Scale Overview
The Birth Satisfaction Scale – BSS was developed by Caroline J. Hollins Martin and Valerie Fleming (2009). It is designed to measure Childbirth satisfaction. The scale is intended for use with Postpartum women.
Scale Structure
This instrument consists of 30 items organized into 3 factors/subscales: Quality of care provision, Women’s personal attributes, Stress experienced during labour.
| Factor / Subscale |
Items |
N |
| Quality of care provision |
10,12,13,14,24,26,27,28 |
8 |
| Women's personal attributes |
1,2,3,11,15,16,17,25 |
8 |
| Stress experienced during labour |
4,5,6,7,8,9,18,19,20,21,22,23,29,30 |
14 |
Response Format
Respondents rate each item using a 5-point Likert scale (1 = Strongly Disagree to 5 = Strongly Agree).
The scale includes 12 reverse-scored items to reduce acquiescence bias.
Scoring
Items are scored by subscale, with each subscale sum representing a distinct dimension.
Total scores range from 30 to 150. Interpretation guidelines:
- Low birth satisfaction: 30 – 70
- Moderate birth satisfaction: 71 – 110
- High birth satisfaction: 111 – 150
Psychometric Properties
Internal Consistency: The scale has demonstrated good to excellent internal consistency with reported Cronbach’s alpha values of Not specified in source text.
Administration
The scale is self-administered and typically takes approximately 10 minutes to complete. It can be administered individually or in group settings. No special training is required for administration.