118-POS

• Published in: Pregnancy hypertension 2015-01, Vol.5 (1), p.63-63
• Main Authors: Carter, Ebony B, Stuart, Jennifer J, Farland, Leslie V, Rich-Edwards, Janet, Zera, Chloe, McElrath, Thomas F, Seely, Ellen W
• Format: Article
• Language: English
• Subjects: Cardiovascular; Obstetrics and Gynecology
• ISSN: 2210-7789
• DOI: 10.1016/j.preghy.2014.10.124

Objectives To determine the most accurate questions for providers to ask patients when taking a history of pregnancy complications, as recommended by the 2011 American Heart Association’s (AHA) Guidelines for the Prevention of Cardiovascular Disease in Women. Methods A pregnancy recall questionnaire was administered to 971 patients who agreed to be contacted for future research after participating in a prospective, longitudinal cohort of 1608 pregnant women, initiating care between 2006 and 2009. The survey included several questions for each pregnancy complication, informed by a literature review and pilot study. Medical records from the study pregnancy were used as the gold standard. Prevalence, sensitivity (sens), specificity (spec), positive predictive value (PPV), negative predictive value (NPV) and/or Spearman’s correlation coefficients were calculated for each question. Results 54% (526) of individuals re-contacted responded. Responders were more likely to be older, white, educated, nulliparous, and deliver low birthweight infants at the time of the index pregnancy than non-responders. Mean length of recall was 4.35 years (SD 0.46) postpartum. The individual, binary questions, “Did you have gestational diabetes during the study pregnancy?” and “During the study pregnancy, did you have preeclampsia?” most accurately discriminated GDM (sens 92%, spec 98 %) and preeclampsia (sens 82%, spec 96%). The continuous questions, “What was the birthweight of the baby?” and “How many weeks pregnant were you when you delivered?” out-performed categorical questions for both birthweight ( r = 0.95) and gestation length ( r = 0.85). Conclusions This validated questionnaire demonstrates that the majority of women can accurately recall their pregnancy history, on average, more than 4 years post-partum. Further validation of this pregnancy recall instrument in other patient populations may be helpful for clinical application of the 2011 AHA recommendations in order to identify women at high risk of developing cardiovascular disease. Disclosures E.B. Carter: None. J.J. Stuart: None. L.V. Farland: None. J. Rich-Edwards: None. C. Zera: None. T.F. McElrath: None. E.W. Seely: None.