A [Core] - Nebraska Pregnancy Risk Assessment Monitoring System (PRAMS)

项目摘要 内布拉斯加州(东北部)PRMS提供了高质量和全面的孕产妇和 自1999年以来，儿童健康风险和行为，并已成为主要参与者 加强了该州的公共卫生系统。婴儿车补充了生命记录 数据库添加了只有自我报告的数据才能实现的细微差别。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(77.5%)推动了州平均水平，并掩盖了相当大的 根据母亲的种族和民族来检查结果时的差异。《长寿》 卫生服务单位(LHSU)不仅是妇幼保健流行病学和NERM的大本营， 而且对其他与妇幼保健相关的项目也是如此。这些项目一直是 婴儿车最坚定的支持者和数据的使用者；被安置在相同的 该单元使PRMS数据和工作人员能够轻松地访问这些程序。这有 导致PRMS数据被整合到正式的妇幼保健和生殖健康中 健康优先事项。该州的出生证明数据提供了关于 妇女在怀孕和分娩期间以及对新生儿的影响。然而，这些数据 主要针对人口统计和医疗条件。高品质的内布拉斯加州- 关于行为风险等关键因素的具体、人口层面的数据很稀缺，以及 母亲对医疗保健的体验和看法。因此，出生证明 登记处为方案规划和规划提供详细信息的能力有限 评估。一些人口的出生证明数据得到了数据的补充 可从特定计划获得。但是，这些数据并不反映作为 完整的。全国可再生能源管理系统目前是人口水平上唯一容易获得的来源 重要问题的数据，如怀孕意向，模式的原因 产前护理的使用，母亲的营养状况，怀孕前的健康，以及 产后行为，如抑郁、婴儿睡眠姿势、母乳喂养或母亲 发病率。重要的是，PRMS数据允许作出关于“新的”的有效声明 内布拉斯加州的母亲“，而不是只为选定的人群或方案接受者。Ne PRMS按种族/民族分层，并将继续提供数据，以规划战略 解决这些问题并进行评估。

Project Summary Nebraska (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 (77.5%) of White births drives state averages, and masks considerable disparity when outcomes are examined by maternal race and ethnicity. The Lifespan Health Services Unit (LHSU) is home not only to 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. This has resulted in PRAMS data being integrated into the official MCH and the Reproductive Health priorities. The state's birth certificate data provides valuable information on women during their pregnancy and delivery and on the newborn. However, these data predominantly address demographic and medical conditions. High-quality, Nebraska- specific, population-level data are scarce on key factors such as behavioral risks, and mothers' experiences with and perceptions of healthcare. Thus, the birth certificate registry is limited in its ability to provide detailed information for program planning and evaluation. Birth certificate data are complemented for some populations by data available from specific programs. However, these data do not reflect the state as a whole. 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, breastfeeding or maternal morbidity. 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.