Measuring Adequacy of Prenatal Care: Does Missing Visit Information Matter?

Kurtzman, Jordan H.; Wasserman, Erin B.; Suter, Barbara J.; Glantz, J. Christopher; Dozier, Ann

doi:10.1111/birt.12110

Cited by 9 publications

(17 citation statements)

References 29 publications

(46 reference statements)

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“…The studies were conducted in the United States [10,12,14,[19][20][21][22][23], Brazil [24,25], Belgium [26], Canada [15], and Spain [27]; and published between 1994 and 2014 (median year of publication 2004; interquartile range [IQR] 1996-2013). Sample sizes varied across studies, ranging from 238 to 591,403 participants (median 8957; IQR 725-147,059).…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes varied across studies, ranging from 238 to 591,403 participants (median 8957; IQR 725-147,059). Nine studies used a retrospective cohort design [10,12,14,15,[20][21][22][23]25], two were cross-sectional studies [19,24], one was a prospective cohort study [26], and one used a case-control design [27]. Characteristics of the study populations, data sources and indices of prenatal care utilization evaluated in the individual studies are described in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Other indices of prenatal care utilization evaluated for their measurement properties were the GINDEX (three studies [12,14,25]), its revised version (i.e., R-GINDEX; evaluated in two studies [12,15]) and the PHS/EPPC (two studies [12,25]). Five studies [20,[23][24][25][26] evaluated other indices of prenatal care utilization (i.e., Índice IPR/Pré-Natal, Carvalho & Novaes Index, Ciari Index, Coutinho Index, Content and Timing of Care in Pregnancy, a Cluster solution, and the Last Visit Adequacy of Prenatal Care Index [LV-APNC]). Overall, the methodological quality of studies evaluating the measurement properties of these indices was fair, with more recently published studies having a better quality of reporting.…”

Section: Resultsmentioning

confidence: 99%

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

Rowe

Karkhaneh

MacDonald

et al. 2020

BMC Pregnancy Childbirth

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Background: An accurate assessment of the adequacy of prenatal care utilization is critical to inform the relationship between prenatal care and pregnancy outcomes. This systematic review critically appraises the evidence on measurement properties of prenatal care utilization indices and provides recommendations about which index is the most useful for this purpose. Methods: MEDLINE, EMBASE, CINAHL, and Web of Science were systematically searched from database inception to October 2018 using keywords related to indices of prenatal care utilization. No language restrictions were imposed. Studies were included if they evaluated the reliability, validity, or responsiveness of at least one index of adequacy of prenatal care utilization. We used the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. We conducted an evidence synthesis using predefined criteria to appraise the measurement properties of the indices. Results: From 2664 studies initially screened, 13 unique studies evaluated the measurement properties of at least one index of prenatal care utilization. Most of the indices of adequacy of prenatal care currently used in research and clinical practice have been evaluated for at least some form of reliability and/or validity. Evidence about the responsiveness to change of these indices is absent from these evaluations. The Adequacy Perinatal Care Utilization Index (APNCUI) and the Kessner Index are supported by moderate evidence regarding their reliability, predictive and concurrent validity. Conclusion: The scientific literature has not comprehensively reported the measurement properties of commonly used indices of prenatal care utilization, and there is insufficient research to inform the choice of the best index. Lack of strong evidence about which index is the best to measure prenatal care utilization has important implications for tracking health care utilization and for formulating prenatal care recommendations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

Rowe

Karkhaneh

MacDonald

et al. 2020

BMC Pregnancy Childbirth

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“…At the time of birth certificate completion, all women who deliver in the Central and Finger Lakes regions of New York (22 counties in total) complete a standardized perinatal questionnaire [16][17][18] Alur S (2016) Disparities in pregnancy outcomes between Caucasian and African American women who conceived using in vitro fertilization (IVF) Volume 2(1): 133-136…”

Section: Methodsmentioning

confidence: 99%

“…At the time of birth certificate completion, all women who deliver in the Central and Finger Lakes regions of New York (22 counties in total) complete a standardized perinatal questionnaire [16][17][18] including items on socio-demographics reproductive history, and the index pregnancy. These data are then linked to the clinical perinatal record (including fields on pregnancy, birth, and neonatal outcomes and complications), forming the Perinatal Data System (SPDS).…”

