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BackgroundAimMethodResultsConclusionsThe Birth Satisfaction Scale-Revised (BSS-R) is a widely used, psychometrically robust and brief self-report measure of birth experience from the mothers perspective. The current study sought to adapt and validate the BSS-R for partners, evaluating key psychometric properties, including the underlying tri-dimensional factor structure of stress experienced, personal attributes and quality of care.To translate and validate a Czech speaking partner version of the Birth Satisfaction Scale-Revised (BSS-R) and examine key measurement characteristics and association with fundamental clinical outcome variables.Following translation of the UK partner BSS-R into Czech, the Czech Partner BSS-R (CZP-BSS-R) was administered to 225 partners of women who had given birth within the past 5-years. Key psychometric characteristics were examined, including factor structure, divergent and known-groups discriminant validity and internal reliability,Established measurement models of the BSS-R observed in mothers were found to offer an excellent fit to partner data. The CZP-BSS-R also demonstrated excellent validity and reliability characteristics.The CZP-BSS-R was found to be valid and reliable, with results from Czech partners ‘mirroring’ factor structure and key validity characteristics previously established in Czech mothers. The BSS-R validated for completion by Czech speaking mothers now has a matched version available for use with Czech speaking partners. [ABSTRACT FROM AUTHOR]

This study aims to develop a Portuguese-language version of the Birth Satisfaction Scale-Revised (BSS-R) for clinical and research use in Portugal (PT-BSS-R). The factor structure, its invariance across depression levels, and the internal consistency of the PT-BSS-R were analysed. A sample of 1373 Portuguese-speaking postpartum women completed a sociodemographic and clinical form, the PT-BSS-R, and the Edinburgh Postnatal Depression Scale through an online survey tool. Four competing models were tested through confirmatory factor analyses and bifactor model-based psychometric indices were calculated. The internal consistency and the divergent/convergent validity are analysed. The psychometric properties of PT-BSS-R were found to be generally excellent. Both the original correlated three-factor model and the bifactor model exhibited a good fit to the data. Results from the bifactor model support the use of both the BSS-R total score and the subscale scores. Exemplary invariance findings were observed between groups stratified on the basis of depression screening. PT-BSS-R has demonstrated both divergent and convergent validity as well as internal consistency. PT-BSS-R is a psychometrically robust measure of birth satisfaction appropriate for clinical and research use in Portugal. [ABSTRACT FROM AUTHOR]

Satisfaction with the birth experience has been established to be critical for the wellbeing of the mother. The Birth Satisfaction Scale-Revised (BSS-R) is a brief and psychometrically robust multi-dimensional self-report tool designed to assess birth experience. The current investigation sought to translate and validate a Czech Republic version of the BSS-R (CZ-BSS-R). Following translation psychometric assessment of the CZ-BSS-R was undertaken using a cross-sectional design. A between-subjects design was incorporated in order to evaluate known-groups validity evaluation of the translated measure. Four hundred and sixty-five Czech-speaking women within the Czech Republic took part in the study. Confirmatory factor analysis was undertaken and divergent and convergent validity and internal consistency characteristics also evaluated. The CZ-BSS-R was observed to have excellent psychometric properties and conceptually and measurement faithful to the original English-language measure. Consistent with previous investigations using the BSS-R significant differences were found in scores as a function of delivery type. The CZ-BSS-R is a valid, robust and reliable measure of birth experience and suitable for use with Czech-speaking women in the Czech Republic. The study highlighted that instrument and emergency Caesarean section were associated with a lower level of birth satisfaction compared to vaginal delivery. [ABSTRACT FROM AUTHOR]

