Cited by 485Maternal and Neonatal HealthcareGlobal Maternal and Child HealthMaternal Mental Health During Pregnancy and Postpartum

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The adequacy of prenatal care utilization index: its US distribution and association with low birthweight

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Kotelchuck, M·1994·American Journal of Public Health

DOI 10.2105/ajph.84.9.1486

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Abstract

The proposed Adequacy of Prenatal Care Utilization Index is applied to data from the 1980 National Natality Survey to assess the adequacy of prenatal care utilization and its association with low birthweight in the United States. The index suggests that only 61.1% of women received adequate prenatal care, including 17.7% with more intensive care; 16.7% received inadequate care. More White women (63.4%) than Black women (51.9%) received adequate prenatal care. Low-birthweight rates were elevated among women with inadequate prenatal care and among those who received more intensive prenatal care.

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An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index.
Kotelchuck, M. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.9.1414 · Cited by 1,167
Self-citation
A comparison of prenatal care use in the United States and Europe.
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Self-citation
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Wise, P. H. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.9.1374 · Cited by 12

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An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index.
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Authors: Kotelchuck, M.
Affiliations: University of North Carolina at Chapel Hill (US)
Corresponding author: Kotelchuck, M
ORCID: Kotelchuck, M
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 1994-09
Volume: 84
Issue: 9
Pages: 1486-1489
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.84.9.1486
OpenAlex: W2073808955
Semantic Scholar: 6f6c60d381ed951093558cadffe7c6eb36847509
Cited by: 485
References: 7
Citations by year: 2026: 16 · 2025: 18 · 2024: 22 · 2023: 27 · 2022: 20 · 2021: 24 · 2020: 16 · 2019: 16 · 2018: 19 · 2017: 14 · 2016: 22 · 2015: 21 · 2014: 21 · 2013: 11 · 2012: 21
FWCI: 21.49
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Public Health (publishedVersion)
PubMed (publishedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords: antenatal care utilization, low birth weight, racial disparities, Black women, white women, maternal health
MeSH terms: Birth Weight, Black or African American, Female, Gestational Age, Humans, Infant, Low Birth Weight, Infant, Newborn, Pregnancy, Prenatal Care, Time Factors, White People

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The adequacy of prenatal care utilization index: its US distribution and association with low birthweight

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