While there was no significant change in reported pregnancy intention or the use of any prenatal care, there were significant changes in the timing and
adequacy of prenatal care utilization for low-education mothers associated with expanded parental eligibility.
Timing and frequency of prenatal care was represented using the Kotelchuck
Adequacy of Prenatal Care Utilization Index (APCUI; inadequate, intermediate, adequate, adequate plus, unknown) (Kotelchuck 1994).
(9.) Kogan MD, Alexander GR, Jack BW Allen MC, The association between
adequacy of Prenatal care utilization and subsequent pediatric care utilization in the United States, Pedatrics 1998; 102;25-30.
The final instrument covered over 80 prevalidated or modified versions of prevalidated questions, originating from widely used surveys, such as PRAMS, American Community Survey (ACS) [51], 2005 MIHA [4], National Maternal and Infant Health Survey (NMIHS) [48], and the Fragile Families Study (FFS) [44], as well as measures, including the Perceived Stress Scale (PSS) [38], Core Food Security Module (CFSM) [42],
Adequacy of Prenatal Care Utilization (APNCU) Index [49], and Center for Epidemiological Studies-Depression (CES-D) [50].
Several studies have reported that increasing the
adequacy of prenatal care utilization in pregnant substance users reduces risks for prematurity, low birth weight, and perinatal mortality (El-Mohandes et al.
(35.) Kotelchuck M, The
adequacy of prenatal care utilization index: its US distribution and association with low birthweight, American Journal of Public Health, 1994, 84(9): 1486-1489
To overcome this problem, we attempted to use the
Adequacy of Prenatal Care Utilization (APNCU) index.
"An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed
Adequacy of Prenatal Care Utilization Index." American Journal of Public Health, 84(9), 1994, 1414-20.
An evaluation of the adequacy of prenatal care and a proposed
adequacy of prenatal care utilization index.
The estimates for the
adequacy of prenatal care utilization variable were positive but were not significant at conventional levels in the full models.
(1.) Kotelchuck M The
adequacy of prenatal care utilization index: its U.S.