KOTELCHUCK INDEX PDF

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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Manitoba Centre for Health Policy, If there are no prenatal care visits, the value of TPCB will be 0 zero. Factors associated with birthweight: Determinants of prenatal care use in Hawaii: Prenatal care utilization in Minnesota.

National Center for Biotechnology InformationU. 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.

Area-level predictors of use of prenatal care in diverse populations. G R Alexander and M Kotelchuck. This code is based on the work by Alexander and Kotelchuck, Associated Data Supplementary Materials. For more information, please read the section Indicators of Prenatal Care in this deliverable. The Kotelchuck Index does not measure the quality of prenatal care. For more information, please read the section Inadequate Prenatal Care in this deliverable.

If you’re interested, please enter your email address in the space below. The effects of prenatal care upon the health of the newborn. 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.

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Mexican-Americans’ use of prenatal care and its relationship to maternal risk factors and pregnancy outcome. 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.

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. Open in a separate window. Am J Public Health. The role of prenatal care in preventing low birth weight.

Support Center Support Center. Please review our privacy policy. Evaluation of the Healthy Baby Program. Please review our privacy policy. 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 and its association with low birthweight in the United States. A ratio of observed to expected visits is calculated and grouped into four categories: The final Kotelchuck index measure combines these two dimensions into a single summary score.

Five prenatal care indices were compared: Perinatal Services and Outcomes in Manitoba.

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

Trimester Weeks Days 1. Racial disparities in pregnancy outcomes: After kotlchuck the data, every newborn record will have a value for gestation.

Printer friendly Concept Description Last Updated: It relies on case-specific prenatal care information, including the number of prenatal visits, gestational age of the newborn, and kotelchuvk date when prenatal care began. N Engl J Med. The index suggests that only 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 and its association with low birthweight in the United States.

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The second step excluded removed from the analysis all records that had at least one of the following conditions: 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. Geographic patterns of low birth weight in Hawaii.

The Kotelchuck Index

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 Insex Care Visits concept.

Am J Public Health. Patterns of concern, areas for improvement. Support Center Support Center. Links to report-specific discussion and findings are also provided. 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. Some of the variables are available directly from the data and some can be derived from the data ijdex different ways.

Source of bias in prenatal care utilization indices: Author information Copyright and License information Disclaimer. Predictors of prenatal care utilization. The full text article is available through a link on the publication abstract listing available from the PubMed website.