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Research in regards to the responsiveness to alter of those indices is missing from these evaluations. The Adequacy Perinatal Care Utilization Index (APNCUI) as well as the Kessner Index are supported by moderate evidence regarding their dependability, predictive and concurrent legitimacy. SUMMARY The scientific literature has not comprehensively reported the measurement properties of commonly used indices of prenatal care application, and there is inadequate analysis to inform the c