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CDC PRAMStat Data for 2008
| Row number | Year | LocationAbbr | LocationDesc | Class | Topic | Question | DataSource | Response | Data_Value_Unit | Data_Value_Type | Data_Value | Data_Value_Footnote_Symbol | Data_Value_Footnote | Data_Value_Std_Err | Low_Confidence_Limit | High_Confidence_Limit | Sample_Size | Break_Out | Break_Out_Category | Geolocation | ClassId | TopicId | QuestionId | LocationId | BreakOutId | BreakOutCategoryid | ResponseId |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 345201 | 2008 | AR | Arkansas | Maternal Behavior/Health | Oral Health | During your most recent pregnancy did you need to see a dentist for a problem? | PRAMS | YES | % | Percentage | 32 | 28.9 | 35.3 | 498 | Age 18 - 44 | Maternal Age - 18 to 44 years only | (34.748650124°, -92.274490743°) | CLA9 | TOP33 | QUO93 | 5 | AGE1844ALL | BOC16 | RES40 | |||
| 345202 | 2008 | NY | New York (excluding NYC) | Maternal Experiences | Pregnancy Recognition | Pregnancy Confirmation after the First Trimester | PRAMS | YES | % | Percentage | 6.8 | 5 | 9.3 | 38 | NBW (>2500g) | Birth Weight | (42.827001032°, -75.543970427°) | CLA12 | TOP18 | QUO34 | 36 | BWT2 | BOC1 | RES40 | |||
| 345203 | 2008 | MA | Massachusetts | Maternal Behavior/Health | HIV Test | Indicator of whether an HIV test was offered among women not receiving the test | PRAMS | YES | % | Percentage | 52.3 | 37.2 | 66.9 | 39 | 12 yrs | Maternal Education | (42.27687047°, -72.082690675°) | CLA9 | TOP7 | QUO141 | 25 | 12YR3 | BOC5 | RES40 | |||
| 345204 | 2008 | NJ | New Jersey | Family Planning | Contraception - Conception | Reason for not using contraception at conception- problems getting birth control | PRAMS | % | Percentage | 1066 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Maternal Age - 18 to 44 years only | (40.130570048°, -74.273691288°) | CLA4 | TOP4 | QUO159 | 34 | BOC16 | BOC16 | |||||||
| 345205 | 2008 | NJ | New Jersey | Maternal Experiences | Stress | In the 12 months before your baby was born you had a lot of bills you could not pay | PRAMS | NO | % | Percentage | 86.4 | 83.9 | 88.6 | 786 | Intended | Pregnancy Intendedness | (40.130570048°, -74.273691288°) | CLA12 | TOP48 | QUO198 | 34 | IND1 | BOC11 | RES23 | |||
| 345206 | 2008 | UT | Utah | Family Planning | Contraception - Conception | Reason for not using contraception at conception- husband or partner did not want to | PRAMS | NO (UNCHECKED) | % | Percentage | 76.3 | 69 | 82.3 | 143 | Age 18 - 24 | Maternal Age - 18 to 44 years in groupings | (39.360700171°, -111.587130635°) | CLA4 | TOP4 | QUO160 | 49 | AGE2 | BOC17 | RES24 | |||
| 345207 | 2008 | WI | Wisconsin | Family Planning | Contraception - Conception | Indicator of contraceptive use at time of pregnancy among women with an unintended pregnancy | PRAMS | NO | % | Percentage | 60.5 | 46 | 73.4 | 42 | <20 yrs | Maternal Age (3 Levels) | (44.393191174°, -89.816370742°) | CLA4 | TOP4 | QUO3 | 55 | AYR1 | BOC19 | RES23 | |||
| 345208 | 2008 | MD | Maryland | Family Planning | Contraception - Conception | (*PCH) Indicator of no birth control use at conception for those not trying to get pregnant | PRAMS | YES | % | Percentage | 60 | 48.3 | 70.6 | 91 | $25,000 to $49,999 | Income (years 2004 and beyond) | (39.290580964°, -76.609260111°) | CLA4 | TOP4 | QUO241 | 24 | INC37 | BOC14 | RES40 | |||
