Surveillance during pregnancy: methods and response rates from a hospital based pilot study of the Pregnancy Risk Assessment Monitoring System in Ireland

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dc.contributor.author O'Keeffe, Linda M.
dc.contributor.author Kearney, Patricia M.
dc.contributor.author Greene, Richard A.
dc.date.accessioned 2015-02-12T12:51:31Z
dc.date.available 2015-02-12T12:51:31Z
dc.date.issued 2013-09
dc.identifier.citation O'Keeffe, LM, Kearney, PM, Greene, RA (2013) 'Surveillance during pregnancy: methods and response rates from a hospital based pilot study of the Pregnancy Risk Assessment Monitoring System in Ireland'. BMC Pregnancy And Childbirth, 13: 180. doi: http://dx.doi.org/10.1186/1471-2393-13-180 en
dc.identifier.volume 13 en
dc.identifier.startpage 180 en
dc.identifier.uri http://hdl.handle.net/10468/1780
dc.identifier.doi 10.1186/1471-2393-13-180
dc.description.abstract Background: Many European countries including Ireland lack high quality, on-going, population based estimates of maternal behaviours and experiences during pregnancy. PRAMS is a CDC surveillance program which was established in the United States in 1987 to generate high quality, population based data to reduce infant mortality rates and improve maternal and infant health. PRAMS is the only on-going population based surveillance system of maternal behaviours and experiences that occur before, during and after pregnancy worldwide.Methods: The objective of this study was to adapt, test and evaluate a modified CDC PRAMS methodology in Ireland. The birth certificate file which is the standard approach to sampling for PRAMS in the United States was not available for the PRAMS Ireland study. Consequently, delivery record books for the period between 3 and 5 months before the study start date at a large urban obstetric hospital [8,900 births per year] were used to randomly sample 124 women. Name, address, maternal age, infant sex, gestational age at delivery, delivery method, APGAR score and birth weight were manually extracted from records. Stillbirths and early neonatal deaths were excluded using APGAR scores and hospital records. Women were sent a letter of invitation to participate including option to opt out, followed by a modified PRAMS survey, a reminder letter and a final survey.Results: The response rate for the pilot was 67%. Two per cent of women refused the survey, 7% opted out of the study and 24% did not respond. Survey items were at least 88% complete for all 82 respondents. Prevalence estimates of socially undesirable behaviours such as alcohol consumption during pregnancy were high [>50%] and comparable with international estimates.Conclusion: PRAMS is a feasible and valid method of collecting information on maternal experiences and behaviours during pregnancy in Ireland. PRAMS may offer a potential solution to data deficits in maternal health behaviour indicators in Ireland with further work. This study is important to researchers in Europe and elsewhere who may be interested in new ways of tailoring an established CDC methodology to their unique settings to resolve data deficits in maternal health. en
dc.description.sponsorship Health Research Board (PHD/2007/16) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central en
dc.relation.uri http://www.biomedcentral.com/1471-2393/13/180
dc.rights 2013 O’Keeffe et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en
dc.subject Surveillance en
dc.subject Maternal en
dc.subject Pregnancy en
dc.subject Behaviour en
dc.subject Measurement tool en
dc.subject Birth-weight en
dc.subject Subsequent risk en
dc.subject Metanalysis en
dc.subject Growth en
dc.title Surveillance during pregnancy: methods and response rates from a hospital based pilot study of the Pregnancy Risk Assessment Monitoring System in Ireland en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Richard Greene, Obstetrics & Gynaecology, University College Cork, Cork, Ireland. +353-21-490-3000 Email: r.greene@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2014-09-01T10:30:11Z
dc.description.version Published Version en
dc.internal.rssid 243942521
dc.internal.wokid 000326401500001
dc.contributor.funder Health Research Board en
dc.contributor.funder National Perinatal Epidemiology Centre, College of Medicine and Health, University College Cork
dc.contributor.funder Cork University Maternity Hospital
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Pregnancy And Childbirth en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress r.greene@ucc.ie en
dc.identifier.articleid 180


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2013 O’Keeffe et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Except where otherwise noted, this item's license is described as 2013 O’Keeffe et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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