Up to 39% of women who experience perinatal bereavement proceed to develop Post-Traumatic-Stress-Disorder (PTSD), with this large proportion meriting treatment. Before setting-up a treatment service for postnatal women who are experiencing psychological trauma, it is important to identify what therapies have been used in-the-past to address this problem. To scope for research that has implemented therapies to treat psychological trauma post perinatal bereavement, for potential inclusion in a flexible treatment package. A scoping review mapped coverage, range, and type of research that has reported on prior therapies used to treat psychological trauma post perinatal bereavement. Due to the dearth of papers that directly addressed perinatal bereavement, we widened the scope of the review to view what treatments had been used to treat psychological trauma post-childbirth. Out of 23 studies that report on effectiveness of therapies used to treat psychological trauma post-childbirth, only 4-focused upon treating PTSD post perinatal bereavement (3 effective/1 ineffective). Successful treatments were reported by Kersting et al. (2013), who found CBT effective at reducing PTSD symptoms post-miscarriage, termination for medical reasons, and stillbirth (n = 33 & n = 115), and Navidian et al. (2s017)) found that 4-sessions of grief-counselling reduced trauma symptoms post-stillbirth in (n = 50) women. One study by Huberty et al. (2020found on-line yoga to be ineffective at reducing PTSD symptoms post-stillbirth. A dearth of research has explored effectiveness of therapies for treating psychological trauma post perinatal bereavement and post-childbirth, with need to develop and test a research informed flexible counselling package. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Aim: Critical to maternal outcome and development of a healthy and relationship between mother and baby, is the woman's perception of her birth experience. The Birth Satisfaction Scale‐Revised (BSS‐R) has been demonstrated to be psychometrically robust, easily administered, and scored self‐report measure of birth experience. Aim of the study was to translate the UK‐BSS‐R into Hindi, collect data, and psychometrically validate an Indian (Hindi)‐BSS‐R. Methods: Psychometric assessment of the Indian (Hindi)‐BSS‐R was undertaken following translation using a cross‐sectional design. Evaluation of known‐groups validity was undertaken using an embedded between‐subjects component. Data were collected from (n = 312) postnatal Hindi speaking women in India. Measurement characteristics were assessed using confirmatory factor analysis, divergent validity and internal consistency analysis. Results: The measurement properties of the Indian (Hindi)‐BSS‐R were observed to be equivocal, with the established tri‐dimensional measurement model not achieving best fit to data. Instead, an alternative two‐factor model offered an excellent fit to data. Significant differences were observed between Indian (Hindi)‐BSS‐R scores and family type and gestation term status, which highlights the relevance of these contextual aspects to the Indian birth experience. Internal consistency was observed to be low on some sub‐scales, indicating the potential need for future revision. Conclusions: The Indian (Hindi)‐BSS‐R is a measure of birth experience, which accepting some measurement caveats, is acceptable for use with Hindi speaking women in India. Further research is required to determine if modification of some of the items is required to improve internal consistency. [ABSTRACT FROM AUTHOR]

To validate the Italian-language version of the Birth Satisfaction Scale-Revised (BSS-R) and report key measurement properties of the tool. To evaluate the impact of antenatal class attendance on BSS-R assessed birth satisfaction. Maternal satisfaction is one of the standards of care defined by the World Health Organisation (WHO) to improve the quality of services. The BSS-R is a multi-dimensional self-report measure of the experience of labour and birth. Cross-sectional instrument evaluation design examining factor structure and key aspects of validity and reliability. Embedded between-subjects design to examine known-group discriminant validity and the impact of antenatal class attendance on BSS-R sub-scale and total scores as dependent variables. After giving birth, 297 women provided data for analysis. The Italian version of the BSS-R (I-BSS-R) was the key study measure. The established three-factor and bi-factor models of the BSS-R were found to offer an excellent fit to the data. Comparison of the tri-dimensional measurement model and the bi-factor model of the BSS-R found no significant differences between models. Women who attended antenatal classes had significantly lower stress experienced during childbearing sub-scale scores (I-BSS-R SE), compared to those who did not. Good convergent, divergent validity and known-groups discriminant validity were established for the I-BSS-R. Internal consistency observations were found to be sub-optimal in this population. On all key psychometric indices, with the exception of internal consistency that requires further investigation, the I-BSS-R was found to be a valid translation of the original BSS-R. The impact of antenatal classes on birth satisfaction warrants further research. [ABSTRACT FROM AUTHOR]

