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Prenatal Care Table 28 shows the prenatal care status of births in Indian River and Florida for the years 2011, 2012, and 2013. Using the Kotelchuck Index to determine adequate care, the percentage of births in Indian River when the mother had adequate prenatal care (calculated using only births with known prenatal care status) was 74.1% in 2013, a decrease from 78.6% in 2011. Indian River had a greater percentage of births to mothers receiving adequate prenatal care as compared to the state of Florida, for the year 2013. Table 28: Prenatal Care, Indian River, Florida, 2011, 2012, 2013 Source: FloridaCHARTS, Florida Department of Health, Bureau of Vital Statistics, 2013 Notes: Percentage of births with adequate prenatal care is calculated by using the number of births with known PNC status as the denominator. *Adequate care is determined by the Kotelchuck Index (Indicates that prenatal care began by at least the 4th month and at least 80% of recommended prenatal visits were received. Compiled by: Health Council of Southeast Florida, 2014 31IPage — Indian River County Children's Assessment 2014 t;-8.3 3 Indian River Florida 2011 2012 2013 2011 2012 2013 2011 2012 2013 Count Percentage of births Percentage of births Births to Mothers With 3rd Trimester or No Prenatal Care 50 74 92 4.2% 6.3% 7.8% 4.4% 4.8% 4.9% Births with adequate prenatal care (Kotelchuck index) 941 930 902 78.6% 78.9% 74.1% 70.3% 70.6% 64.6% Source: FloridaCHARTS, Florida Department of Health, Bureau of Vital Statistics, 2013 Notes: Percentage of births with adequate prenatal care is calculated by using the number of births with known PNC status as the denominator. *Adequate care is determined by the Kotelchuck Index (Indicates that prenatal care began by at least the 4th month and at least 80% of recommended prenatal visits were received. Compiled by: Health Council of Southeast Florida, 2014 31IPage — Indian River County Children's Assessment 2014 t;-8.3 3