Medical record validation of maternally reported history of preeclampsia.

Abstract:

OBJECTIVE:In this study, we assessed the validity of maternally self-reported history of preeclampsia. STUDY DESIGN AND SETTING:This study was embedded in the Generation R Study, a population-based prospective cohort study. Data were obtained from prenatal questionnaires and one questionnaire obtained 2 months postpartum from the mother. All women who delivered in hospital and returned a 2-month postpartum questionnaire (n = 4,330) were selected. RESULTS:Of the 4,330 women, 76 out of 152 (50%) women who self-reported preeclampsia appeared not to have had the disease according to the definition (International Society for the Study of Hypertension in Pregnancy). From the women who self-reported not to have experienced preeclampsia, 11 out of 4,178 (0.3%) had suffered from preeclampsia. Sensitivity and specificity were 0.87 and 0.98, respectively. Higher maternal education level and parity were associated with a better self-reported diagnosis of preeclampsia. CONCLUSION:The validity of maternal-recall self-reported preeclampsia is moderate. The reduced self-reported preeclampsia might suggest a lack of accuracy in patient-doctor communication with regard to the diagnostic criteria of the disease. Therefore, doctors have to pay attention to make sure that women understand the nature of preeclampsia.

journal_name

J Clin Epidemiol

authors

Coolman M,de Groot CJ,Jaddoe VW,Hofman A,Raat H,Steegers EA

doi

10.1016/j.jclinepi.2009.10.010

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

932-7

issue

8

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(09)00368-0

journal_volume

63

pub_type

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