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Article

Assessing the Quality of Prenatal Care: Use of the Kotelchuck Index Combined with Prenatal Care Data

by
Débora Melo de Aguiar
1,*,
Andréia Moreira de Andrade
1,
Alanderson Alves Ramalho
1,
Fernanda Andrade Martins
1,
Rosalina Jorge Koifman
2,
Simone Perufo Optiz
1 and
Ilce Ferreira da Silva
2
1
Postgraduate Program in Public Health, Federal University of Acre, Rio Branco 69920-900, AC, Brazil
2
Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Rio de Janeiro 21040-360, RJ, Brazil
*
Author to whom correspondence should be addressed.
Women 2023, 3(2), 225-236; https://doi.org/10.3390/women3020018
Submission received: 27 January 2023 / Revised: 31 March 2023 / Accepted: 10 April 2023 / Published: 13 April 2023
Versions Notes

Abstract

The aim of the present study was to propose a quality prenatal (PN) care assessment model combining use and visit content (both adjusted for the weeks of gestation) to estimate inadequate PN care and associated factors in Rio Branco, Acre. A cross-sectional study was conducted using a population-based cohort of 1030 women in the city of Rio Branco in 2015. The use of PN care was classified according to the adapted Kotelchuck index by combining the performance of clinical-obstetric procedures adjusted for weeks of gestation. Levels of adequacy were built according to PN care use and content. Gross and adjusted odds ratios were estimated by using a logistic regression. The prevalence rates of inadequate prenatal care quality were 25.9% (Level-1), 54.8% (Level-2), 68.8% (Level-3), and 78.6% (Level-4). The factors associated with Level-1 were age ≤ 34 years (ORaj:3.74), not having a partner (ORaj:1.62), unplanned pregnancy (ORaj:1.73), and multiparity (ORaj:2.25); those for Level-2 comprised not having a partner (ORaj:1.82) and multiparity (ORaj:1.33); those for Level-3 were age ≤ 34 years (ORaj:3.31), not having a partner (Oraj:1.71), unplanned pregnancy (Oraj:1.45), PN in the private sector (Oraj:3.08), and multiparity (ORaj:2.17); those for Level 4 comprised not having a partner (ORaj:2.33), family income < 1 MW (ORaj:2.05), unplanned pregnancy (ORaj:1.41), PN in the private sector (ORaj:6.80), and multiparity (ORaj:1.49). The Kotelchuck index was proven efficient in assessing the combined effect of use and content in assessing PN care quality.
Keywords: prenatal care; health evaluation; health services prenatal care; health evaluation; health services

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MDPI and ACS Style

de Aguiar, D.M.; de Andrade, A.M.; Ramalho, A.A.; Martins, F.A.; Koifman, R.J.; Optiz, S.P.; da Silva, I.F. Assessing the Quality of Prenatal Care: Use of the Kotelchuck Index Combined with Prenatal Care Data. Women 2023, 3, 225-236. https://doi.org/10.3390/women3020018

AMA Style

de Aguiar DM, de Andrade AM, Ramalho AA, Martins FA, Koifman RJ, Optiz SP, da Silva IF. Assessing the Quality of Prenatal Care: Use of the Kotelchuck Index Combined with Prenatal Care Data. Women. 2023; 3(2):225-236. https://doi.org/10.3390/women3020018

Chicago/Turabian Style

de Aguiar, Débora Melo, Andréia Moreira de Andrade, Alanderson Alves Ramalho, Fernanda Andrade Martins, Rosalina Jorge Koifman, Simone Perufo Optiz, and Ilce Ferreira da Silva. 2023. "Assessing the Quality of Prenatal Care: Use of the Kotelchuck Index Combined with Prenatal Care Data" Women 3, no. 2: 225-236. https://doi.org/10.3390/women3020018

APA Style

de Aguiar, D. M., de Andrade, A. M., Ramalho, A. A., Martins, F. A., Koifman, R. J., Optiz, S. P., & da Silva, I. F. (2023). Assessing the Quality of Prenatal Care: Use of the Kotelchuck Index Combined with Prenatal Care Data. Women, 3(2), 225-236. https://doi.org/10.3390/women3020018

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