Component A - Michigan Pregnancy Risk Assessment Monitoring System (8.11.20)

MI PRAMS组件A -项目总结/摘要 密歇根州怀孕风险评估监测（MI PRAMS）项目是一个持续的，每年， 密歇根州的母亲谁有一个怀孕，以活产结束人口为基础的调查。的 MI PRAMS的目标是询问这些母亲的知识、态度和健康行为 怀孕前，怀孕中，怀孕后特别关注健康的社会决定因素， 健康差距。该项目的目的是使用合理的方法进行调查， 高质量的人口水平的数据，以调查的利益相关者，并帮助改善密歇根州的健康 母亲和婴儿 从一个月内提交的所有出生证明中分层挑选母亲参加MI PRAMS。 并通过邮件和电话联系。来自母亲的MI PRAMS过量样本 出生体重低的婴儿，来自非洲裔美国母亲，来自东南部的母亲， 底特律州的一个地区，包括底特律和其他社会经济多样化的地区。我们的意图是， 这种抽样策略是尽可能多地从已经有过一个孩子的母亲那里学习。 导致婴儿不良结果的妊娠（例如，低出生体重）。我们也有更大的 母亲在分娩期间和分娩后更有可能出现负面并发症， 怀孕，以及那些婴儿更有可能有不良健康结果的人。 MI PRAMS数据被该州许多部门用于跟踪一段时间内的趋势， 评估公共卫生干预措施的效果，以及分配资源和关注。的 数据也将被那些希望了解怀孕因素和 婴儿期影响整个生命周期的健康。除了询问长期存在的问题，如 怀孕意愿，母乳喂养时间，安全睡眠习惯和产前护理，下一阶段 MI PRAMS将涵盖公共卫生利益的新兴主题。母亲们会被问到： ·冠状病毒大流行如何影响她们怀孕期间的家庭 ·怀孕前、怀孕期间和怀孕后使用处方止痛药和大麻 ·伴侣或配偶提供的支持程度 ·她童年的不良经历 ·计划和打算为她的新生儿接种疫苗 ·她在面试时（产后3-6个月）的睡眠数量和质量 这些问题和其他问题的答案将有助于MI PRAMS不仅监测 国家的母亲和婴儿，但要使公共卫生专业人员掌握知识， 为子孙后代的健康带来积极的变化。

MI PRAMS COMPONENT A - PROJECT SUMMARY / ABSTRACT The Michigan Pregnancy Risk Assessment Monitoring (MI PRAMS) project is an ongoing, annual, population-based survey of Michigan mothers who had a pregnancy that ended with a live birth. The goals of MI PRAMS are to ask these mothers about their knowledge, attitudes, and health behaviors before, during, and after pregnancy. Special attention is devoted to social determinants of health and health disparities. The project aims are to conduct the survey using sound methodology, provide high quality population-level data to the survey stakeholders, and help improve the health of Michigan's mothers and babies. Mothers are selected for MI PRAMS in a stratified manner from all birth certificates filed during a calendar year and are contacted by mail and by telephone. MI PRAMS over-samples from mothers who had a low birth weight infant, from African American mothers, and from mothers in the Southeast region of the State that contains Detroit and other socioeconomically diverse areas. Our intent with this sampling strategy is to learn as much as possible from mothers who have already had a pregnancy that resulted in a poor outcome for the infant (e.g., low birth weight). We also have greater representation from mothers more likely to have negative complications during and after their pregnancy, and from those whose infants are more likely to have poor health outcomes. MI PRAMS data are used by many departments within the State for tracking trends over time, evaluating the effect of public health interventions, and for allocating resources and attention. The data will also be utilized by researchers who wish to understand how factors from pregnancy and infancy affect health throughout the lifespan. In addition to asking about long standing issues such as pregnancy intention, breastfeeding duration, safe sleep habits, and prenatal care, the next phase of MI PRAMS will cover emerging topics of public health interest. Mothers will be asked about: • How the coronavirus pandemic affected their household during pregnancy • Use of prescription pain relievers and cannabis before, during, and after pregnancy • The degree of support provided by their partner or spouse • Adverse experiences from her own childhood • Plans and intention to vaccinate her new baby • The quantity and quality of sleep she has at the time of the interview (3-6 postnatal months) The answers from these and other questions will help MI PRAMS to not only monitor the health of mothers and babies in the State, but to equip public health professionals with the knowledge to make positive changes in the health of future generations.