Louisiana Pregnancy Risk Assessment Monitoring System (Louisiana PRAMS)
Louisiana PRAMS is an ongoing, population-based risk factor surveillance system designed to describe selected maternal behaviors and experiences that occur before and during pregnancy as well as during a child's early infancy.
Lousiana PRAMS data provide information on:
- Prenatal maternal behaviors and experiences: pregnancy intention, contraceptive use, alcohol use, tobacco use, physical abuse, life stress, counseling
- Complications of pregnancy: hypertension, diabetes, hospitalization
- Postpartum maternal behaviors and experiences: depression, breastfeeding, contraceptive use, safety, infant sleep position
Mission and Vision
The goal of Louisiana PRAMS is to reduce infant morbidity and mortality by impacting maternal and child health programs, policies, and maternal behaviors during pregnancy and early infancy. Findings from Louisiana PRAMS are meant to be used to enhance the understanding of maternal behaviors and their relationship with adverse pregnancy outcomes and aid in the development and assessment of programs designed to identify high-risk pregnancies and reduce adverse pregnancy outcomes.
The PRAMS questionnaire is mailed to approximately 200 Louisiana women each month (approximately 3.0% of live births in the state). Mothers who are asked to complete the questionnaire are randomly selected from the list of birth certificates in Louisiana's Vital Record Registry. Once participants complete and return the surveys to the Office of Public Health, answers are grouped to provide representative data for the entire state. If no response is received after three survey mailings, mothers are then contacted and interviewed by telephone. Participation in the Louisiana PRAMS study is entirely voluntary and every woman selected to complete the survey has the right to refuse without loss of any services.
The core set of questions and the questions developed specifically for Louisiana collect information on many topics, including:
- Attitudes and feelings about pregnancy
- Prenatal care and barriers to care
- Maternal socio-economic situation
- Physical abuse before and during pregnancy
- Psychosocial support and stress
- Maternal alcohol and tobacco use
- Information provided by healthcare providers on pregnancy-related health issues, such as breastfeeding; dental care; adverse effects of tobacco and alcohol; benefits of folic acid; risks of HIV; and contraception options available after pregnancy.
- Complications during pregnancy
- Infant health care
- Home safety and injury prevention
- Health care coverage during pregnancy and delivery
Louisiana PRAMS Surveillance Reports
Louisiana PRAMS Data Reports
How to Use Louisiana PRAMS Data
The following list outlines examples of the ways PRAMS data can be used and disseminated:
- Assessing existing public health programs.
- Developing and implementing new programs.
- Modifying existing programs.
- Monitoring progress toward Healthy People 2010 and Healthy People 2020 objectives or other state health goals.
- Supporting legislative proposals.
- Providing data for Title V Block Grant needs assessments.
- Informing communities about statewide prevalence of prenatal behaviors.
- Determining patterns of using public health programs.
Use the Louisiana PRAMS data request application to request case level and aggregate data.
For additional information or questions, please contact:
Rosaria Trichilo, MPH
Louisiana PRAMS Coordinator