comparison of birth satisfaction with international study data where the BSS-R is used. Implications for research: The relationship of both delivery type and pain control to birth satisfaction represent important areas for further research.

Pre- and during-labour predictors of low birth satisfaction among Iranian women: a prospective analytical study

“…Using the BSS-R scale, mean birth satisfaction score in this study (23.8,SD 6.5) was lower than that in most studies in other countries such as US (32.4, SD 6.4) [31], Australia (30.4, SD 5.9) [34], UK (28.4, SD 5.6) [29], Spain (28.1, SD 6.2) [36], and Greece (27.4, SD 6.2) [32] but was higher than that in Turkey (20.4, SD 6.0) [33]. The high medicalized birth management in Iran may be an important reason for the lower birth satisfaction in the study setting compared to many of the other studies.…”

“…Original version of the scale was developed in the UK in 2014 [ 29 ]. It is now internationally considered the instrument of choice for assessing birth satisfaction [ 30 ] and various versions of it have been validated, including the US-BSS-R [ 31 ], Greek-BSS-R [ 32 ], Turkish-BSS-R [ 33 ], Australian-BSS-R [ 34 ], Italian-BSS-R [ 35 ], and Spanish-BSS-R [ 36 ]. The two subscales (satisfaction with doctor and nurse-midwife, items 17–33) of the Mackey childbirth satisfaction rating scale [ 37 ] was used to measure staff support.…”

Giving birth during the COVID‐19 pandemic: The impact on birth satisfaction and postpartum depression

“…Higher scores on the S‐BSS‐R total scale, personal attributes, and quality of care indicated comparatively greater birth satisfaction, whereas higher scores in stress experienced during childbirth indicated less birth satisfaction. The Spanish version of this instrument presented adequate internal reliability (α = 0.77) 12 …”

“…[12]. The instrument consisted of 10 items with 5 Likert-type response options (0 = strongly disagree; 4 = strongly agree).Three subscales measured overall satisfaction with childbirth: stress during childbirth (4 items), personal attributes (2 items) and quality of care (4 items).…”

“…Higher scores on the BSS-R total scale, personal attributes and quality of care indicating comparatively greater birth satisfaction, whereas higher scores in stress experienced during childbirth indicating less birth satisfaction. The Spanish version of this instrument presented adequate internal reliability (α = 0.77)[12].Edinburgh Postnatal Depression Scale[13]. This scale consists of 10 Likert items with 4 response options and is used to assess the risk of postpartum depression.…”