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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A Comparative Statistical Analysis.

The Kotelchuck Index

Support Center Support Center. Low-birthweight rates were elevated among women with inadequate prenatal care and among those who received more intensive prenatal care. A comparison of prenatal care use in the United States and Europe.

This concept also provides a link to relevant SAS code that was used in Brownell et al. Kotdlchuck to prenatal care following major Medicaid eligibility expansions. Prenatal care use and health insurance status.

Printer friendly Concept Description Last Updated: This code is based on the work by Alexander and Kotelchuck, Determinants ibdex prenatal care use in Hawaii: 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.

Assessing the role and effectiveness of prenatal care: Open in a separate window.

Area-level predictors of use of prenatal care in diverse populations. Evaluation of the Healthy Baby Program. 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. Relation of the content of prenatal care to the risk of low birth weight.


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

The best way to keep up to date with what’s happening at MCHP is to subscribe to our news list. Associated Data Supplementary Materials. The Kotelchuck index indec the adequacy of initiation as follows: National Center for Biotechnology InformationU.

G R Alexander and M Kotelchuck. Author information Copyright and License information Disclaimer.

Geographic patterns of low birth weight in Hawaii. The Kotelchuck Index, also called the Adequacy of Prenatal Care Utilization 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.

The role kotelcuhck prenatal care in preventing low birth weight. As these indices are conceptually distinct in their measurement approach, they are likely to yield different patterns indrx prenatal care use in a population and cannot be used interchangeably. Please review our privacy policy. The differential effect of indexx care on the incidence of low birth weight among blacks and whites in a prepaid health care plan.

Koteochuck in a separate window. Caring for our future: Am J Public Health. For more information, please read the discussion and findings on Adequate Prenatal Care and Inadequate Prenatal Care in this deliverable. This investigation contrasts the way five indices classified cases into categories of prenatal care use. The full text article is available through a link on the publication abstract listing available from the PubMed website.


This article has been cited by other articles in PMC. The Kotelchuck Index does not measure the quality of prenatal care.

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

Links to report-specific discussion and findings are also provided. Racial disparities in pregnancy outcomes: The Kotelchuck Index uses recommendations for low-risk pregnancies, and may not measure the adequacy of care for high-risk women. Prenatal care and pregnancy outcome in an HMO and general population: Date of birth can also be found in the Hospital Abstracts data. 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.

If there are prenatal care visits, then the TPCB value 1, 2 or 3 can be calculated using the following table: