Evaluating Patient Reported Obstetrical History at Initial Prenatal Visit

Authors

  • Micah Wright Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (OSU-COM)
  • Thanh Luu Oklahoma State University Medical Center
  • Katie Smith Oklahoma State University Medical Center Department of OB/GYN
  • Jessica Sorelle Oklahoma State University Medical Center Department of OB/GYN
  • Christa Littrell Oklahoma State University Medical Center Department of OB/GYN
  • Anne Bowes Oklahoma State University Medical Center Department of OB/GYN
  • Darren Vargas Oklahoma State University Medical Center Department of OB/GYN
  • Carlos Guevara Oklahoma State University Medical Center Department of OB/GYN
  • Lance Frye Oklahoma State University Medical Center Department of OB/GYN
  • William Po Oklahoma State University Medical Center Department of OB/GYN

Abstract

Aim: The potential for recall bias at initial intake visit of multiparous obstetrical patients is a common concern. Accuracy of initial obstetrical history reporting can drastically alter the course of pregnancy management if the information documented during the current gestation is inaccurate. This retrospective study assesses the overall accuracy of obstetrical history reporting at intake visit for multiparous obstetrical patients. METHODS: Delivery record data from our urban-centered academic teaching institution was collected from January 2016-February 2018. Research collection included specific patient-reported obstetrical history. Delivery records were screened by all authors and EMR delivery record data was compared with the initial obstetrical history comparison of accuracy. RESULTS: 321 delivery records were retained for final analysis. Of these, 318 (99%) recorded accurate type of delivery, 301 (94%) accurately recorded year of delivery, 292 (91%) accurately recorded gravida and para history, 208 (65%) reported accurate gestational age at delivery, and 186 (58%) accurately recorded birth weight. CONCLUSION: Results suggest our patient population was accurate at recording routine obstetrical information on initial prenatal visit. However, poor accuracy was noted in reporting of detailed obstetrical information with potential for significant impacts on management of future pregnancies. Results obtained from this study can create measures to improve patient’s obstetrical history reporting.

References

MA Quigley, C Hockley, LL Davidson. Agreement between hospital records and

maternal recall of mode of delivery: Evidence from 12 391 deliveries in the UK Millennium Cohort Study. BJOG An International Journal of Obstetrics and Gynaecology. 2006. 114(2):195-200.

Githens PB, Glass CA, Sloan FA, Entman SS, Maternal Recall and Medical Records: An Examination of Events During Pregnancy, Childbirth, and Early Infancy. Birth 1993; 20(3): 136-141.

Harlow SD, Linet MS. Agreement between questionnaire data and medical records: The evidence for accuracy of recall. A m J Epidemiol 1989;129(2):233-248.

Krall EA, Valadian I, Dwyer JT, Gardner J. Accuracy of recalled smoking data. Am J Public Health 1989;79(2):200- 206.

Mackenzie SG, Lippman A. An investigation of report bias in a case-control study of pregnancy outcome. Am J Epidemiol 1989;129(l):65-75.

Chu SY, Lee NC, Wingo PA, Webster LA. Alcohol consumption and the risk of breast cancer. Am J Epidemiol 1989;130(5):867-877.

Giovannucci E, Colditz G, Stampfer MJ, et al. The assessment of alcohol consumption by a simple self-administered questionnaire. Am J Epidemiol 1991;133(8):810-817.

Loftus ER, Fathi DC. Retrieving multiple autobiographical memories. Social Cognition 1985;3(3):280-295.

Mitchell 10. AA, Cottler LB, Shapiro S. Effect of questionnaire design on recall of drug exposure in pregnancy. Am J Epidemiol 1986;123(4):670-676.

Sokol RJ,Martier SS, Ager JW. The T-ACE questions:Practical prenatal detection or risk-drinking. Am J Obstet Gynecol 1989;160(4):863-870.

Bean JA, Leeper JD, Wallace RB, Sherman BM, Jagger H. Variations in the reporting of menstrual histories. Am J Epidemiol 1979;109(2):I81- 185.

Martin CJ. Monitoring maternity services by postal questionnaire: Congruity between mothers’ reports and their obstetric records. Stat Med 1987;6(5):613-627.

Means B, Nigam A, Zarrow M, Loftus EF, Donaldson MS. Autobiographical memory for health-related events. In: Keppel KG, Heuser RL, Placek PJ, et al, eds. Methods and Response Characteristics. 1980 National Natality and Fetal Mortality Surveys. Vital and Health Statistics, series 2, no. 100, DHHS pub. no. (PHS) 86-1374. Washington, DC: National Center for Health Statistics, Government Printing Office 1986;l-27.

Oates RK, Forrest D. Reliability of mothers’ reports of birth data. Aust Paediatr J 1984;20(2):185-186.

Wilcox AJ, Horney LF. Accuracy of spontaneous abortion recall. A m 7. Epidemiol 1984;120(5):727-733.

Robert Kehoe, Suh-Yuh Wu, M. Cristina Leske, and Leo T. Chylack, Jr. Comparing Self-reported and Physician-reported Medical History American Journal of Epidemiology, Vol 139, 813-818

Stephen L. Bukaa,*, Jill M. Goldsteinb,c, Eleni Spartosa, Ming T. Tsuangb,d The retrospective measurement of prenatal and perinatal events: accuracy of maternal recall Schizophrenia Research 71 (2004) 417–426

Keenan K, Hipwell A, McAloon R, et al. Concordance between maternal recall of birth complications and data from obstetrical records. Early Hum Dev 2017 Feb; 105:11-15. doi: 10.1016/j.earlhumdev.2017.01.003

Downloads

Published

2020-07-06

Issue

Section

Medical