Journal article
What happens at the postpartum visit? Discordance between patient-reported and electronic medical record-documented postpartum care
Annals of epidemiology, Vol.121, 110130
09/2026
DOI: 10.1016/j.annepidem.2026.110130
PMID: 42242444
Abstract
To examine discordance between postpartum care reported by patients and documentation in the electronic medical record (EMR).
We analyzed data from a randomized controlled trial of pregnant patients with cardiometabolic risk factors (n = 282). Concordance between self-report and EMR documentation was assessed for outpatient postpartum visits within 12 weeks and selected elements (mood disorder screening, diabetes testing, counseling). We fit multivariable log binomial models to estimate risk ratios (RR) and 95% confidence intervals (CI) for the association between age, parity, and discordant reporting, adjusting for intervention assignment.
Overall, 74.7% of participants had concordant documentation of a postpartum visit between self-report and EMR, 20.5% had care documented on only one (19.7% EMR only, 0.8% self-report only), and 4.8% concordant documentation of no care. Participants > 34 years were half as likely to have discordant report of a visit compared to participants ages 20–34 (RR: 0.4, 95% CI: 0.2, 0.9). Primiparous participants were slightly less likely than multiparous participants to have discordant reporting (RR: 0.7 (0.4, 1.2)). Patterns were similar for diabetes testing, mood screening, and cardiovascular risk counseling, though documentation was less common (1.1%, 62.7%, 31.6% concordant).
We found disagreement between self-report and EMR-documentation of postpartum care.
Details
- Title: Subtitle
- What happens at the postpartum visit? Discordance between patient-reported and electronic medical record-documented postpartum care
- Creators
- Kaitlyn K. Stanhope - Emory UniversitySheree L. Boulet - Emory UniversityAnna Newton-Levinson - Emory UniversityTaé Stallworth - Emory University School of MedicineDenise J. Jamieson - University of IowaAnne L. Dunlop - Emory University
- Resource Type
- Journal article
- Publication Details
- Annals of epidemiology, Vol.121, 110130
- DOI
- 10.1016/j.annepidem.2026.110130
- PMID
- 42242444
- NLM abbreviation
- Ann Epidemiol
- ISSN
- 1047-2797
- eISSN
- 1873-2585
- Publisher
- Elsevier Inc
- Grant note
- National Institute of Minority Health and Health Disparities: R01MD016031 Emory University Institutional Review Board: 00001427 National Heart, Lung, and Blood Institute: K99/R003, R00HL161355, K99HL161355
This study is funded by the National Institute of Minority Health and Health Disparities (R01MD016031). It received ethical approval from the Emory University Institutional Review Board (00001427). All participating individuals completed informed consent prior to participation in the study. The NIMHD has no role in the conduct, analysis, or interpretation of results. We acknowledge the role of Grady Health System in allowing us to recruit participants for the study. KKS was funded, in part, by a K99/R00 from the National Heart, Lung, and Blood Institute (R00HL161355, K99HL161355).
- Language
- English
- Date published
- 09/2026
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9985174497702771
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