Nakić Radoš, Sandra, Matijaš, M., Marijana, Brekalo, Maja, Hollins Martin, Caroline J. and Martin, Colin (2021) Further validation of the Birth Satisfaction Scale-Revised: factor structure, validity, and reliability. Current Psychology. ISSN 1046-1310

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Abstract

The Birth Satisfaction Scale-Revised is a short but valid and reliable robust measure of different aspects of birth satisfaction. This study aimed to test factor structure, validity and reliability of the Croatian version of the Birth Satisfaction Scale-Revised. In the cross-sectional study, a convenient online sample of 552 women completed questionnaires in the first year postpartum. The Birth Satisfaction Scale-Revised, subscale Satisfaction with Delivery from the Childbirth Perception Questionnaire, and a set of questions on demographic and obstetric data were administered. The results showed the excellent fit of both the three-factor model (Stress experienced during labour, Women's personal attributes, Quality of care) and two-factor model (with Stress and Women's attributes combined into one factor), with no significant difference between the two models. Furthermore, bi-factor modeling revealed a general factor of childbirth experience, which explains the variance of items from Stress and Women's attributes subscales. The internal consistency was high for the total scale and Quality of care, while acceptable for the other two subscales. Convergent and divergent validity was high. Known-group discriminant validity showed that women who gave birth by unassisted vaginal birth and planned caesarean section reported higher levels of birth satisfaction. In conclusion, both empirical findings and theoretical background suggest a three-factor model as the better solution for the Birth Satisfaction Scale-Revised conceptualization. As the Croatian version of the Birth Satisfaction Scale-Revised was proved to be valid and reliable, it is recommended for use to measure birth satisfaction both for research and practical purposes.

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