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Health Indicator Report of Adequate Prenatal Care (Kotelchuck Index)

Women who receive early and adequate prenatal care increase their likelihood of giving birth to a healthy child.


Missing and unknown responses are not included in percent calculations.   Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race.

Data Source

Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health

Data Interpretation Issues

Adequacy of prenatal care cannot be determined for 3-5% of records, so those records are not included in the percentage calculations.


The Adequacy of Prenatal Care Utilization (APNCU) Index, also called the Kotelchuck Index, uses two crucial elements obtained from birth certificate data-when prenatal care began (initiation) and the number of prenatal visits from when prenatal care began until delivery (received services). A ratio of observed to expected visits is adequate when it is equal to or greater than 80%.


Number of live births to NJ resident mothers with Adequate Prenatal Care during pregnancy


Number of live births to NJ residents

Healthy People Objective: Early and adequate prenatal care

U.S. Target: 77.6 percent
Page Content Updated On 08/12/2016, Published on 01/12/2017
The information provided above is from the Department of Health's NJSHAD web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 21 July 2018 9:51:13 from Department of Health, New Jersey State Health Assessment Data Web site: ".

Content updated: Wed, 23 May 2018 05:01:08 EDT