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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)