Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA.
J Womens Health (Larchmt). 2013 Jan;22(1):37-47. doi: 10.1089/jwh.2012.3740. Epub 2012 Dec 6.
Hypertensive disorders in pregnancy are risk markers for future maternal coronary heart disease (CHD). Clinical assessment of a woman's history of pregnancy complications relies on self-report, but the predictive value of maternal recall is unclear. A systematic review was conducted to comprehensively review and critically assess the available literature on maternal recall of hypertensive disorders in pregnancy.
The PubMed, EMBASE, and Web of Science databases were searched through August 2012. We included original research articles comparing maternal recall of hypertensive disorders in pregnancy with medical records.
Ten studies met eligibility criteria for qualitative analysis and were independently reviewed by two investigators. Recall periods ranged from 48 hours to 30 years. Length of recall did not appear to uniformly affect recall quality. Sensitivity was generally lower and less consistent for gestational hypertension than for preeclampsia. Specificity was >90% for all hypertensive disorders. Determinants of recall accuracy included maternal education and parity.
Although maternal recall of hypertensive disorders of pregnancy is specific, low sensitivity and predictive values may limit the clinical utility of asking mothers to recall their history of hypertensive pregnancy complications. Future research on maternal recall of pregnancy complications should be designed to yield predictive values and test recall of disorder subtypes, recurrent complications, and changing recall over time in the same population. The utility of gestation length and offspring birth weight for clinical identification of women whose pregnancy history puts them at increased CHD risk should also be explored.
妊娠高血压疾病是未来发生女性冠心病（CHD）的风险标志物。对女性妊娠并发症史的临床评估依赖于自我报告，但母体回忆的预测价值尚不清楚。我们进行了一项系统综述，以全面综述和批判性评估现有关于母体回忆妊娠高血压疾病的文献。
我们通过 2012 年 8 月检索了 PubMed、EMBASE 和 Web of Science 数据库。我们纳入了比较母体回忆妊娠高血压疾病与病历的原始研究文章。
有 10 项研究符合定性分析的入选标准，并由两名调查员独立进行了审查。回忆期从 48 小时到 30 年不等。回忆的时间长度似乎并没有一致地影响回忆的质量。与子痫前期相比，妊娠高血压的敏感性通常较低且不一致。所有高血压疾病的特异性均＞90％。回忆准确性的决定因素包括母亲的教育程度和产次。
尽管母体回忆妊娠高血压疾病的特异性较高，但低敏感性和预测值可能会限制询问母亲回忆其妊娠高血压并发症史的临床应用。未来关于妊娠并发症的母体回忆研究应设计出预测值，并在同一人群中测试疾病亚型、复发性并发症以及随时间变化的回忆。还应探讨妊娠长度和后代出生体重在临床识别妊娠史增加 CHD 风险的女性中的作用。
