SynthesisBMC pregnancy and childbirth2020
Systematic review of the measurement properties of indices of prenatal care utilization.
Synthesis in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Neonatal Adverse Outcomes in Métis Children in Alberta, Canada: A Retrospective Cohort Study.Paediatric and perinatal epidemiology · 2026Article
- Chronic complex conditions and functional limitations among Métis children in Alberta, Canada: a retrospective cohort study.Paediatrics & child health · 2026Article
- Adequacy of antenatal care and maternal smoking: impacts on gestational age and birth weight among preterm births in a high-risk referral cohort in Western Iran.BMC pregnancy and childbirth · 2026Article
- Fetal Cardiology Prenatal Care Quality and Social Determinants of Health in Critical Congenital Heart Disease.Pediatric cardiology · 2026Article
- Assessment of the Adequacy of Prenatal Care With Different Evaluation Indices Using Maternal and Fetal Outcomes: A Cross-Sectional Study.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2026Article
- Depression, anxiety, and post-traumatic stress disorder in pregnancies among Métis people in Alberta: a population-based cross-sectional study.BMC global and public health · 2026Article
- Prospective Comparative Study on the Relationship Between Adverse Maternal and Fetal Outcomes and the Total Number of Antenatal Visits: Evaluating the Focused Antenatal Care Model and Assessment of Prenatal Care Utilization Index.Oman medical journal · 2026Article
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- Psychometric properties of the experiences of maternity care scale among Iranian women.BMC health services research · 2024Article
- Cesarean section rates according to the Robson Classification and its association with adequacy levels of prenatal care: a cross-sectional hospital-based study in Brazil.BMC pregnancy and childbirth · 2023Article
- Association of quality of prenatal care with contraceptive planning in a United States population: a retrospective cohort study.BMC women's health · 2023Article
- Receipt of adequate prenatal care for privately sponsored versus government-assisted refugees in Ontario, Canada: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- How do perceptions of Covid-19 risk impact pregnancy-related health decisions? A convergent parallel mixed-methods study protocol.PloS one · 2023Article
- The effect of national antenatal care guidelines and provider training on obstetric danger sign counselling: a propensity score matching analysis of the 2014 Ethiopia service provision assessment plus survey.Reproductive health · 2022Article
- Association of Medicaid vs Marketplace Eligibility on Maternal Coverage and Access With Prenatal and Postpartum Care.JAMA network open · 2021Article
- A cross-sectional study to evaluate antenatal care service provision in 3 hospitals in Nepal.AJOG global reports · 2021Article
- Development and Testing of the Comprehensive Prenatal Care Index: Relationship With Preterm Birth and Small for Gestational Age Across Racial and Ethnic Groups.Journal of midwifery & women's healthArticle
- Evaluating the Impact of Telehealth Prenatal Care at a Federally Qualified Health Center.Journal of midwifery & women's healthArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundAn 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.
methodsMEDLINE, 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.
resultsFrom 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.
conclusionThe 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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.