Appendix C: 2002 PRAMS Surveillance Report

Core Question Number	Indicator and Definition	Healthy People 2010 Objective¹	MCHB Core or State Performance Measure²
UNINTENDED PREGNANCY AND CONTRACEPTIVE USE
10	Unintended pregnancy Just before becoming pregnant, wanted to be pregnant later or did not want to be pregnant then or at any time in the future.	9–1	AK, CO, HI, ME, MI, NM, NY, OH, OK, NC, OR, SC, UT, WA, WV
10	Mistimed pregnancy Just before becoming pregnant, wanted to be pregnant later.	9–1	—
10	Unwanted pregnancy Just before becoming pregnant, did not want to be pregnant then or at any time in the future.	9–1	—
31h	Husband or partner did not want pregnancy Husband or partner said he did not want woman to be pregnant during the 12 months before the baby was born.	—	—
10–12	Contraceptive use among unintended pregnancies Among women reporting an unintended pregnancy, when woman got pregnant she or her husband or partner were doing something (e.g., avoiding sex at certain times [rhythm] or using the pill, Norplant^®, shots [DepoProvera^®], condoms, diaphragm, foam, IUD, sterilization, vasectomy) to avoid pregnancy.	9–3	—
MULTIVITAMIN USE
3	Multivitamin use Took multivitamins 4 or more times per week in the month prior to pregnancy.	16–16a	OR
PRENATAL CARE TIMING AND ADEQUACY
15	Entry into prenatal care after the first trimester or not at all Received no prenatal care or started care at 13 or more weeks or 3 or more months of gestation.	16–6a	Core Measure 18: OK, WV
15–16	Did not get prenatal care as soon as desired Among women who received no prenatal care or started care at 13 or more weeks or 3 or more months of gestation, did not get prenatal care as early as the woman wanted.	—	—
14	Pregnancy confirmed after the first trimester Not sure of pregnancy until 13 or more weeks or 3 or more months of gestation	—	—
PRENATAL CARE COUNSELING
20a	Counseled about smoking during pregnancy Doctor, nurse, or other health care worker talked about the effects of smoking during pregnancy on baby.	—	WA
20b	Counseled about breastfeeding Doctor, nurse, or other health care worker talked about breastfeeding baby.	—	—
20d	Counseled about seat belt use during pregnancy Doctor, nurse, or other health care worker talked about using a seat belt during pregnancy.	—	—
20j	Counseled about HIV testing Doctor, nurse, or other health care worker talked about getting blood tested for HIV.	—	AR, WA
20k	Counseled about physical abuse Doctor, nurse, or other health care worker talked about physical abuse to women by their husbands or partners.	—	WA
MEDICAID COVERAGE FOR PRENATAL CARE
19	Medicaid coverage for prenatal care Medicaid paid for prenatal care.	—	—
WIC PARTICIPATION DURING PREGNANCY
21	WIC participation during pregnancy Participated in WIC during pregnancy.	—	—
PHYSICAL ABUSE
32a	Physically abused by husband or partner during the 12 months before pregnancy Physically abused (i.e., pushed, hit, slapped, kicked, choked, or physically hurt in any other way) by husband or partner during the 12 months before pregnancy.	15–34	AK, LA
33a	Physically abused by husband or partner during most recent pregnancy Physically abused (i.e., pushed, hit, slapped, kicked, choked, or physically hurt in any other way) by husband or partner during the most recent pregnancy.	15–34	FL, LA
ALCOHOL USE
29a	Drinking alcohol during the 3 months before pregnancy Drank alcohol during the 3 months just before pregnancy.	—	—
30a	Drinking alcohol during the last 3 months of pregnancy Drank alcohol during the last 3 months of pregnancy.	16–17a	AK, HI, LA
TOBACCO USE
25	Smoking during the 3 months before pregnancy Smoked cigarettes in the 3 months just before pregnancy.	—	—
26	Smoking during the last 3 months of pregnancy Smoked cigarettes in the last 3 months of pregnancy.	16–17c	AK, AR, HI, LA, NY,OK, WV
27	Smoking after pregnancy Smoked cigarettes at the time of survey.		—
HOSPITALIZATIONS FOR PREGNANCY-RELATED COMPLICATIONS
22–23	Hospitalizations for pregnancy-related complications Hospitalized at least 1 day because of 1 or more pregnancy-related complications.	—	—
BREASTFEEDING
45	Breastfeeding initiation Ever breastfeed or pump breast milk to feed new baby after delivery.	16–19a	Core Measure 11: AL, AR, GA, LA, MI, NM, OK, SC, WA, WV
45, 47	Breastfeeding at 4 weeks after delivery Breastfed infant for at least 4 weeks or still breastfeeding at time of survey.	16–19	—
INFANT SLEEPING POSITION
50	Infant sleeping position on back Infant put to sleep most often on his or her back.	16–13	AK, NY
50	Infant sleeping position on stomach (prone) Infant put to sleep most often on his or her stomach (prone position).	—	—
INFANT FOLLOW-UP
39	Infant discharged within 48 hours Infant's length of stay in the hospital was 2 days (48 hours) or less after his or her birth.	—	—
51	Infant checkup If infant discharged within 48 hours after his or her birth, infant seen by a doctor, nurse, or other heath care provider in the first week after he or she left the hospital.	—	—
53–54	Sufficient well-baby care Infant had sufficient well-baby care if he or she had 2 or more checkups by 2–3 months of age (60–122 days); 3 or more checkups by 4–5 months of age (123–183 days); or 4 or more checkups by 6–9 months of age (184–274 days).	—	—
POSTPARTUM CONTRACEPTIVE USE
56	Postpartum contraceptive use After giving birth, woman or husband or partner were doing something (e.g., avoiding sex at certain times [rhythm] or using the pill, Norplant^®, shots [DepoProvera^®], condoms, diaphragm, foam, IUD, sterilization, vasectomy) to avoid pregnancy.	—	—
Notes and References ¹ U.S. Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. 2nd Edition. Washington, DC: U.S. Government Printing Office; 2000. ² For each 2002 PRAMS state, RTI obtained information on the use of PRAMS data to measure core and state-negotiated performance measures for the block grant from their Title V Block Grant Application Forms (1–20) for Application Year 2005. The Maternal and Child Health Bureau, within the Health Resources and Services Administration of the U.S. Department of Health and Human Services, administers the Title V program. Accessed July 27, 2005, from https://perfdata.hrsa.gov/mchb/mchreports/search/search.asp.