Evaluating Patient Reported Obstetrical History at Initial Prenatal Visit

  • Micah Wright Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (OSU-COM)
  • Thanh Luu Oklahoma State University Medical Center
  • Katie Smith Oklahoma State University Medical Center Department of OB/GYN
  • Jessica Sorelle Oklahoma State University Medical Center Department of OB/GYN
  • Christa Littrell Oklahoma State University Medical Center Department of OB/GYN
  • Anne Bowes Oklahoma State University Medical Center Department of OB/GYN
  • Darren Vargas Oklahoma State University Medical Center Department of OB/GYN
  • Carlos Guevara Oklahoma State University Medical Center Department of OB/GYN
  • Lance Frye Oklahoma State University Medical Center Department of OB/GYN
  • William Po Oklahoma State University Medical Center Department of OB/GYN

Abstract

Aim: The potential for recall bias at initial intake visit of multiparous obstetrical patients is a common concern. Accuracy of initial obstetrical history reporting can drastically alter the course of pregnancy management if the information documented during the current gestation is inaccurate. This retrospective study assesses the overall accuracy of obstetrical history reporting at intake visit for multiparous obstetrical patients. METHODS: Delivery record data from our urban-centered academic teaching institution was collected from January 2016-February 2018. Research collection included specific patient-reported obstetrical history. Delivery records were screened by all authors and EMR delivery record data was compared with the initial obstetrical history comparison of accuracy. RESULTS: 321 delivery records were retained for final analysis. Of these, 318 (99%) recorded accurate type of delivery, 301 (94%) accurately recorded year of delivery, 292 (91%) accurately recorded gravida and para history, 208 (65%) reported accurate gestational age at delivery, and 186 (58%) accurately recorded birth weight. CONCLUSION: Results suggest our patient population was accurate at recording routine obstetrical information on initial prenatal visit. However, poor accuracy was noted in reporting of detailed obstetrical information with potential for significant impacts on management of future pregnancies. Results obtained from this study can create measures to improve patient’s obstetrical history reporting.

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Published
2020-07-06
Section
Medical