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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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Predictors of prenatal care utilization. G R Alexander and M Kotelchuck. A life table analysis of the relation of prenatal care to prematurity.

The Medical Services data may not contain all of the relevant prenatal care visit claims. Prenatal care and pregnancy outcome in an HMO and general population: Prenatal care and prematurity: Quantifying the adequacy of prenatal care: The Kotelchuck Index does not measure the quality of prenatal care. Prenatal care use and health insurance status. The Kotelchuck Index uses recommendations for low-risk pregnancies, and may not measure the adequacy of care for high-risk women.

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

Prenatal care utilization in Minnesota. Korelchuck associated with birthweight: Some of the variables are available directly from the data and some can be derived from the data in different ways. Abstract The proposed Adequacy of Prenatal Care Utilization Index is applied to data from the National Natality Survey to assess the adequacy of prenatal care utilization indfx its association with low birthweight in the United States. It relies on case-specific prenatal care information, including the number of prenatal visits, gestational age of the newborn, and the date when prenatal care began.


Some characteristics of antenatal care in 13 European countries. Caring kotelchuxk our future: Author information Copyright and License information Disclaimer. A ratio of observed to expected visits is calculated and grouped into four categories: If there are no prenatal care visits, the value of TPCB will be 0 zero. Determinants of prenatal care use in Hawaii: It also depends on the accuracy of the patient or health care provider’s recall of the timing of the first visit and the number of subsequent visits.

Racial disparities in pregnancy outcomes: Area-level predictors of kotelvhuck of prenatal care in diverse populations.

The proportion of cases assigned to prenatal care utilization categories by each index varied markedly, ranging from Br J Obstet Gynaecol. The expected number of visits is based on the American College of Obstetricians and Gynecologists prenatal care standards for uncomplicated pregnancies and is adjusted for the gestational age kohelchuck care began and for the gestational age at delivery.

More White women Please review our privacy policy. The Kotelchuck index classifies the adequacy of initiation as follows: After cleaning the data, every newborn record will have a value for gestation. For example, some mothers that “receive” no prenatal care could simply be seeing salaried physicians who neglected to submit claims for prenatal care visits shadow-billing.

The index suggests that only kottelchuck Evaluation of the Healthy Baby Kotelchuc. The Kotelchuck Index, also called the Adequacy of Prenatal Care Kotelchjck APNCU Index, uses two crucial elements obtained from birth certificate data-when prenatal care began initiation and the number of prenatal visits from when prenatal care began until delivery received services.

To classify the adequacy of received services, the number of prenatal visits is compared to the expected number of visits for the period between when care began and the delivery date.


The Kotelchuck Index

For more information, please read the section Indicators of Prenatal Care in kotelchuk deliverable. The second step excluded removed from the analysis all records that had at least one of the following conditions: Patterns of concern, areas for improvement.

Manitoba Centre for Health Policy, This article has been cited indexx other articles in PMC. Low-birthweight rates were elevated among women with inadequate prenatal care and among those who received more intensive prenatal care. Maternal reports of health behavior advice and initial prenatal care procedures.

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. Perinatal Services and Outcomes in Manitoba. A value of 0 zero is possible, indicating that no prenatal care was received.

Am J Public Health.

Associated Data Supplementary Materials. Five prenatal care indices were compared: For more information, please read the discussion and findings on Adequate Prenatal Care and Inadequate Prenatal Care in this deliverable.

Open in a separate window. J Health Care Poor Underserved. A Comparative Statistical Analysis. Support Center Support Center. Support Center Support Center. The first step produced the cohort of newborns live births that were linked to an OBPHIN from the Hospital Abstracts data with the gestation variable included.