| 345209 | 2008 | OH | Ohio | Maternal Experiences | Stress | Total number of stressors reported grouped as none 1-2 3-5 and 6-13. | PRAMS | NONE | % | Percentage | 12.8 | 8.2 | 19.6 | 33 | Smoker | Smoked last 3 months of Pregnancy | (40.060210141°, -82.404260056°) | CLA12 | TOP48 | QUO211 | 39 | SMK2 | BOC13 | RES999 | |||
| 345210 | 2008 | WI | Wisconsin | Maternal Experiences | Stress | In the 12 months before your baby was born you argued with your husband or partner more than usual | PRAMS | YES | % | Percentage | 21.2 | 17.6 | 25.3 | 123 | >12 yrs | Maternal Education | (44.393191174°, -89.816370742°) | CLA12 | TOP48 | QUO197 | 55 | 12YR2 | BOC5 | RES40 | |||
| 345211 | 2008 | HI | Hawaii | Maternal Behavior/Health | Tobacco Use | Change in smoking from the three months before pregnancy to the last three months of pregnancy | PRAMS | #CIGS SAME/MORE | % | Percentage | 2.3 | 1.6 | 3.3 | 29 | Non-Hispanic | Mother Hispanic | (21.304850435°, -157.857749403°) | CLA9 | TOP27 | QUO193 | 15 | HIS2 | BOC8 | RES2 | |||
| 345212 | 2008 | UT | Utah | Maternal Behavior/Health | Tobacco Use | Indicator for whether mother quit smoking during pregnancy (for smokers only) | PRAMS | YES | % | Percentage | 53.7 | 43.1 | 63.9 | 51 | Age 18 - 24 | Maternal Age - 18 to 44 years in groupings | (39.360700171°, -111.587130635°) | CLA9 | TOP27 | QUO69 | 49 | AGE2 | BOC17 | RES40 | |||
| 345213 | 2008 | NE | Nebraska | Maternal Experiences | Stress | In the 12 months before your baby was born a close family member was very sick and had to go into the hospital | PRAMS | NO | % | Percentage | 78.2 | 74.7 | 81.3 | 680 | Intended | Pregnancy Intendedness | (41.641040988001°, -99.365720623°) | CLA12 | TOP48 | QUO204 | 31 | IND1 | BOC11 | RES23 | |||
| 345214 | 2008 | MD | Maryland | Infant Health | Morbidity - Infant | After your baby was born was he or she put in an intensive care unit? | PRAMS | YES | % | Percentage | Not available if the unweighted sample size was less than 30. | Age < 18 | Maternal Age - 18 to 44 years in groupings | (39.290580964°, -76.609260111°) | CLA8 | TOP13 | QUO15 | 24 | AGE1 | BOC17 | RES40 | ||||||
| 345215 | 2008 | GA | Georgia | Family Planning | Contraception - Postpartum | Reason for not using postpartum contraception - wants to get pregnant | PRAMS | NO (UNCHECKED) | % | Percentage | 90.9 | 72.6 | 97.4 | 41 | $10,000 to $24,999 | Income (years 2004 and beyond) | (32.839681093°, -83.627580346°) | CLA4 | TOP49 | QUO86 | 13 | INC36 | BOC14 | RES24 | |||
| 345216 | 2008 | GA | Georgia | Maternal Behavior/Health | HIV Test | Indicator of whether an HIV test was offered among women not receiving the test | PRAMS | % | Percentage | 835 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Medicaid Recipient | (32.839681093°, -83.627580346°) | CLA9 | TOP7 | QUO141 | 13 | BOC9 | BOC9 | |||||||
| 345217 | 2008 | DE | Delaware | Family Planning | Pregnancy Intention | Just before you got pregnant when did you want to become pregnant? | PRAMS | THEN | % | Percentage | 41.3 | 34.2 | 48.7 | 73 | 35+ yrs | Maternal Age (4 Levels) | (39.008830667°, -75.577741168°) | CLA4 | TOP17 | QUO13 | 10 | AYR6 | BOC4 | RES111 | |||
| 345218 | 2008 | AR | Arkansas | Maternal Behavior/Health | Tobacco Use | Have you smoked at least 100 cigarettes in the past 2 years? | PRAMS | YES | % | Percentage | 45.4 | 37.6 | 53.4 | 149 | < 12 yrs | Maternal Education | (34.748650124°, -92.274490743°) | CLA9 | TOP27 | QUO329 | 5 | 12YR1 | BOC5 | RES40 | |||
