Obstetric and Perinatal Events

Physicians commonly rely on maternal recall of events during pregnancy, delivery, and the perinatal period. Investigators who are doing research in the reproductive and perinatal areas also rely on maternal recall. However, there is little information regarding its accuracy. This study evaluates the accuracy of maternal knowledge of events during pregnancy, delivery, and the perinatal period by comparing maternal report with information recorded on the medical records of the mother-infant pair. Results are presented as sensitivity, specificity, and chance-corrected agreement. Mothers demonstrated poor knowledge of pregnancy and delivery-room events. Agreement between maternal reports and hospital records was excellent for infant birth weight and type of delivery, and good for infant jaundice. However, other important areas of the infant's history, such as an evaluation for sepsis, were poorly recalled. The implications of these results are both medical- and research-specific. Physicians must be aware of possible inaccuracies in the mother's history and make every attempt to obtain the nursery discharge summary. In addition, researchers must verify the results of their data when relying on maternal recall, with the exception of infant birth weight and method of delivery.

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Association of Time With Reliability of Maternal Recall of Infant Birth Weight

JAMA Pediatrics ◽

10.1001/jamapediatrics.2020.0389 ◽

2020 ◽

Vol 174 (12) ◽

pp. 1208

Author(s):

Lucia Casas-Guzik ◽

Chang Ye ◽

Ravi Retnakaran

Keyword(s):

Birth Weight ◽

Maternal Recall ◽

Infant Birth

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Maternal Recall of Infant Birth Weight

Clinical Pediatrics ◽

10.1177/000992289103000811 ◽

1991 ◽

Vol 30 (8) ◽

pp. 509-510 ◽

Cited By ~ 12

Author(s):

W.D. Wilcox ◽

B.D. Gold ◽

A.J. Tuboku-Metzger

Keyword(s):

Birth Weight ◽

Maternal Recall ◽

Infant Birth

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Validation of maternal recall on exclusive breastfeeding 12 months after childbirth

Public Health Nutrition ◽

10.1017/s136898002000018x ◽

2020 ◽

Vol 23 (14) ◽

pp. 2494-2500

Author(s):

BC Schneider ◽

BO Cata-Preta ◽

DD Gräf ◽

DLR Silva ◽

FS Santos ◽

...

Keyword(s):

Birth Cohort ◽

Exclusive Breastfeeding ◽

Gold Standard ◽

Population Based ◽

Birth Cohort Study ◽

Predictive Values ◽

Maternal Report ◽

Maternal Recall ◽

Semi Solid ◽

Sensitivity Specificity

AbstractObjective:We aimed to assess the validity of maternal recall of exclusive breastfeeding (EBF) at 3 months obtained 12 months after childbirth.Design:A population-based birth cohort study. The gold standard is maternal report of EBF at the age of 3 months (yes or no) and age of introduction of other foods in the infant’s diet. EBF was considered when the mother reported that no liquid, semi-solid or solid food was introduced up to that moment. The variable to be validated was obtained at 12 months after childbirth when the mother was asked about the age of food introduction. The prevalence of EBF at 3 months, and sensitivity, specificity, positive (PPV) and negative predictive values (NPV), and accuracy of 12-month recall with 95 % CI were calculated.Setting:Pelotas, Brazil.Participants:3700 mothers of participants of the Pelotas 2004 Birth Cohort.Results:The prevalence of EBF at 3 months was 27·8 % (95 % CI 26·4, 29·3) and 49·0 % (95 % CI 47·4, 50·6) according to gold standard and maternal recall, respectively. The sensitivity of maternal recall at 12 months was 98·3 % (95 % CI 97·4, 99·0), specificity 70·0 % (95 % CI 68·2, 71·7), PPV 55·8 % (95 % CI 53·4, 58·1), NPV 99·1 % (95 % CI 98·6, 99·5) and accuracy 77·9 % (95 % CI 76·6, 79·2). When the analyses were stratified by maternal and infant characteristics, the sensitivity remained around 98 %, and the specificity ranged from 64·4 to 81·8 %.Conclusions:EBF recalled at the end of the first year of infant’s life is a valid measure to be used in epidemiological investigations.

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Accuracy and Reliability of Maternal Recall of Infant Birth Weight Among Older Women

Annals of Epidemiology ◽

10.1016/j.annepidem.2005.09.004 ◽

2006 ◽

Vol 16 (6) ◽

pp. 429-431 ◽

Cited By ~ 34

Author(s):

Janet M. Catov ◽

Anne B. Newman ◽

Sheryl F. Kelsey ◽

James M. Roberts ◽

Kim C. Sutton-Tyrrell ◽

...

