Pregnancy Risk Assessment Monitoring System Data (PRAMS)

Purpose

To improve the health of mothers and infants by reducing poor pregnancy outcomes such as low birth weight, infant mortality and morbidity, and maternal morbidity.

Key Information

Data on pregnant women, new mothers and their infants including: experience with prenatal care stress, labor, delivery, breastfeeding, infant care; health issues including: nutrition, folic acid,alcohol and tobacco exposure and use, domestic violence, HIV prevention and access to care; and feelings about the pregnancy, support from friends/family collected in most states. Rhode Island also collects data on: family mobility, lead poisoning and newborn screening awareness, and maternal depression.

Collection Period

Rhode Island has been particpating in the national PRAMS program since 2002.

How data are collected

Rhode Island women who have given birth are randomly selected to survey every year. Mothers delivering a low birth weight are over-sampled to ensure adequate data for this high-risk population. The survey is either conducted by mail with multiple follow-up attempts,or by by telephone. The survey is conducted in English and Spanish. The survey is conducted 2-6 months after birth. Women are first contacted to complete the survey by mail. If there is no response to repeated mailings, women are contacted and interviewed by phone.

The survey has three parts: core questions that all states must include; optional questions developed by the national program, and questions that reflect state specific issues.

Rhode Island Numbers, 2018

  • The survey had 82 questions.
  • 1,885 women were selected to be in the survey.
  • Mothers with a preterm birth were more likely to report that they had depression before pregnancy, compared to mothers with a term birth (18.6% versus 13.7%).
  • 16.8% of mothers with a preterm birth, compared to 14.1% of mothers with a term birth, reported having had depression during pregnancy.
  • 12.2% of mothers with a preterm birth, compared to 12.9% of mothers with a term birth, reported having had depression after pregnancy.

Of mothers who had depression during pregnancy

  • 58.6% of mothers with a preterm birth reported they got counseling for the depression, compared to 49.0% of mothers with a term birth.
  • Mothers with a preterm birth were more likely to report that they took prescription medicine for the depression, compared to mothers with a term birth (47.9% versus 32.9%).
  • Mothers with a preterm birth were more likely to report experiencing a divorce/separation of their parent when they were ages 0-13 years, compared to mothers with a term birth (41.9% versus 35.7%).