Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1111/birt.12731 http://hdl.handle.net/11449/247548 |
Resumo: | Background: The study aims to assess agreement between data obtained from interviews with postpartum women and their health records about labor and birth characteristics, newborn care, and reasons for cesarean birth. Methods: The present study analyzes the Birth in Brazil study dataset, a nationwide hospital-based survey that included 23,894 postpartum women. Reliability was assessed using kappa coefficients and 95% confidence intervals. We also calculated the proportion of specific agreement: the observed proportion of positive agreement (Ppos) and the observed proportion of negative agreement (Pneg). Results: In terms of labor and birth characteristics, more significant discrepancies in prevalence were observed for fundal pressure (1.4%–42.6%), followed by amniotomy, and augmentation. All of these variables were reported more frequently by women. Reliability was nearly perfect only for mode of delivery (kappa 0.99–1.00, Ppos and Pneg >99.0%). Higher discrepancies in reasons for cesarean prevalence were observed for previous cesarean birth (CB) (3.9%–10.4%) and diabetes mellitus (0.5%–8.5%). Most kappa coefficients for CB reasons were moderate to substantial. Lower coefficients were seen for diabetes mellitus, induction failure, and prelabor rupture of membranes and Pneg was consistently higher than Ppos. Discussion: Our findings raise relevant questions about the quality of information shared with women during and after the process of care for labor and birth, as well as the information recorded in medical charts. Not having access to full information about their own health status at birth may impair women's health promotion behaviors or clear disclosure of risk factors in future interactions with the healthcare system. |
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Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitalscesarean sectiondeliveryepidemiologyobstetricparturitionBackground: The study aims to assess agreement between data obtained from interviews with postpartum women and their health records about labor and birth characteristics, newborn care, and reasons for cesarean birth. Methods: The present study analyzes the Birth in Brazil study dataset, a nationwide hospital-based survey that included 23,894 postpartum women. Reliability was assessed using kappa coefficients and 95% confidence intervals. We also calculated the proportion of specific agreement: the observed proportion of positive agreement (Ppos) and the observed proportion of negative agreement (Pneg). Results: In terms of labor and birth characteristics, more significant discrepancies in prevalence were observed for fundal pressure (1.4%–42.6%), followed by amniotomy, and augmentation. All of these variables were reported more frequently by women. Reliability was nearly perfect only for mode of delivery (kappa 0.99–1.00, Ppos and Pneg >99.0%). Higher discrepancies in reasons for cesarean prevalence were observed for previous cesarean birth (CB) (3.9%–10.4%) and diabetes mellitus (0.5%–8.5%). Most kappa coefficients for CB reasons were moderate to substantial. Lower coefficients were seen for diabetes mellitus, induction failure, and prelabor rupture of membranes and Pneg was consistently higher than Ppos. Discussion: Our findings raise relevant questions about the quality of information shared with women during and after the process of care for labor and birth, as well as the information recorded in medical charts. Not having access to full information about their own health status at birth may impair women's health promotion behaviors or clear disclosure of risk factors in future interactions with the healthcare system.National Institute of Women Children and Adolescents Health Fernandes Figueira Oswaldo Cruz Foundation FIOCRUZ/RJBotucatu Medical School Júlio de Mesquita Filho São Paulo State University UNESPNational School of Public Health—Oswaldo Cruz Foundation FIOCRUZ/RJNational Cancer Institute INCABotucatu Medical School Júlio de Mesquita Filho São Paulo State University UNESPFIOCRUZ/RJUniversidade Estadual Paulista (UNESP)INCANakamura-Pereira, MarcosTakemoto, Maíra Libertad Soligo [UNESP]Bittencourt, Sônia Duarte de AzevedoViellas, Elaine Fernandesdo Carmo, Cléber NascimentoSchilithz, Arthur Orlando CorrêaTheme Filha, Mariza MirandaLeal, Maria do Carmo2023-07-29T13:19:02Z2023-07-29T13:19:02Z2023-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/birt.12731Birth.1523-536X0730-7659http://hdl.handle.net/11449/24754810.1111/birt.127312-s2.0-85161392886Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBirthinfo:eu-repo/semantics/openAccess2023-07-29T13:19:02Zoai:repositorio.unesp.br:11449/247548Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-07-29T13:19:02Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
