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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Source of bias in prenatal care utilization indices: A comparison of prenatal care use in the United States and Europe.

The Kotelchuck index classifies the adequacy of initiation as follows: This article has been cited by other articles in PMC. Some characteristics of antenatal care in 13 European countries.

A Comparative Statistical Analysis kotelchhuck Ruth et al. The differential effect of prenatal care on the incidence of low birth weight among blacks and whites in a prepaid health care plan.

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

Public Health Rep ; 4: This article has been cited by other articles in PMC. If you’re interested, please enter your email address in the space below. Evaluation of the Healthy Baby Program. Journal List Public Health Rep v. Exclusions In Brownell et al. The index suggests that only 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.


Links to report-specific discussion and findings are also provided. Date of birth can also be found in the Hospital Abstracts data. More White women Author information Copyright and License information Disclaimer.

The Kotelchuck Index

The Kotelchuck Kotelcyuck is preferable kotelchucm other indices because it includes a category for women who receive more than the recommended amount of care adequate plus, or intensive utilization. The Medical Services data may not contain all of the relevant prenatal care visit claims. It relies on case-specific prenatal care information, including the number inndex prenatal visits, gestational age of the newborn, and the date when prenatal care began. The effects of prenatal care upon the health of the newborn.

Quantifying the adequacy of prenatal care: 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 when care began and for the gestational age at delivery. Perinatal Services and Outcomes in Manitoba.


If there are no prenatal care visits, the value of TPCB will be 0 zero. J Health Care Poor Underserved. This code is based on the work by Alexander and Kotelchuck, ,otelchuck Low-birthweight rates were elevated among women with inadequate prenatal care and among those who received more intensive prenatal care.

After cleaning the data, every newborn record will have a value for gestation. Br J Obstet Gynaecol. Associated Data Supplementary Materials.

Public Health Rep ; 5: Please review our privacy policy. The role of prenatal care in preventing low birth weight. Some of the variables are available directly from the data and some can be derived from the data in different ways. 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.

Other forms of prenatal health services were not included in this definition, such as attendance at prenatal classes or Healthy Baby Community Support Programs.