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Office Of Health Data And Program Management > PRAMS

Pregnancy Risk Assessment Monitoring System

For further information, please contact:
Kim Haggan, PRAMS Coordinator
244 Water St.,
11 State House Station
Augusta, ME 04333-0011
Voice 207. 287. 5459  
FAX: 207. 287. 5470    
Email: Maine.Prams@maine.gov

Please notify Maine PRAMS on how you use our data (e.g. Presentations, funding applications, program planning or evaluation) OR contact us if you would like to share any comments on our website and how we might improve it. Thanks!


The Program. PRAMS is an on-going, population-based surveillance system designed to identify and monitor selected maternal behaviors and experiences before, during, and after pregnancy among women who have recently given birth to a live infant. Data are collected monthly from women using a mail/telephone survey.

The Problem in Maine. Although Maine's infant mortality and low birth weight rates are low compared to other states, there has been minimal improvement during the past decade in the low birth weight rate. Information gathered through the Maine PRAMS project will allow generation of data for use in policy-making and planning in the maternal and child health care arena.

The Goal. The overall goal of PRAMS is to provide data and analyses on maternal behaviors during pregnancy and early infancy which will be used to improve maternal and infant health in Maine

"It's great to see that other people are taking the time to see how new mothers and their babies are doing in Maine"

PRAMS Survey Topics. The PRAMS survey is mailed to a sample of approximately 125 women each month. Women complete the surveys and return them to the Office of Data, Research, and Vital Statistics. The data are ultimately grouped together to provide information for the entire state of Maine. Some of the topics used on the survey include:

Feelings about pregnancy
Obstetrics history
Multi-vitamin use/folic acid
Prenatal care, barriers to care, topics covered during care
Maternal health
Smoking and drinking
Psychosocial support and stress
Breastfeeding
Health care coverage before pregnancy, during pregnancy, and at delivery
Oral health
Home safety and prevention
Contraception

Program Activities. PRAMS provides data to the Maine Center for Disease Control and Prevention, the U.S. Centers for Disease Control and Prevention, and to other public and private agencies and organizations to:

  • Describe the maternal behaviors during pregnancy and early infancy
  • Guide the development, implementation, and evaluation of intervention programs aimed at improving maternal and infant health in Maine
  • Examine prenatal care access and prenatal care quality issues and their relationship to poor birth outcomes in Maine
  • Monitor changes in the health care system (managed care and Medicaid reform) on the delivery of prenatal care, routine well baby care, and sick baby care
  • Examine the characteristics and behaviors of women who report unintentional or mistimed pregnancies

Other PRAMS Participating States:

  • Alabama
  • Alaska
  • Arkansas
  • Colorado
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Illinois
  • Louisiana
  • Maryland
  • Michigan
  • Mississippi
  • Montana
  • Nebraska
  • New Jersey
  • New Mexico
  • New York
  • New York City
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Rhode Island
  • South Carolina
  • Texas
  • Utah
  • Vermont
  • Washington
  • West Virginia

 

Fact Sheets. Analysis data are available for the years 1988-1999

Series 1 Number 1 -Who is the Typical Pregnant Smoker? 1988-1992, 11/3/93

Series 1 Number 2 -Smoking Behavior of Maine Women During and After Pregnancy, 1988-1992, 11/3/93

Series 2 Number 2 -Adolescent Pregnancy and Violence, 1988-1992, 1/5/94

Series 2 Number 7 -Well Baby Care, 1988-1992, 3/16/94

Series 2 Number 12 -Prevalence of Breastfeeding, 1988-1992, 5/19/94

Series 2 Number 13 -Drinking During Pregnancy in Maine, 1988-1992, 5/19/94

Series 2 Number 23 -Adolescent Mothers, 1988-1992, 7/10/94

Series 3 Number 19 -New Mothers in Maine: Birth Control Use and Prenatal Care Payment Source, 1993, 6/95

Series 4 Number 10 -Characteristics of Breastfeeding Mothers, 1990-1994, 8/96

Series 4 Number 16 -Smoking and Drinking During Pregnancy Prenatal Care Counseling, 1993-1994, 12/96

Series 4 Number 17 -Mothers Who Smoke, 1993-1994, 12/96

Series 4 Number 18 -Mothers Who Drink Alcohol, 1993-1994, 12/96

Series 5 Number 4 -Adolescent Mothers and Stress, 1989-1994, 1/97

Series 6 Number 2 -Physical Abuse During Pregnancy, 1996, 2/98

Series 6 Number 8 -Intendedness of Pregnancy, 1996, 6/98

Series 6 Number 12 -Folic Acid Awareness, 1996, 8/98

Series 6 Number 13 -Low Birth Weight, 1996, 8/98

Series 6 Number 18 -Infant Sleep Position and SIDS, 1996, 12/98  

Series 7 Number 6 -First Time Mothers, 1996-1997, 5/99

Series 7 Number 10 -Specialty of Attending Physician, 1996-1997, 8/99

Series 8 Number 1 -Prevalence of Breastfeeding, 1997, 1/00

Series 8 Number 14 -Newborn Characteristics, 1998, 7/00

Series 9 Number 1c -Births to Unmarried Women, 1998, 1/01     

Series 9 Number 7 -Prenatal Care, 1998, 5/01     

Series 9 Number 9 -Infant Mortality, 1992-1997, 6/01          

Series 9 Number 10 -Postpartum Hospital Stay, 1995-1999, 7/01     

Series 9 Number 12 -Multiple Births, 1989-1998, 10/01     

Series 9 Number 14 -Intendedness of Pregnancy, 1999, 10/01     

Series 10 Number 3-Alcohol Use During Pregnancy, 1999, 5/02

Series 11 Number 1-Characteristics of Premature Births, 2000, 1/03

Series 11 Number 8-Oral Health During Pregnancy: 2000

Series 11 Number 12-Smoking and Maine's New Mothers, 1999-2000

DATA

1999 PRAMS Tables

1999 PRAMS Data Brochure-Statewide Highlights (pdf)

2000 PRAMS Tables

2001 PRAMS Tables

2001 PRAMS Data Brochure-Statewide Highlights (pdf)

2002 PRAMS Tables

2003 PRAMS Tables

2004 PRAMS Tables

2005 PRAMS Tables

MMWR Articles.

Cigarette Smoking During the Last 3 Months of Pregnancy Among Women Who Gave Birth to Live Infants--Maine, 1988-1997 (May 28,1999 /48(20); 421-425)
http://www.cdc.gov/mmwr/pdf/wk/mm4820.pdf

Receipt of Well-Baby Care--Maine, 1988-1992 (February 18, 1994 / 43(06); 105-110)
http://www.cdc.gov/mmwr/pdf/wk/mm4306.pdf

Surveillance Report Highlights.

Highlights for Maine from the PRAMS 1998 Surveillance Report
http://www.maine.gov/dhs/bohodr/hilites.htm

Highlights for Maine from the Prams 1999 Surveillance Report
http://www.maine.gov/dhs/bohodr/hilites99.htm

Links to Other Resources.

Centers for Disease Control and Prevention (CDC) PRAMS:
http://www.cdc.gov/nccdphp/drh/srv_prams.htm

Maine Department of Health and Human Services:
http://www.maine.gov/dhhs

"Nice survey. I hope it helps to get better care for mothers and babies!"

Funding Sources: PRAMS is funded by a cooperative agreement with the Centers for Disease Control and Prevention (CDC) (U50/CCU/113503).

NOTE: All quotes on this web site are comments written by PRAMS participants.