| 345219 | 2008 | OH | Ohio | Demographics | Income | Source of household income - some other source (years 2004-2011) | PRAMS | NO (UNCHECKED) | % | Percentage | 97.8 | 93.6 | 99.3 | 278 | $25,000 to $49,999 | Income (years 2004 and beyond) | (40.060210141°, -82.404260056°) | CLA2 | TOP55 | QUO306 | 39 | INC37 | BOC14 | RES24 | |||
| 345220 | 2008 | NY | New York (excluding NYC) | Prenatal Care | Prenatal Care – Provider | Source of prenatal care (public/private) | PRAMS | Public | % | Percentage | 36.2 | 23.5 | 51.1 | 25 | Other non-Hispanic | Maternal Race/Ethnicity | (42.827001032°, -75.543970427°) | CLA11 | TOP54 | QUO27 | 36 | ETH3 | BOC6 | RES32 | |||
| 345221 | 2008 | HI | Hawaii | Infant Health | Breastfeeding | Indicator of whether mother was still breastfeeding 4 weeks after delivery. | PRAMS | YES | % | Percentage | 76.4 | 72.7 | 79.8 | 427 | OTHER | Marital Status | (21.304850435°, -157.857749403°) | CLA8 | TOP3 | QUO4 | 15 | MA2 | BOC3 | RES40 | |||
| 345222 | 2008 | WA | Washington | Family Planning | Contraception - Conception | (*PCH) Indicator of no birth control use at conception for those not trying to get pregnant | PRAMS | NO | % | Percentage | 45.5 | 37.9 | 53.3 | 116 | Other non-Hispanic | Maternal Race/Ethnicity | (47.522278629°, -120.47001079°) | CLA4 | TOP4 | QUO241 | 53 | ETH3 | BOC6 | RES23 | |||
| 345223 | 2008 | GA | Georgia | Maternal Behavior/Health | Mental Health | (*PCH) Indicator of whether mother reported frequent postpartum depressive symptoms(years 2004 - 2008). | PRAMS | NO | % | Percentage | 82.3 | 73.8 | 88.5 | 236 | 20-24 yrs | Maternal Age (4 Levels) | (32.839681093°, -83.627580346°) | CLA9 | TOP32 | QUO74 | 13 | AYR4 | BOC4 | RES23 | |||
| 345224 | 2008 | DE | Delaware | Family Planning | Contraception - Conception | Indicator of contraceptive use at time of pregnancy among women with an unintended pregnancy | PRAMS | YES | % | Percentage | 51.4 | 43.8 | 58.9 | 88 | Non-Medicaid | Medicaid Recipient | (39.008830667°, -75.577741168°) | CLA4 | TOP4 | QUO3 | 10 | MED2 | BOC9 | RES40 | |||
| 345225 | 2008 | OR | Oregon | Maternal Behavior/Health | Morbidity - Maternal | Did you have any severe nausea vomiting or dehydration during your pregnancy? | PRAMS | YES | % | Percentage | 38.1 | 30.1 | 46.7 | 141 | 20-24 yrs | Maternal Age (4 Levels) | (44.567449424°, -120.155031326°) | CLA9 | TOP14 | QUO156 | 41 | AYR4 | BOC4 | RES40 | |||
| 345226 | 2008 | OR | Oregon | Maternal Behavior/Health | Tobacco Use | Change in smoking from the last three months of pregnancy to the postpartum period | PRAMS | NONSMOKR RESUMED | % | Percentage | 4.4 | 2.2 | 8.3 | 7 | Black, non-Hispanic | Maternal Race/Ethnicity | (44.567449424°, -120.155031326°) | CLA9 | TOP27 | QUO192 | 41 | ETH1 | BOC6 | RES29 | |||
| 345227 | 2008 | UT | Utah | Prenatal Care | Prenatal Care - Payment | Indicator of whether personal income paid for prenatal care | PRAMS | YES | % | Percentage | 42.3 | 39.3 | 45.4 | 502 | Non-WIC | On WIC during Pregnancy | (39.360700171°, -111.587130635°) | CLA11 | TOP58 | QUO323 | 49 | WIC1 | BOC10 | RES40 | |||
