April 18, 2014

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    Prenatal Care

Distribution of prenatal care adequacy categories: US, 2002

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• Adequate and adequate plus prenatal care is defined by the Adequacy of Prenatal Care Utilization Index as pregnancy-related care beginning in the first four months of pregnancy with the appropriate number of visits for the infant's gestational age. Inadequate care is pregnancy-related care beginning in the fifth month or later or less than 50% of the appropriate number of visits for the infant's gestational age. 
•  In the United States, 74.7% of live births were to women receiving adequate/adequate plus prenatal care, 14.0% were to women receiving intermediate care, and 11.3% were to women receiving inadequate care. 
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Methods
 

  Healthy People 2020
•  Adequate/adeq+ prenatal care: increase to at least 77.6% of live births.
  Footnotes
•  Adequacy is measured using the Adequacy of Prenatal Care Utilization Index, which classifies prenatal care received into 1 of 4 categories (inadequate, intermediate, adequate, and adequate plus) by combining information about the timing of prenatal care, the number of visits, and the infant's gestational age.
  Source
•  National Center for Health Statistics, final natality data.
•  Kotelchuck M. An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index. Am J Public Health 1994; 84: 1414-1420.
•  Retrieved April 18, 2014, from www.marchofdimes.com/peristats.

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