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Development and Validation of the Birth Environment Assessment Scale.

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    Summary
    This summary is machine-generated.

    The Birth Environment Assessment Scale (BEAS) is a valid new tool for assessing women's birth environment perceptions. It demonstrates reliability across racial groups and can help create supportive birth settings.

    Keywords:
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    Area of Science:

    • Reproductive Health
    • Psychometrics
    • Maternal Well-being

    Background:

    • Understanding the birth environment is crucial for maternal well-being.
    • Existing tools may not fully capture women's perceptions of their birth experiences.
    • Developing reliable measures is essential for research and clinical practice.

    Purpose of the Study:

    • To evaluate the psychometric properties of the newly developed Birth Environment Assessment Scale (BEAS).
    • To establish the validity and reliability of the BEAS for assessing perceptions of the birth environment.

    Main Methods:

    • A descriptive psychometric study was conducted using an online survey of 343 adult women in the United States who gave birth in the past 5 years.
    • Content validity, internal consistency, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were performed.
    • Criterion validity was assessed using established scales for postpartum depression, anxiety, and stress. Measurement invariance by race was tested using multigroup analysis.

    Main Results:

    • Exploratory and confirmatory factor analyses supported a two-factor solution and a unidimensional factor structure.
    • BEAS scores demonstrated criterion validity through significant correlations with postpartum depression, anxiety, and stress.
    • Multigroup analysis confirmed the stability of the BEAS factor structure across racial groups, indicating measurement invariance.

    Conclusions:

    • The Birth Environment Assessment Scale (BEAS) is a psychometrically sound instrument for measuring women's perceptions of the birth environment.
    • The BEAS can be utilized as a valuable tool to inform the creation of more supportive and comfortable birth settings.
    • This scale offers a reliable method for researchers and clinicians to assess the impact of the birth environment on maternal experiences.