How well do birth certificates describe the pregnancies they report? The Washington State experience with low-risk pregnancies.
Objectives: Birth certificates are a major source of population-based data on maternal and perinatal health, but their value depends on the accuracy of the data. This study assesses the validity of information recorded on the birth certificates for women in Washington State who were considered to be...
| Publicado en: | Maternal & Child Health Journal Vol. 2; no. 3; pp. 145 - 155 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep1998
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107206455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107206455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep1998 vid: 2 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 107206455 107206455 1999055812 10.1023/a:1021875026135 NLM10728271 107206455 ppf: 145 ppct: 10 formats: fmt: @attributes: type: P tig: atl: How well do birth certificates describe the pregnancies they report? The Washington State experience with low-risk pregnancies. aug: au: Dobie SA Baldwin L Rosenblatt RA Fordyce MA Andrilla CHA Hart LG affil: University of Washington, Department of Family Medicine, Box 356390, Seattle, WA 98195-6390. E-mail: dob@u.washington.edu sug: subj: Birth Certificates Evaluation Instrument Validation Funding Source Validation Studies Record Review Reliability and Validity Random Sample Comparative Studies kappa Statistic Data Analysis Software Confidence Intervals Sensitivity and Specificity Data Collection Methods Washington Health Resource Utilization Power Analysis Two-Tailed Test Paired T-Tests Chi Square Test Infant, Newborn Pregnancy Female Human Infant, Newborn: birth-1 month Female ab: Objectives: Birth certificates are a major source of population-based data on maternal and perinatal health, but their value depends on the accuracy of the data. This study assesses the validity of information recorded on the birth certificates for women in Washington State who were considered to be low risk at entry into care. Methods: Birth certificates were matched to data abstracted from prenatal and intrapartum clinic and hospital records of a sample of 1937 Washington State obstetrical patients who were considered to be low risk at the beginning of their pregnancies. Accuracy of a variety of pregnancy characteristics (e.g., complications, procedures) on the birth certificate was analyzed using percentage agreement and sensitivity with record abstracts as the 'gold standard.' Next, we weighted the data from each source to produce estimates of pregnancy characteristics in the population. We compared these estimates from the two data sources to see whether they provide similar pictures of this subpopulation. Results: Missing data for specific items on the birth certificates ranged from 0% to 24%. The birth certificate accurately captured gravidity and parity, but was less likely to report prenatal and intrapartum complications. The population estimates of the two data sources were significantly different. Conclusions: Because birth certificates significantly underestimated the complications of pregnancies, number of interventions, number of procedures, and prenatal visits, use of these data for health policy development or resource allocation should be tempered with caution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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