title |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
spellingShingle |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals Nakamura-Pereira, Marcos cesarean section delivery epidemiology obstetric parturition |
title_short |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
title_full |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
title_fullStr |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
title_full_unstemmed |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
title_sort |
Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals |
author |
Nakamura-Pereira, Marcos |
author_facet |
Nakamura-Pereira, Marcos Takemoto, Maíra Libertad Soligo [UNESP] Bittencourt, Sônia Duarte de Azevedo Viellas, Elaine Fernandes do Carmo, Cléber Nascimento Schilithz, Arthur Orlando Corrêa Theme Filha, Mariza Miranda Leal, Maria do Carmo |
author_role |
author |
author2 |
Takemoto, Maíra Libertad Soligo [UNESP] Bittencourt, Sônia Duarte de Azevedo Viellas, Elaine Fernandes do Carmo, Cléber Nascimento Schilithz, Arthur Orlando Corrêa Theme Filha, Mariza Miranda Leal, Maria do Carmo |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
FIOCRUZ/RJ Universidade Estadual Paulista (UNESP) INCA |
dc.contributor.author.fl_str_mv |
Nakamura-Pereira, Marcos Takemoto, Maíra Libertad Soligo [UNESP] Bittencourt, Sônia Duarte de Azevedo Viellas, Elaine Fernandes do Carmo, Cléber Nascimento Schilithz, Arthur Orlando Corrêa Theme Filha, Mariza Miranda Leal, Maria do Carmo |
dc.subject.por.fl_str_mv |
cesarean section delivery epidemiology obstetric parturition |
topic |
cesarean section delivery epidemiology obstetric parturition |
description |
Background: The study aims to assess agreement between data obtained from interviews with postpartum women and their health records about labor and birth characteristics, newborn care, and reasons for cesarean birth. Methods: The present study analyzes the Birth in Brazil study dataset, a nationwide hospital-based survey that included 23,894 postpartum women. Reliability was assessed using kappa coefficients and 95% confidence intervals. We also calculated the proportion of specific agreement: the observed proportion of positive agreement (Ppos) and the observed proportion of negative agreement (Pneg). Results: In terms of labor and birth characteristics, more significant discrepancies in prevalence were observed for fundal pressure (1.4%–42.6%), followed by amniotomy, and augmentation. All of these variables were reported more frequently by women. Reliability was nearly perfect only for mode of delivery (kappa 0.99–1.00, Ppos and Pneg >99.0%). Higher discrepancies in reasons for cesarean prevalence were observed for previous cesarean birth (CB) (3.9%–10.4%) and diabetes mellitus (0.5%–8.5%). Most kappa coefficients for CB reasons were moderate to substantial. Lower coefficients were seen for diabetes mellitus, induction failure, and prelabor rupture of membranes and Pneg was consistently higher than Ppos. Discussion: Our findings raise relevant questions about the quality of information shared with women during and after the process of care for labor and birth, as well as the information recorded in medical charts. Not having access to full information about their own health status at birth may impair women's health promotion behaviors or clear disclosure of risk factors in future interactions with the healthcare system. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-29T13:19:02Z 2023-07-29T13:19:02Z 2023-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1111/birt.12731 Birth. 1523-536X 0730-7659 http://hdl.handle.net/11449/247548 10.1111/birt.12731 2-s2.0-85161392886 |
url |
http://dx.doi.org/10.1111/birt.12731 http://hdl.handle.net/11449/247548 |
identifier_str_mv |
Birth. 1523-536X 0730-7659 10.1111/birt.12731 2-s2.0-85161392886 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Birth |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965688370036736 |