PRAMS Phase 8 and Phase 9 Questionnaire Topic Reference

Att 7 - PRAMS Livebirth Phase 8 and Phase 9 Questionnaire Topic Reference.docx

[NCCDPHP] Pregnancy Risk Assessment Monitoring System (PRAMS)

PRAMS Phase 8 and Phase 9 Questionnaire Topic Reference

OMB: 0920-1273

Document [docx]
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Attachment 7 – PRAMS Livebirth Phase 8 and Phase 9 Questionnaire Topic Reference

PRAMS Livebirth Phase 8 and Phase 9 Questionnaire Topic Reference

Questionnaire Topics

Available in

Phase 8

Available in Phase 9

Abuse

Physical

Emotional/Sexual


x

x


x

x

Alcohol Use

x

x

Assisted Reproduction and Fertility

x

x

Breastfeeding

x

x

Child Care

x

x

Contraception

x

x

Delivery Method

x

x

Demographics Information (Parents and Infant)

Infant

Maternal

Paternal

Parental Relationship


x

x

x

x


x

x

x

x

Disability

x

x

Disaster and Emergency Preparedness

x

x

Environmental Exposures

x

x

Experiences of Discrimination and Racism

x

x

Family Health History

x

x

Family Planning

x

x

Food Security and Economic Stability

x

x

Health Insurance

Maternal

Infant


x

x


x

x

HIV and Sexually Transmitted Infections

x

x

Home Visitation

x

x

Household Characteristics

x

x

Income

x

x

Infant Health Care

Well Child Care

Sick Child Care

Vaccinations


x

x



x

x

x

Infant Morbidity and Mortality

x

x

Infant Sleep Environment

x

x

Influenza and Maternal Vaccinations

x

x

Injury Prevention/Safety

General

Maternal Seat Belt Use

Infant Car Seat Use


x

x

x


x

x

x

Labor and Delivery

x

x

Marijuana

x

x

Maternal Childhood Experiences

x

x

Maternal Health – General

x

x

Maternal Hospital Stay

x

x

Maternal Nutrition

Weight and Diet

Vitamin Use and Folic Acid

Food Insufficiency


x

x

x


x

x

x

Mental Health

x

x

Maternal Morbidity

Maternal Warning Signs

Preconception

Prenatal

Postpartum



x

x

x


x

x

x

x

Neighborhood and Built Environment

x

x

Occupational Status & Workplace Leave

x

x

Oral Health

x

x

Physical Activity

x

x

Preconception Care and Readiness

x

x

Pregnancy Intention

Maternal

Paternal/Partner


x

x


x

x

Prenatal Care

x

x

Postpartum Care

x

x

Reproductive History

General

Previous Pregnancies


x

x


x

x

Sexual Orientation and Gender Identity


x

Social Support

General

Partner


x

x


x

x

Social Services

x

x

Stress & Discrimination

x

x

Substance Use

x

x

Tobacco & Other Nicotine Products

Product Use

Smokeless Tobacco

Cessation

Secondhand Exposure


x

x

x

x


x

x

x

x



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBauman, Brenda (CDC/DDNID/NCCDPHP/DRH)
File Created2024:11:24 07:32:09Z

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