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A validation study of maternal self reports of obstetrical complications: implications for health surveys
Author(s) -
Seoane G,
Castrillo M,
O'Rourke K
Publication year - 1998
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(98)00104-0
Subject(s) - medicine , eclampsia , maternal morbidity , medical record , medical diagnosis , obstetrics , pregnancy , cross sectional study , surgery , genetics , pathology , biology
Objective: The purpose of this study was to determine the validity of maternal self reports of obstetrical complications, which are commonly used in estimating the prevalence of complications. These estimates vary greatly between countries and could either reflect true differences or reporting bias. Methods: A cross‐sectional study was conducted among 1027 women in two Bolivian maternity hospitals. A questionnaire recorded mothers' perceptions of obstetrical complications while hospital medical records and physical examinations established their clinical condition. Sensitivity, specificity, predictive values, and percent agreement were obtained for obstetrical conditions. Results: In general, women's reports of obstetrical complications did not match medical diagnoses. The highest agreement was obtained for reporting eclampsia, with less agreement for labor disorders, postpartum hemorrhage and malpresentation. Conclusions: Maternal self reports in this study did not provide a valid estimate of the prevalence of obstetrical complications. Health surveys based on maternal self reports must be interpreted with consideration of this limitation.