Factors associated with birth satisfaction in Chinese women: a prospective cohort study.

Background: This study aimed to evaluate birth satisfaction and identify its key influencing factors among Chinese women, acknowledging the increasing significance of a positive birth experience in perinatal care. Methods: Between February and August 2023, 635 women were assessed during the third trimester and again at 6 weeks postpartum. Prenatal psychological and psychosocial factors were measured using validated scales, and birth satisfaction was assessed using the Chinese Birth Satisfaction Scale-Revised Indicator. Stepwise multiple linear regression was retained as an exploratory analysis, and a theory-driven hierarchical regression model was performed as a sensitivity analysis, entering mode of delivery and physical discomfort in Block 1 and prenatal psychological and psychosocial variables in Block 2. Results: Mean birth satisfaction was 8.54 (SD = 2.16). Feeding pattern and gestational weight gain were not significantly associated with birth satisfaction in the univariate analyses. The final hierarchical model explained 21.3% of the variance in birth satisfaction ( Conclusion: Birth satisfaction among Chinese women was associated with mode of delivery, pregnancy pressure, resilience, and physical discomfort. These findings support continuous, individualized care across pregnancy, childbirth, and early postpartum recovery.