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Table 5 Index for assessment of the adequacy of prenatal care utilization in the Dutch primary midwifery care context [3]

From: Determinants and underlying causes of frequent attendance in midwife-led care: an exploratory cross-sectional study

Duration of gestation

Initiation of care

Number of visits

Kotelchuck Indexb

0 - 11+6

≤ 11+6

≥ 3

4

 

1-2

3

  

2

 

0

1

12 - 26+6

Ideally 3.75 visitsa

≤ 11+6

≥ 6

4

 

3-5

3

 

2

2

 

≤ 1

1

≥ 12+0

 

1

27 - 36+6

Ideally 7.5 visitsa

 

≥ 10

4

 

6-9

3

 

4-5

2

 

≤ 3

1

≥ 12+0

 

1

37+0 - 37+6

Ideally 11 visitsa

≤ 11+6

≥ 13

4

 

10-12

3

 

6-9

2

 

≤5

1

≥ 12+0

 

1

38+0 - 38+6

Ideally 12 visitsa

≤ 11+6

≥ 14

4

 

10-13

3

 

6-9

2

 

≤5

1

≥ 12+0

 

1

39+0 - 39+6

Ideally 13 visitsa

≤ 11+6

≥ 15

4

 

11-14

3

 

7-10

2

 

≤ 6

1

≥ 12+0

 

1

40+0 - 40+6

Ideally 14 visitsa

≤ 11+6

≥ 16

4

 

12-15

3

 

7-11

2

 

≤ 6

1

≥ 12+0

 

1

41+0 - 41+6

Ideally 15 visitsa

≤ 11+6

≥ 17

4

 

12-16*

3

 

8-11

2

 

≤ 7

1

≥ 12+0

 

1

  1. aAccording to the guidelines of the Royal Dutch Organization of Midwives
  2. bKotelchuck Index:
  3. 1. Inadequate (received less than 50% of expected visits)
  4. 2. Intermediate (50%-79%)
  5. 3. Adequate (80%-109%)
  6. 4. Adequate Plus (110% and more)