Objective: Birth Satisfaction Scale-Revised Indicator (BSS-RI) is a short selfreport instrument designed to measure satisfaction of the childbearing women's experiences of labour and its outcomes. The aim of this study was to examine the reliability and validity of the Persian version of BSS-RI in Iranian mothers.Methods: This cross-sectional study was conducted on 396 mothers in Tehran, Iran, between July and September 2017. The mothers were administered the BSS-RI, and a demographic questionnaire. Internal consistency of the BSS-RI was examined with Cronbach's alpha, construct validity was evaluated via exploratory factor analysis (EFA), and divergent validity was examined by correlating the BSS-RI with gestational age.Results: The EFA results demonstrated a two-factor structure corresponding to the Stress of Childbearing and Quality of Care domains of the structure proposed by provider. The Cronbach's alpha for Stress of Childbearing and Quality of Care subscales and total BSS-RI were 0.665, 0.847, and 0.563, respectively. The mean of BSS-RI total score was 6.16 (SD = 2.60), and the Stress of Childbearing and Quality of Care subscales were 2.71 (SD = 2.39), and 3.45 (SD = 1.11), respectively. The BSS-RI showed no significant correlation with the gestational age, confirming divergent validity.Conclusion: Like the original English version, the Persian version of the BSS-RI is a reliable and valid instrument for measuring birth satisfaction in Iranian mothers. It can also be used as short and easy to administer tool for assessment of birth satisfaction in large sample survey research. [ABSTRACT FROM AUTHOR]

Childbirth satisfaction may positively affect maternal intention to have a future pregnancy and preference to have a cesarean. We translate the UK-Birth-Satisfaction-Scale-Revised (UK-BSS-R) into Persian and validate an Iranian-BSS-R for future use in this population. In total, 784 mothers who were hospitalized in postpartum wards completed the Persian version of the BSS-R. The confirmatory factor analysis on 10-items scale confirmed the conventional three-factor structure. The Cronbach's alpha of the Iranian-BSS-R subscales and the total score were within the range of 0.53–0.76. Our findings provide further evidence that the BSS-R is an internationally reliable and valid instrument to measure birth satisfaction. [ABSTRACT FROM AUTHOR]

Objective and background: The Birth Satisfaction Scale-Revised (BSS-R) is a multi-dimensional measure which is recommended by international clinical guidelines for global use as the birth satisfaction outcome measure of choice. The current investigation sought to develop a Hebrew version of the BSS-R for use in the Jewish–Israeli context and examine the relationship between BSS-R domains and the perception of the experience of labour as traumatic. Methods: Following review, translation, and back-translation for linguistic equivalence, a Hebrew version of the BSS-R (H-BSS-R) was prepared and psychometrically evaluated using key indices of validity and reliability. Complete multivariate normal data from 288 first-time Jewish Israeli mothers within two years after childbirth was entered into the analysis. Results: The H-BSS-R was found to have a good fit to the BSS-R tridimensional measurement model, excellent internal consistency, divergent and known-group discriminant validity. Moreover, women who experienced their labour as traumatic had significantly lower H-BSS-R subscale scores than women who reported that their birth experience was non-traumatic. Conclusion: The H-BSS-R is a robust and valid measure suitable for use with Jewish–Israeli women, as well as for investigating the relationship between traumatic labour and birth satisfaction. [ABSTRACT FROM AUTHOR]

