Birth satisfaction scale (BSS)
Hollins Martin and Fleming‚ 2009‚ 2014
Birth satisfaction scale (BSS)‚ 2009
1) I coped well with my birth.
2) The delivery room staff encouraged me to make decisions about how I wanted my birth to progress.
3) I was well prepared for my labour‚ i.e.‚ read a lot of literature and/or attended parenthood education classes.
4) I found giving birth a distressing experience.
5) I came through childbirth virtually unscathed
6) I gave birth to a healthy normal baby.
7) During labour I received outstanding medical care.
8) I received a lot of medical intervention‚ i.e.‚ induction‚ forceps‚ section etc.
9) I had a swift and speedy labour.
10)I felt well supported by my partner during labour and birth.
11)I was encouraged to hold my baby for a substantial amount of time after birth.
12)My birth experience was considerably different from what I intended.
13)I had the same midwife throughout the entire process of labour and delivery.
14)I felt that the delivery room was unthreatening and comfortable.
15)I felt very anxious during my labour and birth.
16)I felt out of control during my birth experience.
17)I felt it was better not to know in advance about the processes of giving birth.
18)I was not distressed at all during labour.
19)I felt mutilated by my birth experience.
20)My baby was avoidably hurt during birth.
21)The staff provided me with insufficient medical care during my birth.
22)I had a natural labour‚ i.e.‚ minimal medical intervention.
23)I thought my labour was excessively long.
24)I felt well supported by staff during my labour and birth.
25)I was separated from my baby for a considerable period of time after my birth.
26)My birth proceeded as I planned it.
27)The staff communicated well with me during labour.
28)The delivery room was clean and hygienic.
29)Giving birth was incredibly painful.
30)Labour was not as painful as I imagined.
Birth satisfaction scale -Revised (BSS-R)‚ 2014
• Quality of care provision (4-items)
• Women’s personal attributes (2-items)
• Stress experienced during labour (4-items)
1. I came through childbirth virtually unscathed.
2. I thought my labour was excessively long.
3. The delivery room staff encouraged me to make decisions about how I wanted my birth to progress.
4. I felt very anxious during my labour and birth.
5. I felt well supported by staff during my labour and birth.
6. The staff communicated well with me during labour.
7. I found giving birth a distressing experience.
8. I felt out of control during my birth experience.
9. I was not distressed at all during labour.
10. The delivery room was clean and hygienic.
5: Strongly Agree‚ 4: I Agree‚ 3: I Neither Agree or Disagree‚ 2: I Disagree‚ 1: I Strongly Disagree
Reverse score: items 4‚ 8‚ 12‚ 15‚ 16‚ 17‚ 19‚ 20‚ 21‚ 23‚ 25‚ and 29.
Quality of care provision: Home assessment 12 & 26‚ Birth environment 14 & 28‚ Sufficient support 10 & 24‚ Relationships with health care professionals 13 & 7.
Women’s personal attributes: Ability to cope during labour 1 & 15‚ Feeling in control 2 & 16‚ Preparation for childbirth 3 & 17‚ Relationship with baby 11 & 25.
Stress experienced during labour: Distress experienced during labour 4 & 18‚ Obstetric injuries 5 & 19‚ Perception of having received sufficient medical care 7 & 21‚ Receipt of an obstetric intervention 8 & 22‚ Pain experienced 29 & 30‚ Long labour 9 & 23‚ Health of baby 6 & 20
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Hollins Martina‚ Caroline J.‚ Snowdenb‚ Austyn & Martinb Colin R. (2012). Concurrent analysis: validation of the domains within the Birth Satisfaction Scale. Journal of Reproductive and Infant Psychology ;30(3): 247-260