We also examined the risk of intensive utilization in both including and excluding the 4 states that did not collect information on either prenatal visits or education in and found no differences in the characteristics associated with intensive use data available on request from the authors. Moreover, although the definition of a prenatal visit has remained constant, it is possible that the increase in diagnostic procedures may have led to some of these visits being counted inappropriately as prenatal visits, and thus inaccurately inflating the number of visits for some women.
The newer measures of prenatal care utilization indicate that there has been an increase in the number of visits that women receive that exceed recommendations by ACOG. While there has been success in increasing prenatal care utilization to high-risk women, the benefits of increasing obstetric care to low-risk women are less immediately apparent. Given that the rates of low birth weight and preterm birth in the United States have not improved over this same period, investigations of cost benefit should explore the varied short- and long-term outcomes that may be influenced by prenatal care use to more completely evaluate the impact of these trends.
All Rights Reserved. View Large Download. The trends in adequate or intensive prenatal care utilization among low-risk women by prenatal care measure, to Table 1. Table 2.
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