Agreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitals

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dc.contributor.authorNakamura-Pereira, Marcos
dc.contributor.authorTakemoto, Maíra Libertad Soligo [UNESP]
dc.contributor.authorBittencourt, Sônia Duarte de Azevedo
dc.contributor.authorViellas, Elaine Fernandes
dc.contributor.authordo Carmo, Cléber Nascimento
dc.contributor.authorSchilithz, Arthur Orlando Corrêa
dc.contributor.authorTheme Filha, Mariza Miranda
dc.contributor.authorLeal, Maria do Carmo
dc.contributor.institutionFIOCRUZ/RJ
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionINCA
dc.date.accessioned2023-07-29T13:19:02Z
dc.date.available2023-07-29T13:19:02Z
dc.date.issued2023-01-01
dc.description.abstractBackground: 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.en
dc.description.affiliationNational Institute of Women Children and Adolescents Health Fernandes Figueira Oswaldo Cruz Foundation FIOCRUZ/RJ
dc.description.affiliationBotucatu Medical School Júlio de Mesquita Filho São Paulo State University UNESP
dc.description.affiliationNational School of Public Health—Oswaldo Cruz Foundation FIOCRUZ/RJ
dc.description.affiliationNational Cancer Institute INCA
dc.description.affiliationUnespBotucatu Medical School Júlio de Mesquita Filho São Paulo State University UNESP
dc.identifierhttp://dx.doi.org/10.1111/birt.12731
dc.identifier.citationBirth.
dc.identifier.doi10.1111/birt.12731
dc.identifier.issn1523-536X
dc.identifier.issn0730-7659
dc.identifier.scopus2-s2.0-85161392886
dc.identifier.urihttp://hdl.handle.net/11449/247548
dc.language.isoeng
dc.relation.ispartofBirth
dc.sourceScopus
dc.subjectcesarean section
dc.subjectdelivery
dc.subjectepidemiology
dc.subjectobstetric
dc.subjectparturition
dc.titleAgreement between maternal self-report of birth-related information and medical records in Brazil: A comparison study between public, mixed, and private hospitalsen
dc.typeArtigo
unesp.author.orcid0000-0002-4231-0205[1]

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