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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 378651 | 2008 | OH | Ohio | Maternal Behavior/Health | Tobacco Use | Change in smoking from the three months before pregnancy to the postpartum period | PRAMS | SMOKER WHO QUIT | % | Percentage | 23 | 18 | 28.8 | 88 | Smoker | Smoked 3 months before Pregnancy | (40.060210141°, -82.404260056°) | CLA9 | TOP27 | QUO194 | 39 | SMK2 | BOC12 | RES34 | |||
| 378652 | 2008 | NE | Nebraska | Maternal Behavior/Health | Pregnancy History | History of previous live births | PRAMS | PRETERM | % | Percentage | 4.8 | 3.6 | 6.4 | 57 | NBW (>2500g) | Birth Weight | (41.641040988001°, -99.365720623°) | CLA9 | TOP16 | QUO173 | 31 | BWT2 | BOC1 | RES61 | |||
| 378653 | 2008 | GA | Georgia | Insurance/Medicaid/Services | Insurance Coverage | Indicator of insurance before pregnancy (excluding Medicaid) (years 2000-2008) | PRAMS | % | Percentage | 2 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Medicaid Recipient | (32.839681093°, -83.627580346°) | CLA10 | TOP30 | QUO310 | 13 | BOC9 | BOC9 | |||||||
| 378654 | 2008 | AK | Alaska | Delivery | Hospital Length of Stay | Indicator of baby born in a hospital | PRAMS | STILL HOSP | % | Percentage | 0.1 | 0.1 | 0.2 | 4 | MARRIED | Marital Status | (64.845079957001°, -147.722059036°) | CLA6 | TOP9 | QUO168 | 2 | MA1 | BOC3 | RES36 | |||
| 378655 | 2008 | IL | Illinois | Maternal Behavior/Health | Tobacco Use | In the last 3 months of your pregnancy how many cigarettes did you smoke on an average day? | PRAMS | 41+/day | % | Percentage | 0.3 | 0.1 | 1 | 2 | Black, non-Hispanic | Maternal Race/Ethnicity | (40.485010283°, -88.997710178°) | CLA9 | TOP27 | QUO191 | 17 | ETH1 | BOC6 | RES12 | |||
| 378656 | 2008 | OK | Oklahoma | Prenatal Care | Prenatal Care - Visits | Indicator of no prenatal care | PRAMS | NO | % | Percentage | 98.5 | 96.2 | 99.5 | 873 | Non-WIC | On WIC during Pregnancy | (35.472031356°, -97.521070214°) | CLA11 | TOP44 | QUO171 | 40 | WIC1 | BOC10 | RES23 | |||
| 378657 | 2008 | AR | Arkansas | Family Planning | Contraception - Postpartum | Reason for not using postpartum contraception - cannot pay for birth control | PRAMS | YES (CHECKED) | % | Percentage | 16.4 | 7.6 | 31.8 | 9 | Less than $10,000 | Income (years 2004 and beyond) | (34.748650124°, -92.274490743°) | CLA4 | TOP49 | QUO84 | 5 | INC39 | BOC14 | RES41 | |||
| 378658 | 2008 | AR | Arkansas | Maternal Behavior/Health | Tobacco Use | Change in smoking from the three months before pregnancy to the last three months of pregnancy | PRAMS | NONSMOKER | % | Percentage | 82.3 | 72.4 | 89.2 | 94 | 35+ yrs | Maternal Age (4 Levels) | (34.748650124°, -92.274490743°) | CLA9 | TOP27 | QUO193 | 5 | AYR6 | BOC4 | RES28 | |||
| 378659 | 2008 | GA | Georgia | 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 | YES | % | Percentage | 20.4 | 15.3 | 26.6 | 103 | Unintended | Pregnancy Intendedness | (32.839681093°, -83.627580346°) | CLA12 | TOP48 | QUO204 | 13 | IND2 | BOC11 | RES40 | |||
| 378660 | 2008 | NJ | New Jersey | Maternal Behavior/Health | Alcohol Use | Change in drinking between three months before pregnancy and last three months of pregnancy | PRAMS | #DRKS REDUCED | % | Percentage | 4.2 | 2.9 | 6 | 32 | 25-34 yrs | Maternal Age (4 Levels) | (40.130570048°, -74.273691288°) | CLA9 | TOP2 | QUO99 | 34 | AYR5 | BOC4 | RES3 | |||
