Research Output
Translation and validation of the Dutch version of the Birth Satisfaction Scale-Revised (BSS-R)
Recent observations suggest birth satisfaction may be significantly associated with postpartum post-traumatic stress disorder (PP-PTSD). The Birth Satisfaction Scale-Revised (BSS-R) is increasingly used Internationally as a short, valid and reliable multi-dimensional measure of birth experience. The current study sought to develop a Dutch version of the BSS-R (D-BSS-R) for clinical and research application in the Netherlands.

Post-translation, a cross-sectional design with an embedded between-subjects component was used to evaluate key indices of validity and reliability of the D-BSS-R in a purposive sampled cohort of 244 Dutch-speaking women in the Netherlands. Confirmatory factor analysis, divergent, convergent and known-groups discriminant validity were evaluated as was the internal consistency of the measure.

The D-BSS-R was found to be a generally valid and reliable measure of birth experience with the key measurement characteristics of the original English-language measure transferring well to the Dutch context. Statistically significant negative correlations were observed between all D-BSS-R sub-scales and a validated measure of PTSD.

The D-BSS-R represents a valid and reliable measure of birth experience suitable and appropriate for use in the Netherlands. The study corroborates previous suggestions of linkage between birth satisfaction and PP-PTSD using a robust and diagnostically valid measure of trauma.

  • Type:


  • Date:

    18 November 2021

  • Publication Status:

    In Press

  • Publisher

    Informa UK Limited

  • DOI:


  • Cross Ref:


  • ISSN:


  • Funders:

    Edinburgh Napier Funded


Emmens, B., Hollins Martin, C. J., & Martin, C. R. (in press). Translation and validation of the Dutch version of the Birth Satisfaction Scale-Revised (BSS-R). Journal of Reproductive and Infant Psychology,



Birth satisfaction, birth experience, scales, psychometrics, trauma

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