Assessing obstetric risk factors for maternal morbidity: Congruity between medical records and mothers' reports of obstetric exposures

Deirdre Gartland, Nirosha Lansakara, Margaret Flood, Stephanie J. Brown

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

Objective: We sought to assess congruity between data abstracted from medical records with answers to self-administered questionnaires. Study Design: This was a multicenter prospective nulliparous pregnancy cohort. Results: A total of 1507 women enrolled. Analyses were reported for 1296 with medical record data and 3-month postpartum follow-up. There was near-perfect agreement (κ <0.80) between maternal report and abstracted data for reproductive history, induction/augmentation method, epidural/spinal analgesia, method of birth, perineal repair, infant birthweight, and gestation. Agreement was poor to moderate for maternal position in second stage and duration of pushing. Conclusion: Maternal report of pregnancy, labor, and birth factors was very reliable and considered more accurate in relation to maternal position in labor and birth, smoking, prior terminations, and miscarriages. Use of routine birthing outcome summaries may introduce measurement error as hospitals differ in their definitions and reporting practices. Using primary data sources (eg, partograms) with clearly defined prespecified criteria will provide the most accurate obstetric exposure and outcome data.

Original languageEnglish
Pages (from-to)152.e1-152.e10
JournalAmerican Journal of Obstetrics and Gynecology
Volume206
Issue number2
DOIs
Publication statusPublished or Issued - 1 Jan 2012
Externally publishedYes

Keywords

  • data abstraction
  • measurement
  • obstetric exposures
  • self-report

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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