Nebraska Pregnancy Risk Assessment Monitoring System

项目摘要 内布拉斯加州怀孕风险评估监测系统(NE PRMS)提供了质量 和1999年以来关于孕产妇和儿童健康风险和行为的全面数据，并已 成为该州加强的公共卫生系统的主要参与者。婴儿车 补充了重要记录数据库，增加了只有自我报告数据才能做到的细微差别。 从表面上看，内布拉斯加州似乎有非常好的怀孕结果。然而，大型 白人出生的百分比(2017-2018年为69.6%)推动了州平均水平，以及口罩 当按母亲种族和民族来检查结果时，会出现相当大的差距。这个 生命健康服务单位不仅是母婴健康(MCH)的大本营 流行病学和NE PRAMs，还包括其他与妇幼卫生相关的方案。这些 项目一直是婴儿车和数据用户的最坚定支持者之一； 安置在同一单元中，使PRMS数据和工作人员能够轻松访问这些程序。 PRMS数据已被纳入正式的妇幼保健优先事项。 高质量的、特定于内布拉斯加州的人口水平数据在以下关键因素上很稀缺 行为风险，以及母亲对卫生保健的经历和看法。因此，诞生了 证书注册中心在为计划规划和计划提供详细信息方面能力有限 评估。全国人口监测系统目前是人口层面数据的唯一容易获取的来源。 关于怀孕意向、产前护理使用模式的原因、 母亲的营养状况，怀孕前的健康，以及出生后的行为，如 抑郁、婴儿睡眠姿势和母乳喂养。重要的是，PRMS数据允许有效 将就“新内布拉斯加州母亲”发表声明，而不仅仅是针对选定的人群 或节目接受者。全国可再生能源管理系统按种族/民族分层，并将继续向 规划解决这些问题和进行评估的战略。

Project Summary Nebraska Pregnancy Risk Assessment Monitoring System (NE PRAMS) has provided quality and comprehensive data on maternal and child health risks and behaviors since 1999, and has become a major participant in the state’s strengthened public health system. PRAMS complements the vital records database adding nuances that only self-reported data can do. On the surface, Nebraska appears to have very good pregnancy outcomes. However, the large percentage (69.6% in 2017-2018) of White births drives state averages, and masks considerable disparity when outcomes are examined by maternal race and ethnicity. The Lifespan Health Services Unit is home not only to Maternal and Child Health (MCH) Epidemiology and NE PRAMS, but also to the rest of the MCH-related programs. These programs have been among the strongest supporters of PRAMS and users of the data; being housed in the same unit makes PRAMS data and staff easily accessible to those programs. PRAMS data has been integrated into the official MCH priorities. High-quality, Nebraska specific, population-level data are scarce on key factors such as behavioral risks, and mothers’ experiences with and perceptions of health care. Thus, the birth certificate registry is limited in its ability to provide detailed information for program planning and evaluation. NE PRAMS is currently the only readily-accessible source for population-level data on important issues such as pregnancy intendedness, reasons for patterns of prenatal care use, nutritional status of the mother, preconception health, and for postnatal behaviors such as depression, infant sleep position, and breastfeeding. Importantly, PRAMS data allow valid statements to be made about “new Nebraska mothers” rather than only for selected populations or program recipients. NE PRAMS stratifies by race/ethnicity and will continue to provide data to plan strategies to address these issues and for evaluation.