Concordance of Self-Reported Obstetric Outcomes With Electronic Health Record Documentation: A Secondary Analysis of the Nulliparous Pregnancy Outcomes Study Monitoring Mothers-To-Be.

ABSTRACT:

Background

To compare participants' perceptions of reasons for admission, labor induction, and rationale for cesarean birth to those documented by clinicians in the electronic health record (EHR) and if these comparisons differed by race and ethnicity.

Methods

We conducted a secondary analysis of data from the Nulliparous Pregnancy Outcomes Study: Monitoring mothers-to-be (2010-2013). We calculated kappa to evaluate agreement between participant postpartum interviews and EHR notes (n = 6085).

Results

Overall, agreement was variable. There was substantial agreement (κ = 0.717, 95% CI 0.704, 0.724) on the reason for obstetric admission, but concordance for the admission reason was lower among preterm births. Only fair agreement was observed (κ = 0.290, 95% CI 0.220, 0.3

SUBMITTER: Barcelona V 

PROVIDER: S-EPMC12776808 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature