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Validation of parental recall questionnaire to classify preterm delivery subtypes: Spontaneous preterm labour, preterm premature rupture of membranes and clinician-initiated preterm delivery.
Rich-Edwards, Janet W; Stuart, Jennifer J; Becene, Iris A; Largier, Louise F; Rexrode, Kathryn M; Cantonwine, David E; Carpenter, Maribel O; McElrath, Thomas F; Gray, Kathryn J.
Afiliación
  • Rich-Edwards JW; Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
  • Stuart JJ; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Becene IA; Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
  • Largier LF; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
  • Rexrode KM; Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
  • Cantonwine DE; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Carpenter MO; Division of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
  • McElrath TF; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Gray KJ; Middlebury College, Middlebury, Vermont, USA.
Paediatr Perinat Epidemiol ; 37(8): 710-718, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37770068
ABSTRACT

BACKGROUND:

Preterm delivery (PTD) includes three main presenting subtypes spontaneous preterm labour (sPTL), preterm premature rupture of membranes (pPROM) and clinician-initiated preterm delivery (ciPTD). PTD subtype data are rarely available from birth registries and are onerous to derive from medical records.

OBJECTIVES:

To develop and test the validity of a questionnaire to classify PTD subtype based on birthing parent recall of labour and delivery events.

METHODS:

The questionnaire was sent in 2022 to 581 patients with PTD history documented in the LIFECODES study, a hospital-based birth cohort in Boston, Massachusetts. Eighty-two respondents reported 94 PTDs that could be linked to medical records. Data on PTD subtype were extracted from medical records as the reference standard.

RESULTS:

Medical records indicated 47 spontaneous (24 sPTL, 23 pPROM) and 47 ciPTD deliveries occurring a median eight years earlier. The sensitivity and specificity of the recall questionnaire were 88% (95% confidence interval 68, 97%) and 89% (79, 95%) for sPTL; 96% (78, 100%) and 94% (86, 98%) for pPROM; and 83% (69, 92%) and 100% (92, 100%) for ciPTD, respectively. Greater time since pregnancy did not degrade the sensitivity or specificity of the parental recall questionnaire.

CONCLUSIONS:

Although derived from a modest sample, the moderate-to-high sensitivity and specificity of the parental recall questionnaire to classify sPTL, pPROM and ciPTD demonstrates its potential for large studies of PTD and for correction of misclassification bias. Future studies are required to test the questionnaire in a variety of populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rotura Prematura de Membranas Fetales / Nacimiento Prematuro Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Paediatr Perinat Epidemiol Asunto de la revista: EPIDEMIOLOGIA / PEDIATRIA / PERINATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rotura Prematura de Membranas Fetales / Nacimiento Prematuro Límite: Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Paediatr Perinat Epidemiol Asunto de la revista: EPIDEMIOLOGIA / PEDIATRIA / PERINATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos