Colin R Martin1, Caroline J Hollins Martin2, Ekaterina Burduli3, Celestina Barbosa-Leiker4, Colleen Donovan-Batson5, Susan E Fleming6. 1. Faculty of Society and Health, Buckinghamshire New University, Uxbridge, UB8 1NA, UK. Electronic address: colin.martin@bucks.ac.uk. 2. School of Health and Social Care, Edinburgh Napier University, Scotland, EH11 4BN, UK. Electronic address: C.HollinsMartin@napier.ac.uk. 3. Sleep and Performance Research Center, Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington State, USA. Electronic address: eburduli@wsu.edu. 4. Washington State University, College of Nursing, Spokane, Washington State, USA. Electronic address: celestina@wsu.edu. 5. Midwives Alliance of North America, Washington State, USA. Electronic address: colleendb.midwife@gmail.com. 6. Seattle University College of Nursing, Seattle, Washington State, USA. Electronic address: fleminsu@seattleu.edu.
Abstract
BACKGROUND: The 10-item Birth Satisfaction Scale-Revised (BSS-R) is being increasingly used internationally. The use of the measure and the concept has gathered traction in the United States following the development of a US version of the tool. A limitation of previous studies of the measurement characteristics of the BSS-R is modest sample size. Unplanned pregnancy is recognised as being associated with a range of negative birth outcomes, but the relationship to birth satisfaction has received little attention, despite the importance of birth satisfaction to a range of postnatal outcomes. AIM: The current investigation sought to evaluate the measurement characteristics of the BSS-R in a large postpartum sample. METHODS: Multiple Groups Confirmatory Factor Analysis (MGCFA) was used to evaluate a series of measurement and structural models of the BSS-R to evaluate fundamental invariance characteristics using planned/unplanned pregnancy status to differentiate groups. FINDINGS: Complete data from N=2116 women revealed that the US version of the BSS-R offers an excellent fit to data and demonstrates full measurement and structural invariance. Little difference was observed between women on the basis of planned/unplanned pregnancy stratification on measures of birth satisfaction. DISCUSSION: The established relationship between unplanned pregnancy and negative perinatal outcomes was not found to extend to birth satisfaction in the current study. The BSS-R demonstrated exemplary measurement and structural invariance characteristics. CONCLUSION: The current study strongly supports the use of the US version of the BSS-R to compare birth satisfaction across different groups of women with theoretical and measurement confidence.
BACKGROUND: The 10-item Birth Satisfaction Scale-Revised (BSS-R) is being increasingly used internationally. The use of the measure and the concept has gathered traction in the United States following the development of a US version of the tool. A limitation of previous studies of the measurement characteristics of the BSS-R is modest sample size. Unplanned pregnancy is recognised as being associated with a range of negative birth outcomes, but the relationship to birth satisfaction has received little attention, despite the importance of birth satisfaction to a range of postnatal outcomes. AIM: The current investigation sought to evaluate the measurement characteristics of the BSS-R in a large postpartum sample. METHODS: Multiple Groups Confirmatory Factor Analysis (MGCFA) was used to evaluate a series of measurement and structural models of the BSS-R to evaluate fundamental invariance characteristics using planned/unplanned pregnancy status to differentiate groups. FINDINGS: Complete data from N=2116 women revealed that the US version of the BSS-R offers an excellent fit to data and demonstrates full measurement and structural invariance. Little difference was observed between women on the basis of planned/unplanned pregnancy stratification on measures of birth satisfaction. DISCUSSION: The established relationship between unplanned pregnancy and negative perinatal outcomes was not found to extend to birth satisfaction in the current study. The BSS-R demonstrated exemplary measurement and structural invariance characteristics. CONCLUSION: The current study strongly supports the use of the US version of the BSS-R to compare birth satisfaction across different groups of women with theoretical and measurement confidence.
Authors: Rebecca F Hamm; Sindhu K Srinivas; Jennifer Mccoy; Knashawn H Morales; Lisa D Levine Journal: Am J Perinatol Date: 2021-11-16 Impact factor: 1.862
Authors: Rebecca F Hamm; Jennifer McCoy; Amal Oladuja; Hilary R Bogner; Michal A Elovitz; Knashawn H Morales; Sindhu K Srinivas; Lisa D Levine Journal: JAMA Netw Open Date: 2020-11-02