Background: Postnatal depression (PND) is a key cause of maternal morbidity, with current systems of initial recognition in the UK detecting only 50% of cases. In attempts to predict those potentially at risk, this review suggests a novel approach. Aim: Implementing the concept of 'ideal mother' versus 'real mother', and asking the woman to compare their 'ideal self' against 'existent self', the aim of this instrument development review was to determine themes from the literature that relate to women's perceptions of self as a mother, and from this identification develop questions for inclusion within a proposed new measure entitled the Self-Image as Mother Scale (SIMS). Method: A scoping review of the literature was carried out to identify themes considered to affect perception of self as mother, and from this identification, evidence-based questions for inclusion in the SIMS were developed. Findings: Themes identified included (1) marital dissatisfaction, (2) inadequate partner support, (3) lack of family support, (4) socioeconomic status and associated poverty, (5) concern about infant, (6) antenatal/postnatal complications, (7) acceptance of infant gender, (8) history of mental health problems, (9) unplanned pregnancy. Conclusions: From this scoping review 18 questions were developed for inclusion in the SIMS, which will then be evaluated for psychometric properties, scale refinement and validation. [ABSTRACT FROM AUTHOR]

Objective and background: The 10-item Birth Satisfaction Scale - Revised (BSS-R) is increasingly being used internationally as the instrument of choice for the assessment of birth satisfaction. There remains conjecture over the most appropriate way to score the instrument; subscale scores overall total score, or both approaches. The current study sought to clarify this issue by examining the measurement characteristics of the United States version of the BSS-R from a large data set. Methods: Secondary analysis of a data matrix from a large sample US BSS-R validation study (N = 2116) using structural equation modelling. Results: A bi-factor model revealed an excellent fit to data (χ2(df = 25) = 208.21, p < 0.001, CFI = 0.98, RMSEA = 0.06, SRMR = 0.04), demonstrating relative independence of the BSS-R quality of care subscale, while in contrast the women’s attributes and stress experienced during childbearing subscales could be explained more plausibly by a general factor of experience of childbirth. Conclusion: Consistent with the recommendations of the original BSS-R validation study, the current investigation found robust empirical evidence to support the use of both the subscale scoring system and the total score. Researchers and clinicians can therefore select either approach (or both) with confidence. [ABSTRACT FROM AUTHOR]

Background: The Birth Satisfaction Scale - Revised (BSS-R) is a valid and reliable scale designed to assess women’s experiences of labour and childbirth. Objective: To assess factor structure, validity, and reliability of the Turkish Birth Satisfaction Scale - Revised (T-BSS-R) using data collected from a Turkish population. Setting: Istanbul Ministry of Health Zeynep Kamil Women’s and Children’s Training and Research Hospital. Participants: A convenience sample of healthy child-bearing women (n = 120) who had experienced a spontaneous vertex delivery at full term. Method: A survey was conducted post backtranslating the T-BSS-R, with survey data analysed using confirmatory factor analysis. Results: Factor modelling found three subscales embedded in the T-BSS-R, which indicated a good model fit, χ2 = 44.67, CFI =.94; RMSEA =.057; SRMR =.075. A Chi-square value of 1.33 also indicated a good fit. Means for the T-BSS-R subdimensions (1) Stress Experienced (T-BSS-SE-R) = 6.86 ± 3.10, (2) Women’s Attributes (T-BSS-WA-R) = 2.84 ± 1.89, (3) Quality of Care (T-BSS-QC-R) = 10.69 ± 3.19 and total scale = 20.39 ± 5.98. The Cronbach alpha coefficient for total scale = 0.71 and for subdimensions T-BSS-SE-R = 0.55, T-BSS-WA-R = 0.44 and T-BSS-QC-R = -0.74. Conclusion: Data analysis determined that the T-BSS-R is a valid and reliable instrument to measure birth satisfaction in a population of Turkish women. The T-BSS-R is available for use from c.hollinsmartin@napier.ac.uk. [ABSTRACT FROM AUTHOR]