| 345228 | 2008 | NY | New York (excluding NYC) | Family Planning | Contraception - Conception | (*PCH) Indicator of no birth control use at conception for those not trying to get pregnant | PRAMS | NO | % | Percentage | 40 | 21.1 | 62.4 | 15 | <20 yrs | Maternal Age (3 Levels) | (42.827001032°, -75.543970427°) | CLA4 | TOP4 | QUO241 | 36 | AYR1 | BOC19 | RES23 | |||
| 345229 | 2008 | DE | Delaware | Maternal Experiences | Stress | Indicator of any emotional-related stressors reported | PRAMS | NO | % | Percentage | 71.5 | 65.2 | 77.1 | 156 | INTERMEDIATE PNC | Adequacy of Prenatal care | (39.008830667°, -75.577741168°) | CLA12 | TOP48 | QUO202 | 10 | PNC3 | BOC18 | RES23 | |||
| 345230 | 2008 | CO | Colorado | Maternal Behavior/Health | Morbidity - Maternal | Did you have any vaginal bleeding during your pregnancy? | PRAMS | YES | % | Percentage | 18.4 | 13.4 | 24.8 | 74 | 35+ yrs | Maternal Age (4 Levels) | (38.843840757°, -106.133610921°) | CLA9 | TOP14 | QUO149 | 8 | AYR6 | BOC4 | RES40 | |||
| 345231 | 2008 | OK | Oklahoma | Family Planning | Contraception - Postpartum | Reason for not using postpartum contraception - does not think she could become pregnant (sterile) | PRAMS | YES (CHECKED) | % | Percentage | 5.3 | 1.8 | 14.1 | 5 | 35+ yrs | Maternal Age (4 Levels) | (35.472031356°, -97.521070214°) | CLA4 | TOP49 | QUO81 | 40 | AYR6 | BOC4 | RES41 | |||
| 345232 | 2008 | MD | Maryland | Infant Health | Infant Health Care | Indicator of baby having a well-baby check-up | PRAMS | YES | % | Percentage | 99.6 | 98.1 | 99.9 | 806 | White, non-Hispanic | Maternal Race/Ethnicity | (39.290580964°, -76.609260111°) | CLA8 | TOP11 | QUO336 | 24 | ETH4 | BOC6 | RES40 | |||
| 345233 | 2008 | WA | Washington | Maternal Behavior/Health | Tobacco Use | Change in smoking from the three months before pregnancy to the postpartum period | PRAMS | NONSMOKER | % | Percentage | 86.3 | 82.8 | 89.1 | 769 | Intended | Pregnancy Intendedness | (47.522278629°, -120.47001079°) | CLA9 | TOP27 | QUO194 | 53 | IND1 | BOC11 | RES28 | |||
| 345234 | 2008 | GA | Georgia | Maternal Behavior/Health | Obesity | (*PCH) Mother's prepregnancy body mass index classified as underweight normal overweight or obese | PRAMS | NORMAL (18.5-24.9) | % | Percentage | 58.3 | 52.3 | 64.1 | 288 | MARRIED | Marital Status | (32.839681093°, -83.627580346°) | CLA9 | TOP31 | QUO148 | 13 | MA1 | BOC3 | RES42 | |||
| 345235 | 2008 | CO | Colorado | Maternal Behavior/Health | Tobacco Use | In the 3 months before you got pregnant how many cigarettes did you smoke on an average day? | PRAMS | 11-20/day | % | Percentage | 5.9 | 4.4 | 7.9 | 109 | Non-Hispanic | Mother Hispanic | (38.843840757°, -106.133610921°) | CLA9 | TOP27 | QUO190 | 8 | HIS2 | BOC8 | RES9 | |||
| 345236 | 2008 | WY | Wyoming | Prenatal Care | Prenatal Care - Payment | Indicator of whether prenatal care was paid for by insurance through the military | PRAMS | YES (CHECKED) | % | Percentage | 4.5 | 3 | 6.6 | 26 | MARRIED | Marital Status | (43.235541343°, -108.109830353°) | CLA11 | TOP58 | QUO368 | 56 | MA1 | BOC3 | RES41 | |||
| 345237 | 2008 | WY | Wyoming | Prenatal Care | Prenatal Care - Content | During any of your prenatal care visits did a doctor nurse or other health care worker talk with you about how much weight you should gain during your pregnancy? | PRAMS | YES | % | Percentage | 73.7 | 69.6 | 77.4 | 452 | MARRIED | Marital Status | (43.235541343°, -108.109830353°) | CLA11 | TOP19 | QUO217 | 56 | MA1 | BOC3 | RES40 | |||
