Psychometric properties of the birth satisfaction scale-revised (BSS-R) in a sample of postpartum Iranian women

2021

Nursing Open

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Childbirth is a unique and powerful experience in a woman's life.Childbirth dissatisfaction reduces maternal desire for subsequent pregnancies (Rashidian et al., 2019) or increases the interval between them (Gottvall & Waldenstrom, 2002). In previous studies, several variables have been found to be associated with childbirth satisfaction including planned pregnancy, planned childbirth (Tadele et al., 2020), women's knowledge of labour, low-intensity labour pain (Jafari et al., 2017), short labour (Fumagalli et al., 2021, multiparity, women's participation in maternal care decision-making process (Takacs et al., 2015), giving birth in primary level facilities (Mocumbi et al., 2019) or in private hospitals (Karoni et al., 2020) and empathy of midwives/physicians and respectful behaviour of caregivers

Section: The Birth Satisfaction Scale -Revised (Bss-r)mentioning

confidence: 81%

Section: Design Participants and Data Collectionmentioning

confidence: 99%

Predictors of low birth satisfaction among Iranian postpartum women: A cross‐sectional study

2021

Nursing Open

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“…This study was conducted using data previously collected for a descriptive cross-sectional study on the validity of the Persian Birth Satisfaction Scale-Revised (the Persian BSS-R) [18]. The Ethics Committee of Sabzevar University of Medical Sciences has approved this study (Number: IR.MEDSAB.REC.1399.119).…”

Section: Methodsmentioning

confidence: 99%

Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

2021

Preprint

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Background: Fear of childbirth (FOC) may contribute to postpartum depression, impaired maternal-infant relation, and preference for cesarean in future pregnancies. The mode of delivery may have a role in postpartum FOC. We aimed to investigate predictors of FOC and normal vaginal delivery (NVD) among postpartum women who had planned for NVD. Methods: This cross-sectional study was conducted in 2019 on postpartum women during the first 24 hours after the delivery. A sample of 662 women, selected using convenient sampling method, filled out the questionnaire composed of socio-demographic and obstetric questions and the Wijma Delivery-Expectancy Questionnaire (W-DEQ). We used univariate and multivariate logistic regression analyses to determine predictors of FOC and NVD.Results: The percentage of women with mild (scores ≤ 37), moderate (38-65), high (66-84), severe (scores 85-99) and intense (scores ≥ 100) FOC were 7.9%, 19.5%, 40.9%, 21.1%, and 10.6% respectively. Predictors of severe FOC were a low level of satisfaction with husband’s support and a low level of satisfaction with pregnancy. Predictors of intense FOC were age < 30, primiparity, low maternal satisfaction with pregnancy, and a low level of perceived marital satisfaction. Overall, 21.8% of women gave birth by cesarean. Predictors of NVD were birth weight < 4kg, spontaneous labor pain, mother’s age < 30, term pregnancy, having a doula, multiparity, satisfaction with husband's support, and satisfaction with pregnancy. FOC was not a predictor of NVD. Conclusions: The rate of severe and intense FOC among this group of postpartum women is high. Our findings highlight modifiable factors for reducing FOC and increasing NVD. In designing programs to increase the rate of NVD, the following factors should be considered: limiting induced labor, encouraging women to recruit a doula to help them at labor, facilitate husband’s attendance throughout antenatal/intrapartum and postnatal care to support his wife, consultation with couples to increase husband’s support, and other steps to make pregnancy pleasant and memorable. According to our findings, factors that can contribute to the reduction of the rate of FOC were consultation with couples to increase husband support and marital satisfaction and also finding ways to make pregnancy a pleasant experience.

“…The results of the con rmatory factor analysis on the scale con rmed the structure proposed by the scale developers. The reliability of the Persian BSS-R has been con rmed (Cronbach's alpha = 0.76) [23].…”

Section: Interview Formmentioning

confidence: 90%

“…This study was performed using data which had been collected for the validity study of the Persian Birth Satisfaction Scale (the Persian BSS-R) [23]. The Ethics Committee of Sabzevar University of Medical Sciences has reviewed and approved this study (approval number: IR.MEDSAB.REC.1400.119).…”

Section: Methodsmentioning

confidence: 99%

Predictors of birth satisfaction among Iranian postpartum women: a cross-sectional study

2021

Preprint

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Background: Childbirth dissatisfaction may reduce maternal tendency for subsequent pregnancies and increase maternal request for elective cesarean. This study aimed to investigate predictors of birth satisfaction in a sample of Iranian postpartum women. Methods: This cross-sectional study was conducted on 767 women in early postpartum using a convenience sampling method in 2019. Women’s demographic/obstetrical information were collected. Women completed three questionnaires including the World Health Organization-5 well-being Index (WHO-5 well-being Index), the Birth Satisfaction scale-R (BSS-R), and the Wijma Delivery-Expectancy/experience Questionnaire (W-DEQ) version B. We used univariate general linear model to investigate the relationships between independent variables and birth satisfaction scores. Multiple linear regression analysis was used to determine predictors of birth dissatisfaction. Results: The percentage of women who gave birth by elective cesarean, emergency cesarean, and vaginal birth were 13.2%, 19.06%, and 67.8%, respectively. Predictors of low birth satisfaction were primiparity, low level of well-being, low and moderate satisfaction with pregnancy, moderate satisfaction with spouse’s emotional/financial support, emergency cesarean, severe fear of childbirth, and long duration from admission to delivery. Women who had vaginal birth and were accompanied by a doula reported a higher level of birth satisfaction than those without a doula (p = 0.012). Women who had emergency cesarean accompanied by a doula reported a lower level of birth satisfaction than those without a doula (p = 0.045).Conclusions: Our results indicate that in order to promote birth satisfaction, specific interventions should be designed that enhance maternal well-being, reduce fear of childbirth, and promote spouse’s support. Also, revising and improving admission protocols in maternity hospitals and other measures that help women have a smooth and hassle-free pregnancy can promote birth satisfaction. Further studies should also be conducted in Iran to examine other significant social predictors of birth satisfaction such as interaction between midwives/physicians and patients and respectful attitude of staff members.