KOTELCHUCK INDEX PDF

Query Help The Kotelchuck Index 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 Kotelchuck Index classifies the adequacy of initiation into four groups as follows: Pregnancy months 1 and 2 Pregnancy months 3 and 4 Pregnancy months 5 and 6 Pregnancy months 7 to 9 with the underlying assumption that the earlier prenatal care begins the better. 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 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. Caveats: The Kotelchuck Index does not measure the quality of prenatal care. The Index uses recommendations for low-risk pregnancies, and may not measure the adequacy of care for high-risk women.

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Dataset-specific Resources The Kotelchuck Index The Kotelchuck Index, also called the Adequacy of Prenatal Care Utilization APNCU Index, uses two 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 Kotelchuck index classifies the adequacy of initiation as follows: pregnancy months 1 and 2, months 3 and 4, months 5 and 6, and months 7 to 9, An underlying assumption of the Kotelchuck Index is that the earlier prenatal care begins the better. 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 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 final Kotelchuck index measure combines these two dimensions into a single summary score. The Kotelchuck Index does not measure the quality of prenatal care. The Kotelchuck Index uses recommendations for low-risk pregnancies, and may not measure the adequacy of care for high-risk women. 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.

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The Kotelchuck Index

Dataset-specific Resources The Kotelchuck Index The Kotelchuck Index, also called the Adequacy of Prenatal Care Utilization APNCU Index, uses two 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 Kotelchuck index classifies the adequacy of initiation as follows: pregnancy months 1 and 2, months 3 and 4, months 5 and 6, and months 7 to 9, An underlying assumption of the Kotelchuck Index is that the earlier prenatal care begins the better. 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 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 final Kotelchuck index measure combines these two dimensions into a single summary score. The Kotelchuck Index does not measure the quality of prenatal care.

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