The Pregnancy Risk Assessment Monitoring System (PRAMS) is a mixed mode survey of women who have recently given birth in Hawaii. The Hawaii Department of Health conducts the survey each year in conjunction with the Centers for Disease Control and Prevention (CDC). PRAMS provides state-specific, population-based data on maternal attitudes and experiences before, during and shortly after pregnancy. The 2016 PRAMS data are now available in Hawaii-IBIS. Use the Hawaii-IBIS PRAMS data tool to explore over 90 indicators of state and county level data collected to improve the health of mothers and infants and reduce adverse outcomes. Plus, we’ve added a brand new section on participant demographics.
Here are some highlights from the 2016 PRAMS data for Hawaii:
· Over 56% of women reported that their pregnancy was intended meaning they had been trying to get pregnant when they conceived. About 18% said their pregnancy was mis-timed meaning they wanted to be pregnant sometime but were not trying to get pregnant when they conceived; 20% were unsure how they felt and 5% were said their pregnancy was unintended. Unintended pregnancy was down from 8.5% in 2012. Unintended pregnancy is associated with increased morbidity for women and health behaviors that are associated with adverse health outcomes for infants.
· About 27% of women were insured through Medicaid or QUEST before they became pregnant, 75% of new mothers reported having dental insurance during their pregnancy. Adequate health insurance before during and after pregnancy supports healthy mothers and babies.
· Diabetes is a chronic condition that can affect the health of mothers and babies. Over 5% of new mothers reported having diabetes before pregnancy and 14% developed gestational diabetes during their pregnancy. Mothers 35 years and older were more likely than younger mothers to have diabetes before pregnancy (6%) and to develop gestational diabetes (24%). Diabetes before and during pregnancy is associated with adverse outcomes for both mothers and babies. Women who develop gestational diabetes are at increased risk of developing Type II diabetes later in life.
· 12% of women reported symptoms of post-partum depression. Closer examination reveals that women in Kauai County (18%) and Hawaii County (16%) were more likely to report symptoms of post-partum depression than women in Maui County (13%) or Honolulu County (11%) (data from 2014-2016).
· 90% of women reported having a post-partum health checkup since delivery, but 3-year averages reveal that women in Hawaii County (85%) were significantly less likely receive a post-partum health checkup than their peers. Postpartum care visits are an important opportunity to assess a woman’s health, follow up on pregnancy-related conditions, address family planning, answer questions and obtain referrals to support optimum health for mothers and babies.