Assessing obstetric risk factors for maternal morbidity: Congruity between medical records and mothers' reports of obstetric exposures

Abstract

Objective: We sought to assess congruity between data abstracted from medical records with answers to self-administered questionnaires. Study Design: This was a multicenter prospective nulliparous pregnancy cohort. Results: A total of 1507 women enrolled. Analyses were reported for 1296 with medical record data and 3-month postpartum follow-up. There was near-perfect agreement (κ <0.80) between maternal report and abstracted data for reproductive history, induction/augmentation method, epidural/spinal analgesia, method of birth, perineal repair, infant birthweight, and gestation. Agreement was poor to moderate for maternal position in second stage and duration of pushing. Conclusion: Materna..