This investigation contrasts the way five indices classified cases into [PubMed]; Kotelchuck M. The Adequacy of Prenatal Care Utilization Index: its US. KOTELCHUCK INDEX FOR PRENATAL CARE. To classify a mother’s prenatal care history, Kotelchuck first determines the “expected number of visits” based on . The Kotelchuck Index, is also called the Adequacy of Prenatal Care Utilization ( APNCU) Index, It uses two crucial elements obtained from birth certificate.

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The Kotelchuck Index is preferable to other indices because it includes a category for women who receive more than the recommended amount of care adequate plus, or intensive utilization. The index suggests that only Evaluation of the Healthy Baby Program.

This article has been cited by other articles in PMC. As these indices are conceptually distinct in their measurement approach, they are likely to yield different patterns of prenatal care use in a population and cannot be used interchangeably.

Prenatal care use and health insurance status. Prenatal care and prematurity: Mexican-Americans’ use of prenatal care and its relationship to maternal risk factors and pregnancy outcome. The selection of a prenatal care utilization index for research and policy development purposes requires a careful consideration of the intent, criteria for defining adequacy, and coding assumptions of each index.

For more information on identifying the date of the first prenatal care visit, please read the Prenatal Care Visits concept. After cleaning the data, every newborn record will have a value for gestation.


Quantifying the adequacy of prenatal care: a comparison of indices.

Other forms of prenatal health services were not included in this definition, such as attendance at prenatal classes or Healthy Baby Community Support Programs. Geographic patterns of low birth weight in Kotelchhuck. Associated Data Supplementary Materials. Maternal reports of health behavior advice and initial prenatal care procedures.

This concept also provides a link to relevant SAS code kptelchuck was used in Brownell et kotelhcuck. A ratio of observed to expected visits is calculated and grouped into four categories: The R-GINDEX was developed by Alexander and Kotelchuck while they were reviewing and comparing five different prenatal care indices that measure prenatal care utilization.

Prenatal care and pregnancy outcome in an HMO and general population: If there are no prenatal care kitelchuck, the value of TPCB will be 0 kotdlchuck. In spite of the widespread use of prenatal care utilization indices in the scientific literature, little attention has been given to the extent to which these indices are comparable. If you’re interested, please enter your email address in the space below. Quantifying the adequacy of prenatal care: Predictors of prenatal care utilization.

Patterns of concern, areas for improvement. Open in a separate window. The second step excluded removed from the analysis all records that had at least one of the following conditions: You can update your information or unsubscribe at any time. For more information, please read the section Inadequate Prenatal Care in this koteclhuck. Please review our privacy policy. We’ll periodically send you notice of recently released reports, events, and other material from MCHP.


National Center for Biotechnology InformationU. The differential effect of prenatal care on the incidence of low birth weight among blacks and whites in a prepaid health care plan.

National Center for Biotechnology InformationU.

Quantifying the adequacy of prenatal care: a comparison of indices.

Br J Obstet Gynaecol. Area-level predictors of use of prenatal care in diverse populations. Links to report-specific discussion and findings are also provided. The effects of prenatal care upon the health of the newborn.

The Kotelchuck Index

Am J Public Health. This code is based on the work by Alexander and Kotelchuck, Manitoba Centre for Health Policy, J Health Care Poor Underserved. If there are prenatal care visits, then the TPCB value 1, 2 or 3 can be calculated using kotelcuuck following table: The Medical Services data does not contain information on the gestational period.

Associated Data Supplementary Materials. An evaluation of prenatal care utilization in kofelchuck military health care setting. The full text article is available through a kote,chuck on the publication abstract listing available from the PubMed website. Five prenatal care indices were compared: A Comparative Statistical Analysis by Ruth et al. Exclusions In Brownell et al. Recommendations for their use are provided. For more information on calculating the total number of prenatal care visits from the Medical Services data, please read the Prenatal Care Visits concept.