| 378661 | 2008 | MI | Michigan | Demographics | Income | Source of household income - aid such as TANF, welfare, WIC, Food Stamps, or SSI (years 2004-2008) | PRAMS | YES | % | Percentage | 13.1 | 10.7 | 15.9 | 131 | Intended | Pregnancy Intendedness | (44.661319543001°, -84.71439027°) | CLA2 | TOP55 | QUO299 | 26 | IND1 | BOC11 | RES40 | |||
| 378662 | 2008 | AR | Arkansas | Maternal Experiences | Stress | Indicator of any emotional-related stressors reported | PRAMS | YES | % | Percentage | 37.7 | 34.2 | 41.4 | 466 | White, non-Hispanic | Maternal Race/Ethnicity | (34.748650124°, -92.274490743°) | CLA12 | TOP48 | QUO202 | 5 | ETH4 | BOC6 | RES40 | |||
| 378663 | 2008 | NC | North Carolina | Prenatal Care | Prenatal Care - Location | Where did you go most of the time for your prenatal visits? | PRAMS | MD / HMO | % | Percentage | 75.7 | 72 | 79 | 596 | MARRIED | Marital Status | (35.466220975°, -79.159250463°) | CLA11 | TOP57 | QUO331 | 37 | MA1 | BOC3 | RES138 | |||
| 378664 | 2008 | MI | Michigan | 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 birth control methods to use after pregnancy? | PRAMS | % | Percentage | 46 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Maternal Age (3 Levels) | (44.661319543001°, -84.71439027°) | CLA11 | TOP19 | QUO332 | 26 | BOC19 | BOC19 | |||||||
| 378665 | 2008 | MI | Michigan | Delivery | Delivery - Payment | Indicator of whether personal income paid for delivery | PRAMS | NO | % | Percentage | 94.9 | 91.2 | 97.1 | 330 | $10,000 to $24,999 | Income (years 2004 and beyond) | (44.661319543001°, -84.71439027°) | CLA6 | TOP56 | QUO318 | 26 | INC36 | BOC14 | RES23 | |||
| 378666 | 2008 | NC | North Carolina | Infant Health | Morbidity - Infant | After your baby was born was he or she put in an intensive care unit? | PRAMS | NO | % | Percentage | 91.9 | 80.9 | 96.8 | 38 | Age < 18 | Maternal Age - 18 to 44 years in groupings | (35.466220975°, -79.159250463°) | CLA8 | TOP13 | QUO15 | 37 | AGE1 | BOC17 | RES23 | |||
| 378667 | 2008 | OH | Ohio | Maternal Behavior/Health | Obesity | (*PCH) Mother's prepregnancy body mass index classified as underweight normal overweight or obese | PRAMS | OVERWT (25.0-29.9) | % | Percentage | 17.6 | 11.8 | 25.5 | 48 | < 12 yrs | Maternal Education | (40.060210141°, -82.404260056°) | CLA9 | TOP31 | QUO148 | 39 | 12YR1 | BOC5 | RES44 | |||
| 378668 | 2008 | MD | Maryland | Maternal Experiences | Stress | In the 12 months before your baby was born you had a lot of bills you could not pay | PRAMS | YES | % | Percentage | 14 | 6.9 | 26.4 | 19 | <20 yrs | Maternal Age (3 Levels) | (39.290580964°, -76.609260111°) | CLA12 | TOP48 | QUO198 | 24 | AYR1 | BOC19 | RES40 | |||
| 378669 | 2008 | MS | Mississippi | Family Planning | Contraception - Postpartum | Reason for not using postpartum contraception - husband or partner does not want to | PRAMS | NO (UNCHECKED) | % | Percentage | Not available if the unweighted sample size was less than 30. | Age 45+ | Maternal Age - 18 to 44 years in groupings | (32.745510099°, -89.538030825°) | CLA4 | TOP49 | QUO80 | 28 | AGE5 | BOC17 | RES24 | ||||||
| 378670 | 2008 | VT | Vermont | Family Planning | Contraception - Conception | Reason for not using contraception at conception - some other reason | PRAMS | YES (CHECKED) | % | Percentage | 20.3 | 12.9 | 30.6 | 21 | Smoker | Smoked last 3 months of Pregnancy | (43.625381239°, -72.517640791°) | CLA4 | TOP4 | QUO162 | 50 | SMK2 | BOC13 | RES41 | |||
| 378671 | 2008 | TN | Tennessee | Maternal Behavior/Health | HIV Test | Indicator of whether an HIV test was offered among women not receiving the test | PRAMS | NO | % | Percentage | 81.5 | 74.4 | 87 | 195 | Age 18 - 44 | Maternal Age - 18 to 44 years only | (35.68094058°, -85.774490914°) | CLA9 | TOP7 | QUO141 | 47 | AGE1844ALL | BOC16 | RES23 | |||
| 378672 | 2008 | WV | West Virginia | Delivery | Delivery - Payment | Indicator of whether personal income paid for delivery | PRAMS | NO | % | Percentage | 99.4 | 98.4 | 99.8 | 1075 | Medicaid | Medicaid Recipient | (38.665510202°, -80.712640135°) | CLA6 | TOP56 | QUO318 | 54 | MED1 | BOC9 | RES23 | |||
| 378673 | 2008 | PA | Pennsylvania | Maternal Behavior/Health | Obesity | Mother's pre-pregnancy body mass index classified as obese (BMI >= 30) or non-obese (BMI < 30) | PRAMS | OBESE | % | Percentage | 19.6 | 14.9 | 25.3 | 57 | 12 yrs | Maternal Education | (40.793730152°, -77.860700294°) | CLA9 | TOP31 | QUO220 | 42 | 12YR3 | BOC5 | RES113 | |||
| 378674 | 2008 | MI | Michigan | Demographics | Income | Income groups (years 2004 and beyond) | PRAMS | $25,000 to $49,999 | % | Percentage | 26.6 | 23.1 | 30.4 | 183 | 20-29 yrs | Maternal Age (3 Levels) | (44.661319543001°, -84.71439027°) | CLA2 | TOP55 | QUO64 | 26 | AYR2 | BOC19 | RES6 | |||
| 378675 | 2008 | MS | Mississippi | Infant Health | Morbidity - Infant | After your baby was born was he or she put in an intensive care unit? | PRAMS | YES | % | Percentage | 15.4 | 11.3 | 20.6 | 124 | 30+ yrs | Maternal Age (3 Levels) | (32.745510099°, -89.538030825°) | CLA8 | TOP13 | QUO15 | 28 | AYR3 | BOC19 | RES40 | |||
| 378676 | 2008 | CO | Colorado | Infant Health | Pregnancy Outcome | Indicator of infant currently alive | PRAMS | NO | % | Percentage | 2.3 | 0.8 | 6 | 8 | $10,000 to $24,999 | Income (years 2004 and beyond) | (38.843840757°, -106.133610921°) | CLA8 | TOP43 | QUO143 | 8 | INC36 | BOC14 | RES23 | |||
| 378677 | 2008 | OK | Oklahoma | Maternal Experiences | Stress | In the 12 months before your baby was born you moved to a new address | PRAMS | NO | % | Percentage | 49.3 | 44.5 | 54.1 | 588 | 20-29 yrs | Maternal Age (3 Levels) | (35.472031356°, -97.521070214°) | CLA12 | TOP48 | QUO209 | 40 | AYR2 | BOC19 | RES23 | |||
| 378678 | 2008 | NJ | New Jersey | Delivery | Delivery - Payment | Indicator of whether private insurance paid for delivery | PRAMS | NO | % | Percentage | 13.4 | 11.2 | 15.8 | 139 | Non-WIC | On WIC during Pregnancy | (40.130570048°, -74.273691288°) | CLA6 | TOP56 | QUO317 | 34 | WIC1 | BOC10 | RES23 | |||
| 378679 | 2008 | UT | Utah | Infant Health | Infant Health Care | Indicator of infant checkup within 1 week of hospital discharge for infants discharged within 48 hours | PRAMS | YES | % | Percentage | 77.6 | 61.6 | 88.3 | 32 | Other non-Hispanic | Maternal Race/Ethnicity | (39.360700171°, -111.587130635°) | CLA8 | TOP11 | QUO10 | 49 | ETH3 | BOC6 | RES40 | |||
| 378680 | 2008 | NJ | New Jersey | Delivery | Hospital Length of Stay | Indicator of baby being discharged from hospital within 48 hours of birth. (for vaginal deliveries only) | PRAMS | YES | % | Percentage | 72.5 | 63.9 | 79.7 | 99 | 35+ yrs | Maternal Age (4 Levels) | (40.130570048°, -74.273691288°) | CLA6 | TOP9 | QUO1 | 34 | AYR6 | BOC4 | RES40 | |||
| 378681 | 2008 | OH | Ohio | Family Planning | Contraception - Conception | Reason for not using contraception at conception - thought she or partner was sterile | PRAMS | % | Percentage | 964 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Medicaid Recipient | (40.060210141°, -82.404260056°) | CLA4 | TOP4 | QUO164 | 39 | BOC9 | BOC9 | |||||||
