Research Output
Development and validation of the Australian version of the Birth Satisfaction Scale-Revised (BSS-R)
  Objective and background: The 10-item Birth Satisfaction Scale-Revised (BSS-R) has recently been endorsed by international expert consensus for global use as the birth satisfaction outcome measure of choice. English-language versions of the tool include validated UK and US versions; however, the instrument has not, to date, been contextualised and validated in an Australian English-language version. The current investigation sought to develop and validate an English-language version of the tool for use within the Australian context.
Methods: A two-stage study. Following review and modification by expert panel, the Australian BSS-R (A-BSS-R) was (Stage 1) evaluated for factor structure, internal consistency, known-groups discriminant validity and divergent validity. Stage 2 directly compared the A-BSS-R data set with the original UK data set to determine the invariance characteristics of the new instrument. Participants were a purposive sample of Australian postnatal women (n = 198).
Results: The A-BSS-R offered a good fit to data consistent with the BSS-R tridimensional measurement model and was found to be conceptually and measurement equivalent to the UK version. The A-BSS-R demonstrated excellent known-groups discriminant validity, generally good divergent validity and overall good internal
Conclusion: The A-BSS-R represents a robust and valid measure of the birth satisfaction concept suitable for use within Australia and appropriate for application to International comparative studies.

  • Type:


  • Date:

    13 November 2017

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  • DOI:


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  • Library of Congress:

    RG Gynecology and obstetrics

  • Dewey Decimal Classification:

    618 Gynecology, obstetrics, pediatrics & geriatrics

  • Funders:

    Edinburgh Napier Funded


Jefford, E., Hollins Martin, C. J., & Martin, C. R. (2018). Development and validation of the Australian version of the Birth Satisfaction Scale-Revised (BSS-R). Journal of Reproductive and Infant Psychology, 36(1), 42-58.



Birth Satisfaction Scale- Revised (BSS-R); Australian; validation; maternity care; measurement invariance; midwives; obstetricians

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