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Table 3 Characteristics of Indices of Prenatal Care Utilization Evaluated for their Measurement Properties

From: Systematic review of the measurement properties of indices of prenatal care utilization

Index and Studies

Adequate Start of Prenatal care

Adequate Number of Prenatal Visits

Categories of Prenatal Care

Basis for Standard

Properties Evaluated

APNCUI [10, 12, 14, 15, 19,20,21,22,23,24,25,26,27]

1–4 mo

11

Intensive

Adequate

Intermediate

Inadequate

No care/missing

ACOG

- Reliability

- Predictive validity

- Concurrent validity

Kessner Index [10, 12, 14, 21, 22, 24, 25, 27]

1–3 mo

9

Adequate

Intermediate

Inadequate

No care/missing

ACOG

- Reliability

- Predictive validity

- Concurrent validity

GINDEX [12, 14, 25]

1–3 mo

9

Intensive

Adequate

Intermediate

Inadequate

No care/missing

ACOGa

- Reliability

- Predictive validity

- Concurrent validity

R-GINDEX [12, 15]

1–3 mo

13

Intensive

Adequate

Intermediate

Inadequate

No care

Missing

ACOG

- Predictive validity

PHS/EPPC [12, 25]

1–2 mo

7 (multipara); 9 (primipara)

Adequate

Intermediate

Inadequate

No care/missing data

PHS

- Reliability

- Concurrent validity

IPR/Prenatal Index [24, 25]

1–3 mo

≥ 6

Adequate

Intermediate

Inadequate

 

- Reliability

- Predictive validity

- Concurrent validity

Carvalho & Novaes Index [25]

1–3 mo

≥ 7

Adequate

Inadequate

NR

- Reliability

- Concurrent validity

Ciari Index [25]

1–3 mo

11

Good

Fair

Missing

NR

- Reliability

- Concurrent validity

Cluster solution [23]

NR

≥ 12

Six clusters of patterns of prenatal care

NR

- Concurrent validity

Coutinho Index [25]

1–3.5 mo

≥ 6

Adequate

Intermediate

Inadequate

NR

- Reliability

- Concurrent validity

Content and Timing of Care in Pregnancy [26]

1–4 mo

Minimum 80% ratio between visits conducted and expected visits

Appropriate

Sufficient

Intermediate

Inadequate

NR

- Predictive validity

LV-APNC [20]

NR

9

Adequate Plus Adequate

Intermediate

Inadequate

NR

- Predictive validity

  1. ACOG American College of Obstetrics & Gynecology, IPR Infrastructure, process, and results, LV-APNC Last Visit Adequacy of Prenatal Care Index, mo months
  2. aDoes not follow full ACOG prenatal care visit recommendation for term and post-term births