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) , 2005 MIHA , National Maternal and Infant Health Survey (NMIHS) , and the Fragile Families Study (FFS) , as well as measures, including the Perceived Stress Scale (PSS) , Core Food Security Module (CFSM) , Adequacy of Prenatal Care Utilization
(APNCU) Index , and Center for Epidemiological Studies-Depression (CES-D) .
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
"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
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.