Objective and background: The 10-item Birth Satisfaction Scale-Revised (BSS-R) has recently been endorsed by international expert consensus for global use as the birth satisfaction outcome measure of choice. English-language versions of the tool include validated UK and US versions; however, the instrument has not, to date, been contextualised and validated in an Australian English-language version. The current investigation sought to develop and validate an English-language version of the tool for use within the Australian context. Methods: A two-stage study. Following review and modification by expert panel, the Australian BSS-R (A-BSS-R) was (Stage 1) evaluated for factor structure, internal consistency, known-groups discriminant validity and divergent validity. Stage 2 directly compared the A-BSS-R data set with the original UK data set to determine the invariance characteristics of the new instrument. Participants were a purposive sample of Australian postnatal women (n = 198). Results: The A-BSS-R offered a good fit to data consistent with the BSS-R tridimensional measurement model and was found to be conceptually and measurement equivalent to the UK version. The A-BSS-R demonstrated excellent known-groups discriminant validity, generally good divergent validity and overall good internal consistency. Conclusion: The A-BSS-R represents a robust and valid measure of the birth satisfaction concept suitable for use within Australia and appropriate for application to International comparative studies. [ABSTRACT FROM AUTHOR]

Objective: This research sought to test the measurement invariance of the Birth Satisfaction Scale-Revised (BSS-R) across United States (US) and United Kingdom (UK) samples. Multiple-group measurement was tested and latent means analysis compared levels of birth satisfaction across the samples.Method: Using Confirmatory Factor Analysis (CFA), data previously collected from 409 mothers (181 US mothers; 228 UK mothers) were used to examine the multiple-group measurement invariance of the BSS-R across US and UK samples.Results:A correlated factors BSS-R model demonstrated partial measurement invariance. US mothers had significantly lower birth satisfaction levels on the three BSS-R subscales.Conclusions: This research demonstrates that the BSS-R is a robust tool that can be used to reliably measure women’s birth satisfaction within and across the US and UK. [ABSTRACT FROM PUBLISHER]

Backgound:Perinatal Mental Illness (PMI) is a key cause of maternal mortality and morbidity in the UK, with one goal of midwives to identify those at risk during pregnancy. At present, the system of preliminary identification of existing PMI in the UK involves the midwife asking pregnant women the Whooley questions at the antenatal booking interview.Aim:To explore midwives experiences of asking the Whooley questions with pregnant women.Method:A qualitative interpretive study explored midwives’ (n = 8) experiences of asking the Whooley questions in one maternity unit in England (UK). Data were gathered through semistructured interviews and analysed using Framework Analysis (FWA).Findings:Themes and subthemes identified included: (1) no clear understanding of purpose, (1a) discomfort when disclosure occurs, (2) feeling pressurised for time, (3) resultant dissatisfaction and frustration; (3a) lack of knowledge and how to refer, (3b) lack of training around PMI, (3c) relying on experience and use of intuition.Discussion:The development and evaluation of an education curriculum to prepare midwives to effectively use case-finding instruments such as the Whooley questions to identify pregnant women at risk is required. [ABSTRACT FROM PUBLISHER]

Background: Personal pronouns like ‘I’, ‘me’ or ‘mine’ are inextricably linked with ownership, with one key benefit of a counsellor inviting a client to consider their pronoun use being an invitation to change their awareness and understanding of a situation. Objective: To gain greater understanding of the impact of inviting clients to use first person pronoun ‘I’, in place of second ‘you’ during therapy and its effects upon the client and therapeutic process. Method: A constructivist qualitative approach using exploratory thematic analysis that engaged one ‐ to ‐ one counselling and follow ‐ up interviews was used. Participants (n = 11) were clients who had been referred for counselling via primary care with problems like depression, relationship break ‐ up and/or stress. Findings: Several themes were identified in the data: (1) potential discomfort from switching to first position; (2) awareness increased; (3) avoidance of taking responsibility recognised; (4) depersonalisation of events; (5) initiating change; and (6) effects on sense of self. Comments illustrate that reframing pronouns into first person removes distance between client emotions and problems, which provides them with an opportunity for development. Discussion: Clients can be affected in productive ways when counsellors encourage them to alter their pronoun use during therapy. Through the use of reflection, the counsellor can work with their client to explore more fully their attributions of responsibility within situations that are discussed. [ABSTRACT FROM AUTHOR]