| 345238 | 2008 | NE | Nebraska | Family Planning | Pregnancy Intention | Just before you got pregnant when did you want to become pregnant? | PRAMS | DID NOT WANT | % | Percentage | 8.7 | 6 | 12.7 | 45 | INTERMEDIATE PNC | Adequacy of Prenatal care | (41.641040988001°, -99.365720623°) | CLA4 | TOP17 | QUO13 | 31 | PNC3 | BOC18 | RES49 | |||
| 345239 | 2008 | DE | Delaware | Infant Health | Sleep Behaviors | How often does your new baby sleep in the same bed with you or anyone else? | PRAMS | NEVER | % | Percentage | 38.9 | 35.5 | 42.4 | 306 | ADEQUATE PNC | Adequacy of Prenatal care | (39.008830667°, -75.577741168°) | CLA8 | TOP23 | QUO189 | 10 | PNC1 | BOC18 | RES22 | |||
| 345240 | 2008 | WA | Washington | Maternal Behavior/Health | Pregnancy History | Number of previous live births (the motherÂ’s parity classified as no previous live births or one or more previous live births). | PRAMS | 1 or more | % | Percentage | 59.4 | 56 | 62.8 | 769 | Non-Smoker | Smoked last 3 months of Pregnancy | (47.522278629°, -120.47001079°) | CLA9 | TOP16 | QUO26 | 53 | SMK1 | BOC13 | RES115 | |||
| 345241 | 2008 | MS | Mississippi | Maternal Behavior/Health | Morbidity - Maternal | Did you have any placenta problems (such as abruptio placental placenta previa) during your pregnancy? | PRAMS | % | Percentage | 103 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Maternal Age - 18 to 44 years only | (32.745510099°, -89.538030825°) | CLA9 | TOP14 | QUO157 | 28 | BOC16 | BOC16 | |||||||
| 345242 | 2008 | WA | Washington | Maternal Experiences | Stress | In the 12 months before your baby was born someone very close to you had a bad problem with drinking or drugs | PRAMS | % | Percentage | 38 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Maternal Education | (47.522278629°, -120.47001079°) | CLA12 | TOP48 | QUO200 | 53 | BOC5 | BOC5 | |||||||
| 345243 | 2008 | GA | Georgia | Infant Health | Smoke Exposure | Indicator of whether baby is exposed to cigarette smoke. | PRAMS | NO | % | Percentage | Not available if the unweighted sample size was less than 30. | Age 45+ | Maternal Age - 18 to 44 years in groupings | (32.839681093°, -83.627580346°) | CLA8 | TOP24 | QUO12 | 13 | AGE5 | BOC17 | RES23 | ||||||
| 345244 | 2008 | NE | Nebraska | Family Planning | Contraception - Conception | Reason for not using contraception at conception- problems getting birth control | PRAMS | % | Percentage | 1165 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Adequacy of Prenatal care | (41.641040988001°, -99.365720623°) | CLA4 | TOP4 | QUO159 | 31 | BOC18 | BOC18 | |||||||
| 345245 | 2008 | WA | Washington | Insurance/Medicaid/Services | Insurance Coverage | Indicator of insurance before pregnancy (excluding Medicaid) (years 2000-2008) | PRAMS | YES | % | Percentage | 71.3 | 67.3 | 75 | 484 | ADEQUATE PNC | Adequacy of Prenatal care | (47.522278629°, -120.47001079°) | CLA10 | TOP30 | QUO310 | 53 | PNC1 | BOC18 | RES40 | |||
| 345246 | 2008 | VT | Vermont | Prenatal Care | Prenatal Care - Content | During any of your prenatal care visits did a doctor nurse or other health care worker talk with you about physical abuse to women by their husbands or partners? | PRAMS | % | Percentage | 30 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Medicaid Recipient | (43.625381239°, -72.517640791°) | CLA11 | TOP19 | QUO35 | 50 | BOC9 | BOC9 | |||||||
