Validity of health plan and birth certificate data for pregnancy research

Andrade, Susan E.; Scott, Pamela E.; Davis, Robert L.; Li, De-Kun; Getahun, Darios; Cheetham, T. Craig; Raebel, Marsha A.; Toh, Sengwee; Dublin, Sascha; Pawloski, Pamala A.; Hammad, Tarek A.; Beaton, Sarah J.; Smith, David H.; Dashevsky, Inna; Haffenreffer, Katherine; Cooper, William O.

doi:10.1002/pds.3319

Cited by 119 publications

(123 citation statements)

References 18 publications

(41 reference statements)

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“…In addition , there may be limitations to the validity of birth certificate data included in the RI-PRAMS. Previous studies examining the validity of birth certificate data have had mixed results (53-55). The rates of PPD symptoms reported in this study represent self-reported postpartum depressive symptomatology and may not reflect a clinical diagnosis of postpartum depression diagnosis or actual rates of PPD among women with and without disabilities.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors for Postpartum Depression Symptoms Among Women with Disabilities

Mitra

Iezzoni

Zhang

et al. 2014

Matern Child Health J

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Objective The adverse consequences of postpartum depression on the health of the mother and her child are well documented. However, there is little information on postpartum depression among mothers with disabilities. This study examines the patterns of depression and depressive symptoms before, during and after pregnancy and the association between depression before and during pregnancy and postpartum depression symptomatology (PPD) among women with and without disabilities. Methods Data from the 2009-2011 Rhode Island Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed in 2013. Results Almost 30% (28.9%; 95% CI 22.8-35.8) of mothers with disabilities reported often or always feeling down, depressed or sad after childbirth compared to 10% of those without disabilities (95% CI 8.9-11.3). Compared to other women in the study, women with disabilities had a greater likelihood for PPD symptoms (RR 1.6, 95% CI 1.1-2.2) after accounting for sociodemographics, maternal characteristics related to PPD, and depression before and during pregnancy. Adjusting for other covariates, self-reported prenatal diagnosis of depression was not associated with symptoms of PPD and depression during pregnancy was marginally associated with PPD symptomatology for women with disabilities. Conclusion Women with disabilities are at a greater risk of experiencing symptoms of postpartum depression than other women. Screening for PPD among new mothers with disabilities and timely referral of those with PPD diagnosis are vital to the health of mothers with disabilities and their children.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors for Postpartum Depression Symptoms Among Women with Disabilities

Mitra

Iezzoni

Zhang

et al. 2014

Matern Child Health J

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“…18 A validation study showed high positive predictive value (PPV) for selected maternal medical conditions and birth certificate variables. 19 For the current study, a programmer at the lead site wrote SAS programs that were implemented at other sites, yielding deidentified summary data that were returned to the lead site for analysis.…”

Section: Overviewmentioning

confidence: 99%

Trends in Elective Labor Induction for Six United States Health Plans, 2001–2007

Dublin

Johnson

Walker

et al. 2014

Journal of Women's Health

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Background: To describe trends in labor induction, including elective induction, from 2001 to 2007 for six U.S. health plans and to examine the validity of induction measures derived from birth certificate and health plan data.Methods: This retrospective cohort study included 339,123 deliveries at 35 weeks' gestation or greater. Linked health plan and birth certificate data provided information about induction, maternal medical conditions, and pregnancy complications. Induction was defined from diagnosis and procedure codes and birth certificate data and considered elective if no accepted indication was coded. We calculated induction prevalence across health plans and years. At four health plans, we reviewed medical records to validate induction measures. Results: Based on electronic data, induction prevalence rose from 28% in 2001 to 32% in 2005, then declined to 29% in 2007. The trend was driven by changes in the prevalence of apparent elective induction, which rose from 11% in 2001 to 14% in 2005 and then declined to 11% in 2007. The trend was similar for subgroups by parity and gestational age. Elective induction prevalence varied considerably across plans. On review of 86 records, 36% of apparent elective inductions identified from electronic data were confirmed as valid. Conclusions: Elective induction appeared to peak in 2005 and then decline. The decrease may reflect quality improvement initiatives or changes in policies, patient or provider attitudes, or coding practices. The low validation rate for measures of elective induction defined from electronic data has important implications for existing quality measures and for research studies examining induction's outcomes.

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“…Studies include the examination of obstetric estimate of gestational age in California 7 and two additional states; 8 pre-pregnancy weight and height in Florida; 9 Medicaid coverage for delivery in Iowa, 10 California, 11 and two additional states; 8 and gestational diabetes in several states. 5,8,[12][13][14][15] The most comprehensive evaluation of the 2003 birth certificate, conducted by NCHS, in a total of eight hospitals in two states, found wide variation in the quality of data by item and hospital. We sought to expand the current evidence of the validity of items on the 2003 birth certificate by conducting a validation study in two geographically and demographically distinct jurisdictions-New York City (NYC) and Vermont.…”

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confidence: 99%

Validation of Selected Items on the 2003 U.S. Standard Certificate of Live Birth: New York City and Vermont

et al. 2015

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Objective. We assessed the validity of selected items on the 2003 revised U.S. Standard Certificate of Live Birth to understand the accuracy of new and existing items.Methods. We calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of select variables reported on the birth certificate using the medical record as the gold standard for a representative sample of live births in New York City (n5603) and Vermont (n5664) in 2009.Results. In both sites, sensitivity was excellent (.90%) for Medicaid coverage at delivery, any previous live births, and current method of delivery; sensitivity was moderate (70%-90%) for gestational diabetes; and sensitivity was poor (,70%) for premature rupture of the membranes and gestational hypertension. In both sites, PPV was excellent for Medicaid coverage, any previous live births, previous cesarean delivery, and current method of delivery, and poor for premature rupture of membranes. In both sites, almost all items had excellent (.90%) specificity and NPV.Conclusion. Further research is needed to determine how best to improve the quality of data on the birth certificate. Future revisions of the birth certificate may consider removing those items that have consistently proven difficult to report accurately.

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Validity of health plan and birth certificate data for pregnancy research

Cited by 119 publications

References 18 publications

Prevalence and Risk Factors for Postpartum Depression Symptoms Among Women with Disabilities

Prevalence and Risk Factors for Postpartum Depression Symptoms Among Women with Disabilities

Trends in Elective Labor Induction for Six United States Health Plans, 2001–2007

Validation of Selected Items on the 2003 U.S. Standard Certificate of Live Birth: New York City and Vermont

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