RFA-DP-21-001 Pregnancy Risk Assessment Monitoring System (8.11.20)

项目管理方案构成部分A--项目摘要/摘要 密歇根州怀孕风险评估监测(MI PRMS)项目是一项持续的、年度的、 对密歇根州怀孕并以活产结束的母亲进行了基于人口的调查。这个 MI PROM的目标是询问这些母亲她们的知识、态度和健康行为 怀孕前、怀孕期间和怀孕后。特别关注健康和健康的社会决定因素 健康差距。该项目的目标是使用健全的方法进行调查，提供高水平的 向调查利益相关者提供高质量的人口水平数据，并帮助改善密歇根州 母亲和婴儿。 母亲是以分层的方式从所有出生证明中选择参加MI婴儿车的 通过邮寄和电话联系。MI婴儿车--母亲的样本过多 他们有一个低出生体重的婴儿，来自非洲裔美国人母亲和东南部的母亲 该州的一个地区，包括底特律和其他社会经济多元化地区。我们的意图是 这一抽样策略是尽可能多地从已经有过 对婴儿造成不良结局的怀孕(例如，低出生体重)。我们还有更大的 来自更有可能在手术中和术后出现负面并发症的母亲的陈述 怀孕，以及那些婴儿更有可能健康状况不佳的人。 该州许多部门使用MI PRMS数据来跟踪一段时间内的趋势， 评估公共卫生干预措施的效果，并用于分配资源和关注。这个 研究人员也将利用这些数据，他们希望了解怀孕和死亡的影响因素 婴儿期会影响一生的健康。除了询问长期存在的问题，如 怀孕意向、母乳喂养持续时间、安全睡眠习惯和产前护理，下一阶段 MIPROM将涵盖公共卫生感兴趣的新兴主题。母亲们将被问及以下问题： ·冠状病毒大流行如何在怀孕期间影响他们的家庭 ·在怀孕前、怀孕期间和怀孕后使用处方止痛药和大麻 ·他们的伴侣或配偶提供的支持程度 ·她自己童年的不良经历 ·为她的新生儿接种疫苗的计划和意图 ·她在面谈时的睡眠数量和质量(出生后3-6个月) 这些问题和其他问题的答案将帮助MI婴儿不仅监测 但要让公共卫生专业人员掌握知识，使其 子孙后代健康的积极变化。

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.