Pregnancy Complications as Markers for Subsequent XXXX : Validation of a Maternal Recall Questionnaire.

@entity1 @entity6677 @entity101 @entity2286 @entity14422 @entity1468 @entity299 @entity65
BACKGROUND: We designed and tested the validity of a questionnaire to characterize @entity14422 associated with increased future @entity65 risk, based on the 2011 @entity299 ( @entity299 ) guidelines. METHODS: A maternal recall questionnaire of pregnancy history was administered to 971 @entity1 who had participated in a previous cohort study of 1,608 pregnant @entity1 . Medical records from the study pregnancy served as the gold standard. Prevalence, sensitivity (sens), specificity (spec), positive predictive value ( @entity2286 ), negative predictive value (NPV), and/or Spearman's correlation coefficients (r) were calculated for each question. RESULTS: A total of 526 (54%) individuals recontacted responded. Respondents were more likely to be older, white, educated, and nulliparous and were less likely to deliver low-birthweight @entity1 in the study pregnancy than were individuals who did not respond. Mean length of recall was 4.35 years (standard deviation [SD] 0.46) postpartum. Maternal recall was most accurate for @entity6677 (sens: 92%, spec: 98%, @entity2286 : 79%, NPV: 99%), @entity1 birthweight (r=0.95), and gestation length (r=0.85). Maternal recall was modest for @entity1468 (sens: 79%, spec: 97%, @entity2286 : 68%, NPV: 98%) and pregnancy-associated @entity101 , including @entity1468 or gestational @entity101 (sens: 60%, spec: 95%, @entity2286 : 64%, NPV: 94%). CONCLUSIONS: This validation study demonstrated that the majority of @entity1 could accurately recall a history of @entity6677 , @entity1 birthweight, and gestational age at delivery, 4 years postpartum on average. Recall of @entity1468 and pregnancy-associated @entity101 overall was modest. Maternal report of these pregnancy conditions may help clinicians identify @entity1 at increased risk for @entity65 .
