Do mothers remember key events during labor?

Elkadry, Eman; Kenton, Kimberly; White, Patricia; Creech, Steven; Brubaker, Linda

doi:10.1067/mob.2003.371

Cited by 57 publications

(50 citation statements)

References 21 publications

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“…'Recall bias' may play a large role in the interpretation of results related to identifying risk factors for PFD. Elkadry et al [46] have reported a high error rate with respect to recall of delivery events. Our data suggest that even test-retest reliability of history of anal sphincter tear at delivery is questionable.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey

et al. 2005

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The epidemiology of prolapse and incontinence questionnaire (EPIQ) was developed to screen for female pelvic floor disorders (PFD). Content and face validity, reliability, internal consistency and criterion validity of the EPIQ to detect the presence of pelvic organ prolapse (POP), stress urinary incontinence (SUI), overactive bladder (OAB) and anal incontinence (AI) is presented. Cronbach's alpha; Spearman's, kappa, intraclass correlations, factor analysis and Chi-Squared tests were used for analysis. Questions related to PFD proved internally consistent (alpha = 0.91) and reproducible (correlations >0.70) for all but three items on the EPIQ. Positive and negative predictive values of the EPIQ to detect PFD were: POP = 76% and 97%, SUI = 88% and 87%, OAB = 77% and 90% and AI = 61% and 91% respectively. EPIQ is a psychometrically validated screening instrument that may identify women at high risk of having pelvic floor disorders in large undiagnosed populations.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey

et al. 2005

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“…The data previously published on the concordance of maternal recall of obstetrical variables is limited but can be divided into studies performed immediately postpartum (7,8) less than 10 years from delivery (9,11), and greater than ten years (1). A study performed three weeks postpartum revealed moderate to excellent agreement on a number of obstetrical issues including type of delivery, use of episiotomy and use of regional anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…However, a second study performed at a median time of 10 weeks postpartum showed less agreement with kappa values of 0.63 for episiotomy and 0.66 for operative delivery. (8). Three studies analyzing concordance up to 10 years after delivery generally found poor to fair agreement between medical records and maternal recall of type of delivery, anesthesia used and major complications (9)(10)(11).…”

Section: Discussionmentioning

confidence: 99%

Concordance of chart abstraction and patient recall of intrapartum variables up to 53 years later

Hopkins

Caughey

Brown

et al. 2007

American Journal of Obstetrics and Gynecology

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Objective-To determine the concordance of patient recall compared to chart abstraction for distant intrapartum variables and to evaluate predictors of concordance.Methods-A random sample from a population-representative cohort of 2,109 ethnically diverse women aged 40-74 years. Intrapartum variables reported by participants were compared to data abstracted from labor and delivery records from up to 53 years prior. Outcomes were assessed for sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of patient recall compared to chart abstraction. Logistic regression was used to determine predictors of concordance of patient recall. NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author ManuscriptResults-401 births among 178 women were analyzed. Mean length of time between birth and recall was 29.6 years. Recall of cesarean delivery had the highest concordance (sensitivity=0.98, specificity=1.00, PPV=1.00, NPV=0.99), followed by birth weight ≥4000gm (sensitivity=0.86, specificity=0.91, PPV=0.53, NPV=.98) Use of oxytocin and laceration requiring repair had the lowest concordance (sensitivity=0. 43, specificity=0.75, PPV=0.54, NPV=0.91; sensitivity=0.37, specificity=0.68, PPV=0.34, NPV=0.81 respectively). No variables consistently predicted concordance or discordance of recall.Conclusion-The concordance of patient recall to chart abstraction for intrapartum variables varies widely. Knowledge of the level of concordance expected for specific variables may be helpful to clinicians who often must rely on patient recall, rather then medical records, for intrapartum histories, and for researchers seeking to identify intrapartum risk factors based on patient recall.

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“…This study relied on maternal recall, which can be subject to recall bias. Previous work has shown that the accuracy of maternal recall varies based on the questions asked [25], the timing of the questioning [26], and the demographic composition of the population [27,28]. Prior work by our group comparing self-report to medical records found that women have excellent recall of laceration, route of delivery including assisted deliveries, sphincter tears, and birth weight [17].…”

Section: Commentsmentioning

confidence: 95%

Does cesarean protect against fecal incontinence in primiparous women?

et al. 2008

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The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3-6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio = 1.45; 95% confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index >/=30 kg/m(2)), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p < 0.05) regardless of route of delivery. This study provides important data to inform counseling and management of primiparous women.

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Do mothers remember key events during labor?

Cited by 57 publications

References 21 publications

Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey

Epidemiology of prolapse and incontinence questionnaire: validation of a new epidemiologic survey

Concordance of chart abstraction and patient recall of intrapartum variables up to 53 years later

Does cesarean protect against fecal incontinence in primiparous women?

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