Background
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.

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

Method
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.

Participants
A total of 619 Swedish-speaking women participated, from which 591 completed SW-BSS-R and were eligible for analysis.

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

Results
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.