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Adequate prenatal care was defined based on the GINDEX [ 29] as having an initial visit in the first trimester (< = 13 weeks) and having 4 or more visits for women delivering at 22 25 weeks gestation, 5 or more visits at 26 29 weeks, 6 or more visits at 30 31 weeks, 7 or more visits at 32 33 weeks, 8 or more visits at 34 35 weeks, or 9 or more visits at 36+ weeks.
The study also added 2 more visits, at 2 3 months and 4 5 months postpartum (Table 1), to educate families about postpartum family planning and provide services as needed.
For example, we initially selected the cohort based on persons with two or more visits at least 1 year apart to increase the number of participants, but ultimately selected only those with first- and fourth-year questionnaires to allow the maximum time for symptoms to resolve, either spontaneously or through treatment.
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Over half (57%) of the sample had one or more visits with at least one pertussis-like diagnosis in the period immediately preceding the index pertussis diagnosis.
Each patient received on average 2 or more visits by child neuropsychiatrists at that year.
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