Section: Methodsmentioning

confidence: 99%

Gestational trophoblastic neoplasia: series of 17 cases

Slimani¹,

Alaoui²,

Jayi³

et al. 2016

Clin Obstet Gynecol Reprod Med

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Objective: To explore whether the odds of adverse pregnancy outcomes differs between Caucasian and African American women who conceived using In vitro fertilization (IVF). Methods:At delivery, women in the Central and Finger Lakes regions of New York completed the Perinatal Data System (SPDS) questionnaire. Primary analyses compared racial differences in birth outcomes of singleton pregnancies conceived by IVF. Logistic regression was used to examine racial differences in the odds of having a preterm birth (<37 weeks), a very preterm birth (<34 weeks), a small-for-gestational-age (SGA) (<10 th %tile), or a very SGA infant (<5 th %tile). All analyses adjusted for covariates including maternal age, smoking status, pre-pregnancy weight, gestational weight gain, Medicaid use, employment status, participation in the Federal Supplemental Nutrition Program for Women, Infants, and Children (WIC) and highest level of education.Results: From 2004 to 2014, there were 55 singleton births from IVF to African-American women and 2,089 to Caucasian women out of 368,328 births. In multivariable models, compared to Caucasians, African American women were significantly more likely to have preterm births from IVF (OR=2.6, 95% CI: 1.40, 4.90) and SGA infants (OR=3.2, 95% CI: 1.50, 6.90). African-American women also had (non-significantly) increased odds of having very preterm births (OR=1.7, 95% CI: 0.60, 4.90) and very SGA infants (OR=2.20, 95% CI: 0.80, 6.50). Conclusion:African American women with singleton pregnancies resulting from IVF were more likely to have preterm births and deliver SGA infants compared to Caucasian women using IVF. Given that IVF use is generally limited to women with a higher socioeconomic status, our results provide further evidence that racial disparities in birth outcomes are unlikely to be attributable to socioeconomic status alone. IntroductionInfertility, defined as failure to achieve clinical pregnancy after 12 consecutive months of unprotected intercourse, is highly prevalent across the world. In 2013 alone, over 160,000 assisted reproductive technology (ART) cycles were performed in the U.S. [1]. Increase in the use of ART has prompted extensive research on multiple laboratory and patient factors that may affect the success of a cycle [2][3][4][5][6][7]. However, relatively little is known about the extent to which race may impact ART pregnancy outcomes.In naturally conceived pregnancies, there are well-documented racial differences in pregnancy outcomes, with African American women at increased risk of poor outcomes including preterm delivery [8,9]. Although this difference is often attributed to differences in socioeconomic status, birth disparities persist after adjusting for maternal medical and socioeconomic risk factors, including smoking and psychosocial stress [10][11][12]. Similarly, among socioeconomically homogeneous populations (such as enlisted servicewomen) compared to whites, black women are still at increased risk of preterm delivery, despite similar access to, and qualit...

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A pilot multisite study of patient navigation for pregnant women with opioid use disorder

Cochran

Smid

Bryan

et al. 2019

Contemporary Clinical Trials

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The opioid crisis continues to affect pregnant and postpartum women the United States, with the number of pregnant women diagnosed with opioid use disorder (OUD) quadrupling over the last decade. The associated increase in morbidity and mortality among mother and baby warrants prompt, targeted intervention efforts that improve engagement, linkage of care, and treatment retention. Patient navigation (PN) is a chronic care intervention that can directly address this need by helping women identify medical, behavioral, and psychosocial care goals. Moreover, PN can assist women in preparing for, engaging in, and maintaining patient participation in necessary services. Specifically, PN includes strengths-based case management, 1-1 clinical support, motivational interviewing, and addiction-relapse prevention programming. The objective of this article is to present the study protocol of a pilot multisite randomized clinical trial, entitled: Optimizing Pregnancy and Treatment Interventions for Moms 2.0 (OPTI-Mom 2.0; NCT03833245). In this study, we build upon a proof-of-concept study, employing evidenceinformed frameworks for protocol and intervention expansion in order to construct a PN *

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Measuring Adequacy of Prenatal Care: Does Missing Visit Information Matter?

Abstract: In the FLR, missing visit information at the end of pregnancy results in an underestimation of mothers' prenatal care. Future research is needed to determine the extent of this missing visit information on the national level.

Cited by 9 publications

References 29 publications

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

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

Gestational trophoblastic neoplasia: series of 17 cases

A pilot multisite study of patient navigation for pregnant women with opioid use disorder

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