| 378682 | 2008 | AK | Alaska | Family Planning | Contraception - Postpartum | Reason for not using postpartum contraception - does not want to use birth control | PRAMS | NO (UNCHECKED) | % | Percentage | 72.4 | 59.4 | 82.5 | 51 | Less than $10,000 | Income (years 2004 and beyond) | (64.845079957001°, -147.722059036°) | CLA4 | TOP49 | QUO87 | 2 | INC39 | BOC14 | RES24 | |||
| 378683 | 2008 | WV | West Virginia | 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 medicines that are safe to take during your pregnancy? | PRAMS | YES | % | Percentage | 92.6 | 89.5 | 94.8 | 576 | 12 yrs | Maternal Education | (38.665510202°, -80.712640135°) | CLA11 | TOP19 | QUO216 | 54 | 12YR3 | BOC5 | RES40 | |||
| 378684 | 2008 | OK | Oklahoma | Maternal Behavior/Health | Morbidity - Maternal | Indicator of whether mother reported having diabetes that began before recent pregnancy (years 2004-2008) | PRAMS | NO | % | Percentage | 91.9 | 81.9 | 96.6 | 196 | 35+ yrs | Maternal Age (4 Levels) | (35.472031356°, -97.521070214°) | CLA9 | TOP14 | QUO152 | 40 | AYR6 | BOC4 | RES23 | |||
| 378685 | 2008 | OR | Oregon | Infant Health | Sleep Behaviors | How often does your new baby sleep in the same bed with you or anyone else? | PRAMS | RARELY | % | Percentage | 24 | 11.7 | 43 | 12 | UNKNOWN PNC | Adequacy of Prenatal care | (44.567449424°, -120.155031326°) | CLA8 | TOP23 | QUO189 | 41 | PNC4 | BOC18 | RES33 | |||
| 378686 | 2008 | WI | Wisconsin | Insurance/Medicaid/Services | Medicaid | Indicator of whether Medicaid paid for delivery | PRAMS | YES (CHECKED) | % | Percentage | 35.4 | 28.3 | 43.2 | 77 | $25,000 to $49,999 | Income (years 2004 and beyond) | (44.393191174°, -89.816370742°) | CLA10 | TOP12 | QUO267 | 55 | INC37 | BOC14 | RES41 | |||
| 378687 | 2008 | NE | Nebraska | Maternal Behavior/Health | Alcohol Use | Change in drinking between three months before pregnancy and last three months of pregnancy | PRAMS | NONDRINKER | % | Percentage | 41 | 34.6 | 47.7 | 144 | $25,000 to $49,999 | Income (years 2004 and beyond) | (41.641040988001°, -99.365720623°) | CLA9 | TOP2 | QUO99 | 31 | INC37 | BOC14 | RES25 | |||
| 378688 | 2008 | NC | North Carolina | Maternal Behavior/Health | Morbidity - Maternal | Did you have a blood transfusion during your pregnancy? | PRAMS | NO | % | Percentage | 99.1 | 98.4 | 99.5 | 1348 | None | None | (35.466220975°, -79.159250463°) | CLA9 | TOP14 | QUO237 | 37 | BOC99 | BOC99 | RES23 | |||
| 378689 | 2008 | TN | Tennessee | Infant Health | Morbidity - Infant | The baby's weight classified as low birth weight (LBW) if the weight was less than or equal to 2500 grams or normal birth weight (NBW) if the weight was greater than 2500 grams | PRAMS | NBW (>2500g) | % | Percentage | Not available if the unweighted sample size was less than 30. | Age < 18 | Maternal Age - 18 to 44 years in groupings | (35.68094058°, -85.774490914°) | CLA8 | TOP13 | QUO7 | 47 | AGE1 | BOC17 | RES119 | ||||||
| 378690 | 2008 | OK | Oklahoma | Maternal Behavior/Health | Multivitamin Use | (*PCH) During the month before you got pregnant with your new baby did you take a daily multivitamin? | PRAMS | NO | % | Percentage | 70.4 | 65.4 | 75.1 | 612 | Non-WIC | On WIC during Pregnancy | (35.472031356°, -97.521070214°) | CLA9 | TOP15 | QUO65 | 40 | WIC1 | BOC10 | RES23 | |||
