Evidence map›Paper›PMID 42051638›Full record

ArticleMaternal-fetal medicine (Wolters Kluwer Health, Inc.)2026

Assessment of the Adequacy of Prenatal Care With Different Evaluation Indices Using Maternal and Fetal Outcomes: A Cross-Sectional Study.

Oluwasomidoyin O Bello, Diane P Dirette, Rob Lyerla

Abstract read
In one paragraph

Article in Maternal-fetal medicine (Wolters Kluwer Health, Inc.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Oluwasomidoyin O BelloDepartment of Obstetrics and Gynecology, College of Medicine, University of Ibadan/University College Hospital, Ibadan 200212, Nigeria.
Diane P DiretteInterdisciplinary Health Sciences Ph.D. Program, College of Health and Human Services, Western Michigan University, Kalamazoo 49008, Michigan, United States.
Rob LyerlaInterdisciplinary Health Sciences Ph.D. Program, College of Health and Human Services, Western Michigan University, Kalamazoo 49008, Michigan, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the effectiveness and efficiency of different evaluation indices in assessing adequate prenatal care (PNC) in relation to maternal and fetal outcomes. Methods: A secondary data analysis of multiple cross-sectional surveys of 221,381 new mothers (weighted estimate 10,932,150) from Phase 8 Pregnancy Risk Assessment Monitoring System between 2016 and 2021. PNC adequacy was assessed using the Kessner, Kotelchuck, and Michigan Plan for Appropriate Tailored Healthcare in Pregnancy (MiPATH) indices. Descriptive, bi-variate, and multivariate analyses were performed to evaluate the impact of each index on maternal and fetal outcomes, with the level of statistical significance set at Results: The prevalence of adequate PNC using the Kessner, Kotelchuck, and MiPATH indices was 74.1% (7,675,029/10,361,625), 77.1% (8,218,603/10,664,993) and 20.1% (2,131,242/10,597,981), respectively. Women with adequate PNC, according to all three indices, showed lower rates of adverse fetal and maternal outcomes. Each index was significantly associated with fetal outcomes (neonatal infant care unit admission, small for gestational age, and preterm birth) and mode of delivery ( Conclusion: While all indices effectively assessed adequate PNC, the MiPATH index proved to be the most effective, considering its criteria for flexibility and individualized care, along with its association with improved fetal and maternal outcomes among women with adequate PNC.

Indexed as

AdequacyEvaluation indicesFetal outcomesMaternal outcomesPrenatal care

Identifiers

PMID42051638
PMCPMC13120631

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