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Construct and content validity of the Turkish Birth Satisfaction Scale–Revised (T-BSS-R)

Göncü Serhatlıoğlu, Seda; Karahan, Nazan; Hollins Martin, Caroline J.; Martin, Colin R.


Seda Göncü Serhatlıoğlu

Nazan Karahan

Caroline J. Hollins Martin

Colin R. Martin


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

Journal Article Type Article
Publication Date May 27, 2018
Journal Journal of Reproductive and Infant Psychology
Print ISSN 0264-6838
Electronic ISSN 1469-672X
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 36
Issue 3
Pages 235-245
APA6 Citation Göncü Serhatlıoğlu, S., Karahan, N., Hollins Martin, C. J., & Martin, C. R. (2018). Construct and content validity of the Turkish Birth Satisfaction Scale–Revised (T-BSS-R). Journal of reproductive and infant psychology, 36(3), 235-245. doi:10.1080/02646838.2018.1443322
Keywords Assessment; Birth Satisfaction Scale – Revised (BSS-R); Child-bearing; Midwifery; Turkey
Publisher URL
Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline....cope&journalCode=cjri20


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