Keyword(s):

Birth Weight ◽

Older Women ◽

Maternal Recall ◽

Infant Birth

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TIMER: A Clinical Study of Energy Restriction in Women with Gestational Diabetes Mellitus

Nutrients ◽

10.3390/nu13072457 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2457

Author(s):

Efrosini Tsirou ◽

Maria G. Grammatikopoulou ◽

Meletios P. Nigdelis ◽

Eleftheria Taousani ◽

Dimitra Savvaki ◽

...

Keyword(s):

Diabetes Mellitus ◽

Birth Weight ◽

Gestational Diabetes ◽

Gestational Age ◽

Low Energy ◽

Composite Score ◽

Insulin Use ◽

Infant Birth ◽

Type Of Delivery ◽

Low Energy Diet

Medical nutrition therapy is an integral part of gestational diabetes mellitus (GDM) management; however, the prescription of optimal energy intake is often a difficult task due to the limited available evidence. The present pilot, feasibility, parallel, open-label and non-randomized study aimed to evaluate the effect of a very low energy diet (VLED, 1600 kcal/day), or a low energy diet (LED, 1800 kcal/day), with or without personalized exercise sessions, among women with GDM in singleton pregnancies. A total of 43 women were allocated to one of four interventions at GDM diagnosis: (1) VLED (n = 15), (2) VLED + exercise (n = 4), (3) LED (n = 16) or (4) LED + exercise (n = 8). Primary outcomes were gestational weight gain (GWG), infant birth weight, complications at delivery and a composite outcomes score. Secondary outcomes included type of delivery, prematurity, small- for-gestational-age (SGA) or large-for-gestational-age (LGA) infants, macrosomia, Apgar score, insulin use, depression, respiratory quotient (RQ), resting metabolic rate (RMR) and middle-upper arm circumference (MUAC). GWG differed between intervention groups (LED median: 12.0 kg; VLED: 5.9 kg). No differences were noted in the type of delivery, infant birth weight, composite score, prevalence of prematurity, depression, RQ, Apgar score, MUAC, or insulin use among the four groups. Regarding components of the composite score, most infants (88.4%) were appropriate-for-gestational age (AGA) and born at a gestational age of 37–42 weeks (95.3%). With respect to the mothers, 9.3% experienced complications at delivery, with the majority being allocated at the VLED + exercise arm (p < 0.03). The composite score was low (range 0–2.5) for all mother-infant pairs, indicating a “risk-free” pregnancy outcome. The results indicate that adherence to a LED or VLED induces similar maternal, infant and obstetrics outcomes.

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Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

Langenbeck s Archives of Surgery ◽

10.1007/s00423-021-02105-z ◽

2021 ◽

Author(s):

Panagiotis Thomaidis ◽

Niklas J. Weltermann ◽

Claudia S. Seefeldt ◽

Dana C. Richards ◽

Axel Sauerwald ◽

...

Keyword(s):

Negative Impact ◽

Male Partner ◽

Current Data ◽

Reproductive Age ◽

Negative Effects ◽

Desire For Children ◽

Pregnancy And Delivery ◽

Hybrid Notes ◽

Type Of Delivery

Abstract Purpose We conducted a retrospective observational study in order to identify negative effects of NOTES procedures (Natural Orifice Transluminal Endoscopic Surgery) with transvaginal specimen removal on pregnancy and delivery. Methods From the total population of 299 patients in our NOTES registry, we tried to contact the 121 patients who were of reproductive age (≤ 45 years) at the time of a transvaginal NOTES procedure. They were interviewed by telephone regarding their desire for children, post NOTES-operation pregnancies, and type of delivery using a structured questionnaire. The collected data was analyzed and compared with current data. Results We were able to contact 76 patients (follow-up rate: 62.8%) with a median follow-up of 77 months after surgery (33–129 months). Twenty of 74 participating patients had a desire for children (27.0%). One of them and another's male partner were diagnosed as infertile. Regarding the remaining 18 patients, 14 became pregnant, and three of them became pregnant twice. Considering these 17 pregnancies, there was one miscarriage (5.9%) and one twin birth (5.9%). On average, childbirth occurred 44 months after the NOTES procedure. With regard to the type of delivery, 10 vaginal births (58.8%) and 7 caesarean sections (41.2%) occurred. Thus, the rate of fulfilled desire for children was 77.8%. Compared with the literature, no difference to the normal course could be detected. Conclusion There is no sign that the transvaginal approach in Hybrid-NOTES, with removal of the specimen through the vagina, has a negative effect on conception, the course during pregnancy, or the type of delivery.

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