Translation and validation of the Polish-language version of the Birth Satisfaction Scale-Revised (BSS-R) and its relationship to the type of delivery and the baby’s Apgar score

Abstract

BackgroundMaternal birth experience is being increasingly recognised as a key clinical outcome parameter. The Birth Satisfaction Scale-Revised (BSS-R) is a short self-report measure designed to assess birth experience. The current investigation sought to trans-late the BSS-R into Polish and validate this version of the BSS-R (PL-BSS-R).Participants and procedureThe BSS-R was translated into Polish by an expert panel using forward and backward translation. A complex within-subjects design with an embedded between-subjects component was used to determine the key psychometric characteristics of the PL-BSS-R. Two hundred ninety-four Polish-speaking women in Poland completed the follow-up component of the study where the PL-BSS-R was administered. The PL-BSS-R measurement properties were examined using confirmatory factor analysis, divergent, convergent validity analysis, internal consistency appraisal and investigation of known-groups discriminant characteristics.ResultsThe PL-BSS-R was found to have generally very good measurement properties and to be equivalent to the original English-language version across key validity indices. The PL-BBS-R was found to be significantly correlated with neonatal physical health immediately postpartum and differed across delivery modes.ConclusionsThe PL-BSS-R is a psychometrically robust measure of birth experience appropriate for clinical and research use within Po-land. Important associations were noted between subjective maternal birth experience and objective measures of neonatal physical health, indicating a critically important future research direction.