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Kogan, Michael D.; Martin, Joyce A.; Alexander, Greg R.; Kotelchuck, Milton; Ventura, Stephanie J.; & Frigoletto, Frederic D. (1998). Benefits and Limitations of Prenatal Care. JAMA: Journal of the American Medical Association, 280(24), 2071-2073.


We wish to clarify some misconceptions in the Editorial accompanying our article on the changing pattern of prenatal care utilization in the United States. In the Editorial, Drs Misra and Guyer erroneously concluded that women most at risk for poor perinatal outcomes did not have increased utilization. They looked at our logistic models for factors associated with intensive utilization in 1981 and 1995, saw that African American women and women with less education were less likely than white women and women with more education to receive intensive utilization in 1995, and concluded that "2 of the groups that are socially at high risk . . . did not share in the trend toward increased utilization of prenatal care at the intensive levels." In fact, the rates increased markedly for both groups. Intensive utilization increased 40% for women with less education (compared with 55% for women with some college) and 72% for African American women (compared with 89% for white women).


Reference Type

Journal Article

Year Published


Journal Title

JAMA: Journal of the American Medical Association


Kogan, Michael D.
Martin, Joyce A.
Alexander, Greg R.
Kotelchuck, Milton
Ventura, Stephanie J.
Frigoletto, Frederic D.

Article Type