The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based surveillance system that collects data on the experiences of pregnant people before, during, and after birth. In HHDW, you can explore 171 indicators from PRAMS in the following categories: Demographics, Health Insurance Coverage, Before Pregnancy, During Pregnancy, After Pregnancy, Infant, and Disaster Preparedness (new). Each indicator can be explored at the state or county level and by sociodemographic characteristics. This year’s new category, “Disaster Preparedness,” contains 8 new indicators capturing what individuals who have recently given birth do to prepare for a disaster.
Here are some highlights from the 2023 PRAMS for people who have recently given birth:
- Private insurance and Medicaid/QUEST were the two main sources of payment for prenatal care (39.6% and 39.3%, respectively). Individuals over 35 years were more likely to use private insurance compared to Medicaid/QUEST (60.2% and 25.7%, respectively).
- Rates of gestational diabetes increased from 10.8% in 2021 to 15.9% in 2023. Rates of pre-eclampsia, eclampsia or high blood pressure that started during pregnancy also increased from 14.1% in 2021 to 19.2% in 2023.
- The percent of babies born full term (37-41 weeks) was 91.0%, followed by preterm (32-36 weeks) at 7.5%, early preterm (<32 weeks) at 1.2%, and post-term (42+ weeks) at 0.3%.
- Almost three-quarters (74.6%) reported having emergency supplies in their home for their family, such as extra water, food, and medicine to last for at least seven days.
Explore our custom dashboards on Hawaiʻi Health Matters with all the PRAMS indicators by state and county:
