Title: Definition of Indicators Prenatal
Headings: 
Missouri Resident Prenatal Profile
Care Began First Trimester
Late Care (2nd/3rd Trimester)
No Prenatal Care
Prenatal Care Adequacy (Missouri Index): Inadequate
Prenatal Care Adequacy (Kotelchuck Index): Inadequate
Prenatal Medicaid
Prenatal WIC
Prenatal Food Stamps
Weight Gain less than 15 Pounds – Singleton
Weight Gain greater than or equal to 45 Pounds – Term Singleton
Gestational Diabetes
Pre-Pregnancy Diabetes
Mother Smoked During Pregnancy

Content: The profiles define adequate prenatal care as a score of 80% or greater on the Kotelchuck Index, or the sum of the Adequate and Adequate Plus categories. The Kotelchuck Index does not measure the quality of prenatal care. It also depends on the accuracy of the patient or health care provider's recall of the timing of the first visit and the number of subsequent visits. The Kotelchuck Index uses recommendations for low-risk pregnancies, and may not measure the adequacy of care for high-risk women. The Kotelchuck Index is preferable to other indices because it includes a category for women who receive more than the recommended amount of care (adequate plus, or intensive utilization). The rate of this number is per 100 live births where prenatal care adequacy using the Kotelchuck Index was known. Prenatal Medicaid
Number of resident live births to mothers participating in Medicaid during their pregnancy. The rate is per 100 resident live births with known Medicaid status. Medicaid status is acquired from the birth certificate. Prenatal WIC
Number of resident live births to mothers participating in WIC during their pregnancy.