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  1. Tobacco Science & Research

Pregnancy Risk Assessment Monitoring System (PRAMS)

Pregnancy Risk Assessment Monitoring System (PRAMS)

Principal Investigator: Leslie Harrison and Elizabeth Durmowicz

Funding Mechanism: Interagency Agreement

ID number: 224-11-9002/CE11-002

Award Date: 6/1/2014

Institution: Centers for Disease Control and Prevention


Limited information is available about the use of new and non-traditional tobacco products during pregnancy and the impacts of these products on mother and baby health. To better understand the use of e-cigarettes and waterpipes during pregnancy and during the first three months preceding pregnancy, as well as the impacts of these products on birth and infant outcomes, questions about e-cigarettes and waterpipes will be added to the next phase of the Pregnancy Risk Assessment Monitoring System (PRAMS). PRAMS, a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments, enrolls women who have had a recent live birth, with each participating state sampling 1,300-3,400 women per year. Topics addressed in the PRAMS questionnaire include barriers to and content of prenatal care, obstetric history, maternal use of alcohol and cigarettes, physical abuse, contraception, economic status, maternal stress, and early infant development and health status. New questions about e-cigarette and waterpipe use will address frequency of use, use behaviors, and dual use of e-cigarettes and traditional cigarettes. Data generated by these new questions will help researchers evaluate tobacco product use patterns during pregnancy and will increase the understanding of the impact of use in this vulnerable population.