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The Adequacy of Prenatal Care Utilization Index: its US distribution and association with low birthweight.

M Kotelchuck

Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill 27599-7400.

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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