RTI Press Publication

Completeness of prenatal records in community hospital charts

Citation

Whitehead, N., Strange, L., Kennedy, S., Burson, K. D., & Kilpatrick, G. (2018). Completeness of prenatal records in community hospital charts. (RTI Press Publication No. RR-0032-1802). Research Triangle Park, NC: RTI Press. DOI: 10.3768/rtipress.2018.rr.0032.1802

Abstract

We describe the completeness of prenatal data in maternal delivery records and the prevalence of selected medical conditions and complications among patients delivering at community hospitals around Atlanta, Georgia. Medical charts for 199 maternal-infant dyads (99 infants in normal newborn nurseries and 104 infants in newborn intensive care nurseries) were identified by medical records staff at 9 hospitals and abstracted on site. Ninety-eight percent of hospital charts included prenatal records, but over 20 percent were missing results for common laboratory tests and prenatal procedures. Forty-nine percent of women had a pre-existing medical condition, 64 percent had a prenatal complication, and 63 percent had a labor or delivery complication. Missing prenatal information limits the usefulness of these records for research and may result in unnecessary tests or procedures or inappropriate medical care.

Authors

Nedra WhiteheadNedra Whitehead, PhD, CGC, is the director for the Center for Genomics in Public Health and Medicine in RTI International’s Biostatistics and Epidemiology Division.

Laura StrangeLaura B. Strange, PhD, RN, is a former director of clinical studies and senior public health analyst in RTI International’s Biostatistics and Epidemiology Division.

Sara KennedySara M. Kennedy, MPH, is a research public health analyst in RTI International’s Biostatistics and Epidemiology Division.

Katrina Danielle BursonKatrina D. Burson, MS, is a research–clinical study specialist in RTI International’s Biostatistics and Epidemiology Division.

Gina KilpatrickGina L. Kilpatrick, MEd, is a program manager and a public health/clinical research manager in RTI International’s Survey Research Division.

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