Objective and background:The 10-item Birth Satisfaction Scale-Revised (BSS-R) is being increasingly used internationally, including the development of translated versions of the tool. However, to date, a direct comparison between the original version of the tool and a non-English language translated version has yet to be conducted. Recognising that measurement equivalence is critical in order to be able to meaningfully compare scores on the measure between different versions, the current study sought to evaluate the measurement invariance characteristics of the BSS-R within this context.Methods:A secondary analysis of two data sets. The study used a measurement invariance testing approach to determine the relative equivalence between the original UK English-language version and the Greek-translated version of the BSS-R. Participants were a convenience sample of UK (n = 228) and Greek (n = 162) postnatal women.Results:The BSS-R was found to offer an excellent model fit with pooled data, a robust configural model and metric-level invariance between English- and Greek-language versions. The BSS-R was also found to demonstrate partial scalar invariance, with 80% of item intercepts non-invariant between both versions. Two non-invariant items at the scalar level are likely to represent real differences between participant groups in terms of birth satisfaction as an artefact of service delivery type and relative difference in delivery mode.Conclusion: The BSS-R is both conceptually and statistically comparable between different versions of the tool suggesting the utility of the measure for international comparative studies. [ABSTRACT FROM PUBLISHER]

Background: Prolonged deficiency in self‐care strategies puts counsellors and psychotherapists at risk of burnout and compassion fatigue. Aim: To measure associations between self‐compassion, compassion fatigue, well‐being and burnout in student counsellors and student cognitive behavioural psychotherapists. Method: A quantitative survey using four validated data collection instruments: (1) Professional Quality of Life Scale; (2) Self‐Compassion Scale; (3) short Warwick and Edinburgh Mental Well‐being Scale; (4) Compassion For Others scale, was used to measure relationships between self‐compassion, compassion fatigue, well‐being and burnout. Participants: A mixed sample of student counsellors and student cognitive behavioural psychotherapists (n = 54) in their final year of study. Results: This preliminary study shows that student counsellors and student cognitive behavioural psychotherapists who reported high on measures of self‐compassion and well‐being also reported less compassion fatigue and burnout. Implications for practice: Compassion fatigue and burnout are found in many modern‐day, highly stressful healthcare professions. The practice of self‐compassion could help student practitioners manage these symptoms and subsequently improve their professional quality of life. A video abstract of this article can be viewed at: https://vimeo.com/150762974 [ABSTRACT FROM AUTHOR]

Background:‘Birth Satisfaction’ is a term that encompasses a woman’s evaluation of her birth experience. The term includes factors such as her appraisal of the quality of care she received, a personal assessment of how she coped, and her reconstructions of what happened on that particular day. Her accounts may be accurate or skewed, yet correspond with her reality of how events unfolded.Objective:To evaluate properties of an instrument designed to measure birth satisfaction in a Greek population of postnatal women.Study design:We assessed factor structure, internal consistency, divergent validity and known-groups discriminant validity of the 30-item Greek Birth Satisfaction Scale – Long Form (30-item G-BSS-LF) and its revised version the 10-item Greek-BSS-Revised (10-item-G-BSS-R), using survey data collected in Athens.Participants:A convenience sample of healthy Greek postnatal women (n = 162) aged 22–46 years who had delivered between 34 and 42 weeks’ gestation.Results:The 30-item-G-BSS-LF performed poorly in terms of factor structure. The short-form 10-item-G-BSS-R performed well in terms of measurement replication of the English equivalent version as a multidimensional instrument. The short-form 10-item-G-BSS-R comprises three subscales which measure distinct but correlated domains of: (1) quality of care provision (4 items), (2) women’s personal attributes (2 items), and (3) stress experienced during labour (4 items).Key conclusions: The 10-item-G-BSS-R is a valid and reliable multidimensional psychometric instrument for measuring birth satisfaction in Greek postnatal women. [ABSTRACT FROM PUBLISHER]

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. [ABSTRACT FROM PUBLISHER]