Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS): Component A - Core Surveillance

夏威夷婴儿车项目摘要 夏威夷怀孕风险评估监测系统(PRMS)计划是一项以人口为基础的计划 监测系统，旨在识别和监测来自 怀孕期间的先入为主，包括怀孕间期。PRMS提供持续的 监测产妇行为，以确定如何减少婴儿死亡、降低低出生体重和 改善夏威夷人口的整体健康状况。 夏威夷PRMS计划的总体目标是通过影响以下因素降低婴儿发病率和死亡率 孕期和婴儿期的妇幼保健计划、政策和产妇行为。 PRMS有四个目标：1)收集关于母亲行为的高质量、基于人群的数据 孕前、孕中、孕后和婴幼儿早期；2)进行流行病学分析 以及孕期和婴儿期母亲的行为和经历及其与健康的关系 健康结果；3)将数据分析转化为可用于方案规划、监测和 评估；以及4)提高公众对健康怀孕行为的认识，以改善整个国家的孕产妇健康 生命的长短。 每月向大约200名新妈妈邮寄一份关于所有主要项目的PRMS调查问卷 夏威夷群岛。夏威夷卫生部(HDOH，Office of Hywaii)确认了新妈妈的身份。 健康状况监测)从最近出生的婴儿的出生证明。夏威夷调查问卷包括 所有州的PRMS计划提出的问题以及选定的标准问题 夏威夷PRMS计划与夏威夷PRMS指导委员会合作，其他HDOH计划 工作人员和当地医疗保健提供者。调查问卷涉及产妇和婴儿的优先健康问题。 如意外怀孕、避孕、怀孕期间吸烟和饮酒、 怀孕时间、产后抑郁症和家庭暴力。夏威夷婴儿车标准问题 讨论母乳喂养、牙科护理、药物使用、一般健康和产妇健康状况等主题。 夏威夷PRMS数据将被用来识别高危人群并协助引导资源， 实施有效的干预措施，改善对妇女、婴儿及其家庭的服务。数据将 帮助解决夏威夷第五章母婴(MCH)健康整体补助金的优先领域 需求评估(与州和国家妇幼保健优先事项和2020年健康人目标挂钩)，包括： 1)降低意外怀孕率；2)增加孕期戒酒；3) 在怀孕后期减少吸烟；4)促进母乳喂养；5)促进安全睡眠 行为；6)促进孕期口腔保健服务的利用；7)促进 概念前/概念间护理。

Hawaii PRAMS Project Abstract The Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS) program is a population-based surveillance system designed to identify and monitor maternal experiences, attitudes and behaviors from preconception through pregnancy and including the inter-conception period. PRAMS provides ongoing monitoring of maternal behaviors to determine how to reduce infant deaths, decrease low birth weights and improve the overall health of the population in Hawaii. The overall goal of the Hawaii PRAMS program is to reduce infant morbidity and mortality by impacting maternal and child health programs, policies, and maternal behaviors during pregnancy and early infancy. There are four PRAMS objectives to: 1) Collect high quality, population-based data on maternal behaviors before, during and after pregnancy and during the early life of the infant; 2) Conduct epidemiological analysis and study of maternal behaviors and experiences during pregnancy and early infancy and the relationship to health outcomes; 3) Translate data analyses into useable information for program planning, monitoring and evaluation; and 4) Increase public awareness of health pregnancy behaviors to improve maternal health across the life span. A PRAMS questionnaire is mailed to approximately 200 new mothers per month on all the major islands of Hawaii. The new mothers are identified by the Hawaii Department of Health (HDOH, Office of Health Status Monitoring) from the birth certificates of recently born infants. The Hawaii questionnaire includes questions asked by PRAMS programs in all states as well as standard questions selected for inclusion by the Hawaii PRAMS program in partnership with the Hawaii PRAMS Steering Committee, other HDOH program staff, and local healthcare providers. The questionnaire addresses priority maternal and infant health issues such as unintended pregnancies, contraception, smoking and alcohol use during pregnancy, insurance at the time of pregnancy, post-partum depression and domestic violence. Hawaii PRAMS standard questions address topics such as breastfeeding, dental care, drug use, general health, and maternal health conditions. Hawaii PRAMS data will be used to identify high risk populations and assist with directing resources, implementing effective interventions, and improving services to women, infants and their families. Data will help to address priority areas identified for Hawaii’s Title V Maternal and Child (MCH) Health Block Grant Needs Assessment (tied to state and national MCH priorities and Healthy People 2020 Objectives), including: 1) Reduce the rate of unintended pregnancy; 2) Increase abstinence from alcohol use during pregnancy; 3) Reduce smoking during the third trimester of pregnancy; 4) Promote breastfeeding; 5) Promote safe sleeping behaviors; 6) Promote utilization of oral health services during pregnancy, and 7) Promote Preconception/Interconception care.