| 345247 | 2008 | MI | Michigan | Insurance/Medicaid/Services | Medicaid | Indicator of whether Medicaid paid for delivery | PRAMS | YES (CHECKED) | % | Percentage | 58.5 | 44.6 | 71.2 | 35 | Hispanic | Maternal Race/Ethnicity | (44.661319543001°, -84.71439027°) | CLA10 | TOP12 | QUO267 | 26 | ETH2 | BOC6 | RES41 | |||
| 345248 | 2008 | NJ | New Jersey | Family Planning | Pregnancy Intention | (*PCH) Indicator of unwanted pregnancy | PRAMS | YES | % | Percentage | 5.2 | 3.1 | 8.6 | 16 | Other non-Hispanic | Maternal Race/Ethnicity | (40.130570048°, -74.273691288°) | CLA4 | TOP17 | QUO265 | 34 | ETH3 | BOC6 | RES40 | |||
| 345249 | 2008 | TN | Tennessee | Prenatal Care | Prenatal Care - Content | During any of your prenatal care visits did a doctor nurse or other health care worker talk with you about how smoking during pregnancy could affect your baby? | PRAMS | NO | % | Percentage | 22.1 | 18.5 | 26.1 | 166 | None | None | (35.68094058°, -85.774490914°) | CLA11 | TOP19 | QUO40 | 47 | BOC99 | BOC99 | RES23 | |||
| 345250 | 2008 | CO | Colorado | Family Planning | Contraception - Conception | Reason for not using contraception at conception - some other reason | PRAMS | YES (CHECKED) | % | Percentage | 15.5 | 11.3 | 21 | 49 | NBW (>2500g) | Birth Weight | (38.843840757°, -106.133610921°) | CLA4 | TOP4 | QUO162 | 8 | BWT2 | BOC1 | RES41 |
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Description
2008. Centers for Disease Control and Prevention (CDC). PRAMS, the Pregnancy Risk Assessment Monitoring System, is a surveillance system collecting state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. It is a collaborative project of the Centers for Disease Control and Prevention (CDC) and state health departments. PRAMS provides data for state health officials to use to improve the health of mothers and infants. PRAMS topics include abuse, alcohol use, contraception, breastfeeding, mental health, morbidity, obesity, preconception health, pregnancy history, prenatal-care, sleep behavior, smoke exposure, stress, tobacco use, WIC, Medicaid, infant health, and unintended pregnancy. Data will be updated annually as it becomes available.
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Meta
- Category
- Maternal & Child Health
- Permissions
- Public
- Tags
- abuse, alcohol use, contraception, breastfeeding, mental health, morbidity, obesity, pregnancy history, prenatal care, sleep behavior, smoke exposure, stress, tobacco use, wic, medicaid, reproductive health, preconception health, infant health, unintended pregnancy
- Row Label
- SODA2 Only
- Yes
Licensing and Attribution
- Data Provided By
- Centers for Disease Control and Prevention Division of Reproductive Health Pregnancy Risk Assessment Monitoring System (PRAMS)
- Source Link
- https://www.cdc.gov/prams/index.htm
- License
- Public Domain
Common Core
- Contact Name
- DRH Public Inquiries
- Contact Email
- PRAMSProposals@cdc.gov
- Publisher
- Centers for Disease Control and Prevention
- Public Access Level
- public
- References
- https://www.cdc.gov/prams/index.htm, https://www.cdc.gov/prams/pramstat/index.html
- Issued
- 7/27/2023
- Bureau Code
- 009:20
- Program Code
- 009:020
- Described By
- https://chronicdata.cdc.gov/Maternal-Child-Health/CDC-PRAMStat-Data-for-2008/4ya2-fkvt
- Homepage
- https://www.cdc.gov/prams/index.htm
