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

Romero-Gonzalez, Borja; Peralta-Ramirez, Maria Isabel; Caparros-Gonzalez, Rafael A.; Cambil-Ledesma, Almudena; Hollins Martin, Caroline J.; Martin, Colin R.


Borja Romero-Gonzalez

Maria Isabel Peralta-Ramirez

Rafael A. Caparros-Gonzalez

Almudena Cambil-Ledesma

Caroline J. Hollins Martin

Colin R. Martin


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 less than 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 less than 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.


Romero-Gonzalez, B., Peralta-Ramirez, M. I., Caparros-Gonzalez, R. A., Cambil-Ledesma, A., Hollins Martin, C. J., & Martin, C. R. (2019). Spanish validation and factor structure of the Birth Satisfaction Scale-Revised (BSS-R). Midwifery, 70, 31-37. doi:10.1016/j.midw.2018.12.009

Journal Article Type Article
Acceptance Date Dec 11, 2018
Online Publication Date Dec 13, 2018
Publication Date 2019-03
Deposit Date Feb 4, 2019
Publicly Available Date Dec 14, 2019
Journal Midwifery
Print ISSN 0266-6138
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 70
Pages 31-37
Keywords Obstetrics and Gynaecology; Maternity and Midwifery
Public URL
Publisher URL
Additional Information This article is maintained by: Elsevier; Article Title: Spanish validation and factor structure of the Birth Satisfaction Scale-Revised (BSS-R); Journal Title: Midwifery; CrossRef DOI link to publisher maintained version:; Content Type: article; Copyright: © 2018 Elsevier Ltd. All rights reserved.


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