Component A: Core Surveillance: Texas Pregnancy Risk Assessment Monitoring System (TX PRAMS)

摘要 妊娠风险评估监测系统（PRAMS）是一个基于人口的 疾病控制和预防中心（CDC）设计的监测系统， 确定和监测选定的产妇经验之前，期间和之后怀孕。在 PRAMS提供了最全面的基于人口的孕产妇健康数据 在怀孕期间和之后。德克萨斯州PRAMS数据由州卫生部使用 服务和其他几个国家机构和利益相关者提供信息，开发和推动 改善母婴健康的政策和方案。PRAMS调查询问 （通过邮件或电话）向最近的母亲提出关于健康问题的问题，如产前检查的获得情况， 保健，怀孕意图，饮酒，吸烟，叶酸的重要性知识， 复合维生素使用，保险类型，亲密伴侣暴力，产后抑郁症， 母乳喂养、婴儿睡姿和烟雾暴露。德州PRAMS项目 不仅将维护这些数据的声誉和重要性， 政策和计划，但也将使PRAMS成为领先的研究工具， 使命是制定新的战略，以改善孕产妇和儿童的健康， 跟踪和了解新出现的公共卫生需求。这将通过以下方式实现：（1） 实施一项系统计划，以解决答复率问题;以及（2）发展和扩大 通过分析、报告和与各DSHS协调， 程序.

Abstract The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based surveillance system designed by the Centers for Disease Control and Prevention (CDC) to identify and monitor selected maternal experiences before, during, and after pregnancy. In Texas, PRAMS provides the most comprehensive population-based data on maternal health during and after pregnancy. Texas PRAMS data are used by the Department of State Health Services and several other state agencies and stakeholders to inform, develop, and drive policies and programs to improve the health of mothers and babies. The PRAMS survey asks questions (via mail or telephone) of recent mothers on health topics, such as access to prenatal care, pregnancy intention, alcohol use, smoking, knowledge of the importance of folic acid, multivitamin use, type of insurance, intimate partner violence, postpartum depression, breastfeeding, infant sleep position, and smoke exposure. The proposed Texas PRAMS project will not only maintain the reputation and importance of these data for informing public health policies and programs, but will also make PRAMS a leading research tool for those whose mission is to develop new strategies for improving maternal and child health and those looking to track and understand emerging public health needs. This will be achieved by: (1) implementing a systematic plan to address response rates; and (2) developing and expanding the reach of PRAMS through analysis, reporting and coordination with various DSHS programs.