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Fertil Steril. 2010 Oct;94(5):1657-61. doi: 10.1016/j.fertnstert.2009.10.059. Epub 2009 Dec 11.

Accuracy of assisted reproductive technology information on the Massachusetts birth certificate, 1997-2000.

Author information

  • 1University of Massachusetts Medical School, Shrewsbury, Massachusetts 01545, USA. zi.zhang@umassmed.edu

Abstract

OBJECTIVE:

To evaluate the accuracy of assisted reproductive technology (ART) reporting on the Massachusetts birth certificate and to explore the individual and hospital-level characteristics associated with ART reporting.

DESIGN:

Validity analysis of population-based data.

SETTING:

Live-birth deliveries by Massachusetts-resident mothers during 1997-2000.

PATIENT(S):

Live births and delivery mothers.

INTERVENTION(S):

The ART data maintained by the Centers for Disease Control and Prevention were linked with the live birth-infant death records in Massachusetts. Successfully linked records were used as the gold standard for ART-related deliveries in evaluating the validity of the ART information reported on the Massachusetts birth certificate.

MAIN OUTCOME MEASURE(S):

Sensitivity and specificity.

RESULT(S):

The sensitivity of ART reporting on the birth certificate was 27% and the specificity >99%. Sensitivity of ART reporting was higher among women with multiple deliveries (twins: 32%; triplets+: 43%) and preterm deliveries (36%).

CONCLUSION(S):

During the period evaluated, reporting of ART information on the birth certificate was incomplete, and ART births identified through the birth certificate were a biased sample of the population of ART births. Using delivery hospital data as the sole source of ART information for the standard birth certificate may yield inaccurate information.

Copyright © 2010 American Society for Reproductive Medicine. All rights reserved.

PMID:
20004392
[PubMed - indexed for MEDLINE]
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