| 378691 | 2008 | OK | Oklahoma | Maternal Behavior/Health | Tobacco Use | (*PCH) Indicator for whether mother smoked during the three months before getting pregnant | PRAMS | YES | % | Percentage | 34.5 | 23.8 | 46.9 | 63 | Black, non-Hispanic | Maternal Race/Ethnicity | (35.472031356°, -97.521070214°) | CLA9 | TOP27 | QUO30 | 40 | ETH1 | BOC6 | RES40 | |||
| 378692 | 2008 | OR | Oregon | 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 | NO | % | Percentage | 90.4 | 85 | 93.9 | 503 | Age 30 - 44 | Maternal Age - 18 to 44 years in groupings | (44.567449424°, -120.155031326°) | CLA12 | TOP48 | QUO200 | 41 | AGE4 | BOC17 | RES23 | |||
| 378693 | 2008 | ME | Maine | Maternal Experiences | Stress | Indicator of any emotional-related stressors reported | PRAMS | YES | % | Percentage | 34.3 | 29.9 | 38.9 | 172 | Non-Medicaid | Medicaid Recipient | (45.254228894001°, -68.985031336°) | CLA12 | TOP48 | QUO202 | 23 | MED2 | BOC9 | RES40 | |||
| 378694 | 2008 | GA | Georgia | Family Planning | Contraception - Postpartum | Reason for not using postpartum contraception - currently pregnant | PRAMS | YES (CHECKED) | % | Percentage | 6.2 | 0.9 | 32.6 | 6 | Less than $10,000 | Income (years 2004 and beyond) | (32.839681093°, -83.627580346°) | CLA4 | TOP49 | QUO85 | 13 | INC39 | BOC14 | RES41 | |||
| 378695 | 2008 | VT | Vermont | Maternal Behavior/Health | HIV Test | Reason for refusing HIV test - some other reason | PRAMS | YES (CHECKED) | % | Percentage | Not available if the unweighted sample size was less than 30. | Age 45+ | Maternal Age - 18 to 44 years in groupings | (43.625381239°, -72.517640791°) | CLA9 | TOP7 | QUO138 | 50 | AGE5 | BOC17 | RES41 | ||||||
| 378696 | 2008 | NE | Nebraska | Prenatal Care | Prenatal Care - Visits | Adequacy of Prenatal Care (Kessner index) | PRAMS | INTERMEDIATE PNC | % | Percentage | 36 | 31.3 | 41 | 124 | Hispanic | Maternal Race/Ethnicity | (41.641040988001°, -99.365720623°) | CLA11 | TOP44 | QUO145 | 31 | ETH2 | BOC6 | RES20 | |||
| 378697 | 2008 | TN | Tennessee | Insurance/Medicaid/Services | Medicaid | Indicator of whether mother received Medicaid coverage for prenatal care. | PRAMS | YES (CHECKED) | % | Percentage | 57.5 | 44 | 70 | 50 | UNKNOWN PNC | Adequacy of Prenatal care | (35.68094058°, -85.774490914°) | CLA10 | TOP12 | QUO25 | 47 | PNC4 | BOC18 | RES41 | |||
| 378698 | 2008 | UT | Utah | Infant Health | Sleep Behaviors | Indicator of whether infant usually sleeps in a shared bed. | PRAMS | % | Percentage | 87 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Marital Status | (39.360700171°, -111.587130635°) | CLA8 | TOP23 | QUO73 | 49 | BOC3 | BOC3 | |||||||
| 378699 | 2008 | OH | Ohio | Insurance/Medicaid/Services | Medicaid | Indicator of whether mother received Medicaid coverage for prenatal care. | PRAMS | % | Percentage | 46 | 1 | Missing includes not applicable, don't know, not recorded, no responses, and legitimate skips | Maternal Race/Ethnicity | (40.060210141°, -82.404260056°) | CLA10 | TOP12 | QUO25 | 39 | BOC6 | BOC6 | |||||||
| 378700 | 2008 | MD | Maryland | Maternal Behavior/Health | Morbidity - Maternal | Indicator of whether mother reported having diabetes that began before recent pregnancy (years 2004-2008) | PRAMS | YES | % | Percentage | Not available if the unweighted sample size was less than 30. | Age 45+ | Maternal Age - 18 to 44 years in groupings | (39.290580964°, -76.609260111°) | CLA9 | TOP14 | QUO152 | 24 | AGE5 | BOC17 | RES40 |
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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
