Medical Record Validation of Maternal Recall of Pregnancy and Birth Events From a Twin Cohort

This study aims to assess the validity of maternal recall for several perinatal variables 8-10 years after pregnancy in a twin sample. Retrospective information was collected 8-10 years after the delivery event in a cohort of mothers from the University of Southern California Twin Study (N = 611) and compared with medical records for validity analysis. Recall of most variables showed substantial to perfect agreement (kappa = 0.60-1.00), with notable exceptions for specific medical problems during pregnancy (kappa <= 0.40) and substance use when mothers provided continuous data (e. g., number of cigarettes per day; r <= 0.24). With the exception of delivery method, neonatal intensive care unit admission, birth weight, neonatal information, and post-delivery complications were also recalled with low accuracy. For mothers of twins, maternal recall is generally a valid measure for perinatal variables 10 years after pregnancy. However, caution should be taken regarding variables such as substance use, medical problems, birth length, and post-delivery complications.