Validity of Birth Certificate and Hospital Discharge Data Reporting of Labor Induction

Kjerulff, Kristen H.; Attanasio, Laura B.

doi:10.1016/j.whi.2017.10.005

Cited by 9 publications

(5 citation statements)

References 49 publications

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“…However, the socioeconomic status of our population and our practice of using chart review is congruent with other studies. 18 Although our study also demonstrated that outpatient Foley catheter labor induction has similar efficacy and safety compared with the inpatient method, we acknowledge the small sample size. We evaluated multiple neonatal and maternal morbidity factors with no difference in outcome.…”

Section: Discussionmentioning

confidence: 65%

Outpatient Foley catheter induction protocol provides clinical and cost benefits

Washburn

Hong

et al. 2021

Birth

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Childbirth represents a significant portion of health care expenditures in the United States. 1 A great deal of these costs is because of obstetric procedures, with the average cost of vaginal delivery increasing over time. 2 In the present climate of pandemic, new protocols are emerging that allow for medical care in an outpatient environment. It is imperative that health care systems consider options for outpatient obstetric procedures. The ARRIVE trial demonstrated a lower risk of

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Section: Discussionmentioning

confidence: 65%

Outpatient Foley catheter induction protocol provides clinical and cost benefits

Washburn

Hong

et al. 2021

Birth

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“…Determination of both maternal pregnancy outcomes and IDD could be impacted by misclassification. Our reliance on birth records to quantify outcomes may lead to an underestimation of morbidity, especially for gestational hypertension and diabetes, and maternal smoking [ 33 , 34 ]. Ultimately, our estimates were consistent with past studies that used other data sources for maternal outcomes [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid

et al. 2020

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Background Women with intellectual and developmental disabilities (IDD) may face greater risk for poor pregnancy outcomes. Our objective was to examine risk of maternal pregnancy complications and birth outcomes in women with IDD compared to women without IDD in Wisconsin Medicaid, from 2007–2016. Methods Data were from the Big Data for Little Kids project, a data linkage that creates an administrative data based cohort of mothers and children in Wisconsin. Women with ≥1 IDD claim the year before delivery were classified as having IDD. Common pregnancy complications and maternal birth outcomes were identified from the birth record. We calculated risk ratios (RR) using log-linear regression clustered by mother. We examined outcomes grouped by IDD-type and explored interaction by race. Results Of 177,691 women with live births, 1,032 (0.58%) had an IDD claim. Of 274,865 deliveries, 1,757 were to mothers with IDD (0.64%). Women with IDD were at greater risk for gestational diabetes (RR: 1.28, 95% CI: 1.0, 1.6), gestational hypertension (RR: 1.22, 95% CI: 1.0, 1.5), and caesarean delivery (RR 1.32, 95% CI: 1.2, 1.4) compared to other women. Adjustment for demographic covariates did not change estimates. Women with intellectual disability were at highest risk of gestational hypertension. Black women with IDD were at higher risk of gestational hypertension than expected under a multiplicative model. Conclusions Women with IDD have increased risk of pregnancy complications and adverse outcomes in Wisconsin Medicaid. Results were robust to adjustment. Unique patterns by IDD types and Black race warrant further exploration.

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“…A Health Insurance Portability and Accountability Act (HIPAA)-compliant medical abstraction form was used to guide and facilitate the abstraction of patients' information related to the study itemsprepregnancy BMI and GWG. A retrospective chart review of EMR is considered the gold standard for the validation of the quality of GWG data recorded on birth certi cates [6, 9,13,14]. The abstraction form was designed to follow the format of the EMR so that abstraction would be accurate and e cient.…”

Section: Sampling Strategy Sample Size and Data Collectionmentioning

confidence: 99%

Validation of Gestational Weight Gain Records on South Carolina Birth Certificate Data

Momodu,

Horner,

Liu

et al. 2023

Preprint

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Objective To examine the accuracy of gestational weight gain (GWG) reported on birth certificates (BCs) in comparison with electronic medical records (EMRs), the gold standard. Methods BC data and EMR data were from a random sample of pregnant women who enrolled in CenteringPregnancy program, a type of group-based prenatal care, at three obstetric clinics in South Carolina between 2015 and 2019 (n = 206). Retrospective review of EMR data on patients’ prepregnancy BMI and GWG according to 2009 Institute of Medicine guidelines was conducted. Analyses involved summarizing the variables by their mean and mean differences per data source, and then calculating percent-weighted agreement and kappa statistics. Results The mean values of BMI, delivery weight and total weight gain were similar between BC and EMRs. Data correlation for variables was high for both data sources (height: r = 0.94, prepregnancy weight: r = 0.93, prepregnancy BMI: r = 0.92, delivery weight: r = 0.96, total weight gain: r = 0.60). The BCs slightly underestimated the proportion of women in the normal-weight BMI category but overestimated the proportion in the overweight BMI category. Additionally, BCs slightly overestimated women with inadequate GWG and underestimated those with excessive GWG. Overall, the BC and EMR data were in agreement regarding prepregnancy BMI (weighted-agreement = 90%, Kappa = 0.78) and GWG categories (weighted-agreement = 84%, Kappa = 0.63). Conclusion BC estimates of prepregnancy BMI and GWG categories were similar to those recorded in the EMRs. The South Carolina BC database is a valid database for gestational weight and can provide reasonable estimates for the state in the evaluation of the CenteringPregnancy program.

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Validity of Birth Certificate and Hospital Discharge Data Reporting of Labor Induction

Cited by 9 publications

References 49 publications

Outpatient Foley catheter induction protocol provides clinical and cost benefits

Outpatient Foley catheter induction protocol provides clinical and cost benefits

Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid

Validation of Gestational Weight Gain Records on South Carolina Birth Certificate Data

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