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Michigan PRAMS

What is PRAMS?
The Michigan Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing survey project of mothers who deliver live births in Michigan. PRAMS is part of a national effort to reduce infant mortality and adverse birth outcomes by providing information useful for developing and implementing intervention programs and for evaluating existing programs. This data is used to monitor progress toward national and state pregnancy-related health objectives, including the increase of positive birth outcomes. PRAMS is also used to identify and monitor selected self-reported maternal behaviors and experiences that occur before, during, and after pregnancy among women who deliver live-born infants.

The PRAMS survey was developed in 1987 through the cooperative effort of the Centers for Disease Control and prevention (CDC), the District of Columbia and the states of Indiana, Maine, Michigan, Oklahoma, and West Virginia.  

MI PRAMS Survey:
PRAMS generates statewide estimates of important perinatal health indicators among women delivering live infants. PRAMS staff collect data through a mailed survey with follow-up of non-respondents by telephone. The PRAMS survey is revised every three to five years, and each revision is referred to as a phase.  

Need help finding relevant questions by topic or survey year? Try the MI PRAMS Topic Map.

§   Phase 7 Survey (2012-2015) 
§
   Phase 6 Survey (2009-2011) 
§   Phase 5 Survey (2004-2008)  

Data to Action:
Using MI PRAMS data, the Women's Reproductive Health Unit was able to provide compelling evidence of a need to improve access to family planning services for the socio-economically vulnerable.  As a result, the Centers for Medicare and Medicaid Services approved Michigan's submission of a Section 1115 demonstration waiver to extend family planning.  The five-year demonstration waiver was implemented under the program name Plan First! on July 1, 2006.  

MI PRAMS was also an essential data source for the Talk Early & Talk Often initiative. The initiative is a workshop targeted toward parents of middle school children, which provides parents with education and skill building to help them communicate with their children about abstinence and sexuality. Both the Section 1115 demonstration waiver and Talk Early & Talk Often are part of the Governor's Blueprint for Preventing Unintended Pregnancies.  

Deliverables:
MI PRAMS publishes quarterly newsletters that highlight specific topics of interest from PRAMS data and an annual report that provides prevalence estimates for a list of perinatal behaviors, health experiences, and outcomes.  

Newsletters: MI PRAMS Delivery  

2013

Summer

Oral Health During Pregnancy, MI PRAMS 2004-2008

 

 

 

2012

Spring

Preconception Health, MI PRAMS 2009

 

Winter

Daily Multivitamin Use Before Pregnancy, MI PRAMS 2007-2009

 

 

 

2011

Fall

Intimate Partner Violence & Postpartum Contraception Use, MI PRAMS 2004-2008 

 

Summer

Pre-pregnancy Obesity and Infant Mortality, MI PRAMS 2001-2008 

 

Spring

Infant Safe Sleep, MI PRAMS 2001-2008  

 

Winter

Breastfeeding Initiation and Three Month Exclusive Duration, MI PRAMS 2004-2008  

 

 

 

2010 

Fall

Life Stressors and Smoking Status During Pregnancy, MI PRAMS 2008  

 

Summer

Interpregnancy Intervals, MI PRAMS 2007 (July 2010)  

 

 

 

2009 

Fall

Effect of the New Maternal Pregnancy Weight Gain Guidelines  

 

Spring

The Right Place at the Right Time: Delivery at a Hospital with a Neonatal Intensive Care Unit (NICU)  

 

Winter

Folic Acid Awareness and Vitamin Use Among Michigan Mothers, 2004-2006  

 

 

 

2008 

Fall

Racial Disparities in Prenatal Care  

 

Winter

Diabetes and Pregnancy  

 

 

 

2007 

Summer

Obesity and Mode of Delivery  

 

Spring

Oral Health During Pregnancy  

 

Winter 

Newborn Screening, MI PRAMS, 2004    

 

 

 

2006 

Fall

Unintended Pregnancy and Contraception  

 

Summer

Preconception Health among Women with a Prior LBW Infant  

 

Winter

Preterm Labor Counseling During Prenatal Care  

 

 

 

2005 

Fall

Bed Sharing Practices Among Michigan Mothers and Their Infants  

 

Summer

Well Baby Care  

 

Spring

Preconceptional Binge Drinking & Pregnancy Intention  

 

Winter

HIV Counseling During Prenatal Care  

 

 

 

2004 

Fall

Postpartum Depression Among Michigan Women  

 

Summer

Prenatal Care in Michigan  

 

Spring

The Experience of Stressful Life Events in Pregnant Women  

 

Winter

Contraception Use During the Postpartum Period  

 

 

 

2003 

Fall

Tobacco & Health  

 

Summer

Stress Experienced in the Year Prior to Delivery of an Infant  

 

Spring

Breastfeeding Practices Among Mothers in Michigan  

 

Winter

Trends in Alcohol Use During Pregnancy in Michigan  

 

 

 

2002 

Fall

Antepartum Physical Abuse  

 

Summer

Infant Sleeping Position in Michigan, 1996-1999  

 

Spring

Folic Acid Awareness Among Michigan Mothers, 1996-1999  

 

Winter

Unintended Live Births, Michigan, 1988-1999  

 

 

 

 

 

 

Annual Reports
2010 Data Tables
2009 Data Tables
2008 Annual Report 
2006 Annual Report 
2005 Annual Report 
2004 Annual Report 
2003 Annual Report 
2002 Annual Report 
2001 Annual Report 

Recent Presentations: 
Emotional Reactions to Racism and Postpartum Depression: Results from MI PRAMS, 2009-2010
Preconception Dieting and Multivitamin Use: Results from Michigan PRAMS, 2009
PRAMS and Preconception Health Counseling, 2009
Interpregnancy Intervals and Labor Dystocia: Findings From Michigan PRAMS, 2006-07 


Epidemiologist/Coordinator Roles and Responsibilities: 
 
This position provides administrative and epidemiological support to the Department of Community Health, the Bureau of Epidemiology on all epidemiologic matters concerning the Pregnancy Risk Assessment Monitoring System (PRAMS).  This includes: questionnaire development, data management, surveillance, epidemiologic study design and planning, statistical analysis, policy and program development, program evaluation, technical expertise and training.  This position plays a key role in improving the use of PRAMS, obtaining funding to conduct such activities, and fostering active collaboration with other maternal child health programs.   

Contact Info:  
Epidemiologist: Cristin M. Larder, MS
Email: larderc@michigan.gov 
Phone: 517-335-9509
Fax: 517-335-9195
Address:
201 Townsend St.
P.O. Box   30195
Lansing, MI 48909   

Key MI PRAMS Staff:
·        Robert Wahl, DVM, MS   -     PRAMS PI (Manager, Surviellance and Program Evaluation Section)
·        Cristin Larder, MS   -     Epidemiologist/Coordinator (Lifecourse Epidemiology & Genomics Division)
·        Glenn Radford, MS   -     Sampling Statistician (Division for Vital Records and Health Statistics)
·        Jill Hardy, MA   -     Data Manager (Office of Survey Research, Michigan State University)
·        Larry Hembroff, PhD   -     Methodological Support (Director, Office of Survey Research, Michigan State University)  

For More Information:
If you have any questions about Michigan's PRAMS or would like to request the most recent MI PRAMS dataset, please call 517-335-9509 or email pramsmi@michigan.gov .

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