Cross-cultural adaptation and validation of the German version of the Birth Satisfaction Scale-Revised (BSS-R)

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

Abstract

Background: Up to one third of women are dissatisfied with their birth experience. A negative birth experience can have detrimental outcomes, making an early detection of dissatisfaction with the birth experience very important. The Birth Satisfaction Scale-Revised (BSS-R) is a multi-dimensional measure of birth satisfaction, which has been translated into several languages. The current study aimed to translate and validate a German version of the BSS-R (DE-BSS-R). Methods: A total of 3747 German women, who were participating in the cross-sectional study INVITE, completed the DE-BSS-R 3–4 months postpartum. The factor structure of the DE-BSS-R was tested using confirmatory factor analysis. Moreover, internal consistency as well as known-groups discriminant, divergent, convergent, and predictive validity were evaluated. Results: Both the tri-dimensional and the bi-factor measurement model of the original BSS-R showed excellent fit to the data. Internal consistency was acceptable for the total score and the subscale Women’s personal attributes, but just below the recommended cut-off for the subscales Stress experienced during labour and Quality of care. However, Cronbach’s alpha did not differ significantly from the acceptable alpha values of the original BSS-R. Women with a non-instrumental vaginal birth had significantly higher birth satisfaction than women with an instrumental birth (instrumental vaginal, caesarean section). The DE-BSS-R showed good divergent, convergent, and predictive validity. Conclusions: Overall, the German cross-cultural adaptation of the BSS-R showed excellent psychometric properties. Both the total score and the three subscale scores are valid to quickly measure German women’s satisfaction with birth in research and clinical practice.

Details

OriginalspracheEnglisch
Aufsatznummer4280
FachzeitschriftBMC Public Health
Jahrgang25
Ausgabenummer1
PublikationsstatusVeröffentlicht - Dez. 2025
Peer-Review-StatusJa

Externe IDs

PubMed 41275190
ORCID /0000-0002-7472-674X/work/202354032

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Birth experience, Birth satisfaction, Postpartum, Validation, Birth experience, Birth satisfaction, Postpartum, Validation