MONTGOMERY T A, LEWIS A, HAMMES L
Calif Med. 1962 Mar;96(3):190-5.
In a study of 1,609 single live births occurring in San Francisco County, the information on the birth certificate was compared with that on the hospital record to determine completeness and accuracy of the items reported on the certificate. Items such as color or race of mother, age of mother, birth weight and birth length of child were well recorded on the certificate and agreed with information found in the hospital record. Medical conditions were grossly underreported on the birth certificate. Conditions relating to the mother were more frequently recorded than those relating to the infant, but the birth certificates recorded less than one-fifth of all medical conditions of both mother and infant that were entered in the hospital records. Methods suggested for improving the quality of maternal and newborn morbidity information include revision of the medical section of the present certificates of live birth and fetal death and use of a precoded hospital record.
在一项针对旧金山县1609例单胎活产的研究中，将出生证明上的信息与医院记录进行了比较，以确定证明上所报告项目的完整性和准确性。母亲的肤色或种族、母亲年龄、孩子的出生体重和身长等项目在出生证明上记录良好，且与医院记录中的信息一致。出生证明上严重低估了医疗状况。与母亲相关的状况比与婴儿相关的状况记录得更频繁，但出生证明记录的母亲和婴儿的所有医疗状况不到医院记录中录入的五分之一。建议用于提高孕产妇和新生儿发病率信息质量的方法包括修订现行活产和死胎证明的医疗部分，以及使用预编码的医院记录。
