We are conducting a surveillance study looking at various socio-demographic factors and birth outcomes such as LBW and prematurity using birth certificate data. Given the limited info on the birth certificate, which would be a better predictor of adequate prenatal care, the Kotelchuck or the Kessner index.
Hi. See this paper. Thanks.
-Juned
Article A comparison of four prenatal care indices in birth outcome ...
Hi Juned,
I see that the Kotelchuck is used as the standard index in recent literature. However, since we will be looking at LBW and maybe SGA later on in the analysis, your results suggest that I may be better off using the modified Kessner index. Thanks for the article, it was very helpful.
-Tabassum
The Kotelchuck Index, is also called the Adequacy of Prenatal Care Utilization (APNCU) Index, It 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 as i.e pregnancy months 1 and 2, months 3 and 4, months 5 and 6, and months 7 to 9. The final Kotelchuck index measure combines these two dimensions into a single summary score. The profiles define adequate prenatal care as a score of 80% or greater on the Kotelchuck Index, or the sum of the Adequate and Adequate Plus categories.The Kotelchuck Index does not measure the quality of prenatal care.
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