Background: Birth satisfaction is shaped by social context and may be linked to maternal perinatal stress, particularly in marginalized populations.We compared birth satisfaction and related psychological outcomes in incarcerated and non-incarcerated mothers.Methods: In a nested retrospective crosssectional design, 55 incarcerated women who had given birth prior to imprisonment and 79 women from the population in the Czech Republic completed a standardized pencil-and-paper survey.Birth satisfaction (Birth Satisfaction Scale--Revised), self-esteem and posttraumatic stress symptoms were assessed; survey-mode effects were examined in the community sample.Results: Incarcerated women reported higher birth satisfaction than women from the community.Within the prison sample, higher birth satisfaction correlated positively with self-esteem and negatively with posttraumatic stress symptoms.No significant survey-mode differences emerged in the community data.Conclusions: Birth satisfaction and its associations with perinatal stress--related outcomes appear context dependent.Methodological alignment is needed to allow valid comparisons between socially marginalized and general populations.
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University of Oxford (2026) studied this question.
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