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2021 Illinois PRAMS Factsheet

The Illinois Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing population-based survey of women who delivered live born infants in Illinois. The Illinois PRAMS project is part of a national initiative of the U.S. Centers for Disease Control and Prevention (CDC) to reduce infant morbidity and mortality and improve maternal health. Illinois PRAMS detailed data can be found at https://www.dph.illinois.gov/data-statistics/prams.

Before Pregnancy

Selected Indicators Percentage 95% Confidence Interval Respondents Estimated Population Affected

Took multivitamins, prenatal vitamins, or folic acid vitamins every day during the month before pregnancy

39.7% 36.6% - 42.9% 472 49,459

Pregnancy unintended – want to be pregnant later, not at all, or not sure

37.9% 34.7% - 41.2% 415 47,183

Smoked during the three months before pregnancy

12.3% 10.3% - 14.7% 137 15,106

Consumed alcoholic drinks during the three months before pregnancy

62.8% 59.6% - 66.0% 693 78,046

Were physically abused by current or ex-husbands/partners, a family member, or someone else during 12 months before pregnancy

3.6% 2.6% - 5.1% 40 4,424

Enrolled in Medicaid the month before pregnancy

28.0% 25.1% - 31.2% 299 33,787

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2021 and responded ‘Yes’ or as indicated to the question for the specified indicator.

Respondents = Total number of mothers who responded ‘Yes’ to the survey question for the specified indicator; <30 respondents results may be unreliable.

Estimated population affected = Estimated number of Illinois mothers who delivered live born infants in 2021 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

During the 12 months before pregnancy

Selected Indicators Percentage 95% Confidence Interval Respondents Estimated Population Affected

Exercised three or more days per week

47.9% 44.7% - 51.3% 539 59,681

Dieted to lose weight

30.0% 27.1% - 33.2% 335 37,414

Had teeth cleaned by a dentist or dental hygienist

60.2% 56.4% - 64.0% 483 52,888

Had a health care visit with an OB/GYN

60.3% 56.4% - 64.1% 509 52,892

Had health care visit for illness or chronic condition

14.7% 12.1% - 17.6% 124 12,870

Had health care visit for family planning or birth control

17.0% 14.3% - 20.0% 146 14,915

Had health care visit for depression or anxiety

13.1% 10.7% - 16.0% 108 11,496

Checked for diabetes by health care worker

17.6% 15.2% - 20.2% 208 21,862

Taking regular prescription medications, other than birth control

21.4% 18.9% - 24.2% 256 26,636

Talked with a health care worker about their family history

40.2% 37.0% - 43.5% 472 29,928

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2021 and responded ‘Yes’ or as indicated to the question for the specified indicator.

Respondents = Total number of mothers who responded ‘Yes’ to the survey question for the specified indicator; <30 respondents results may be unreliable.

Estimated population affected = Estimated number of Illinois mothers who delivered live born infants in 2021 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

During the 3 months before pregnancy

Selected Indicators Percentage 95% Confidence Interval Respondents Estimated Population Affected

Diagnosed with diabetes

1.5% 0.9% - 2.5% 23 1,896

Diagnosed with high blood pressure

3.9% 2.9% - 5.4% 59 4,894

Diagnosed with depression

14.4% 12.2% - 16.9% 162 17,878

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2021 and responded ‘Yes’ or as indicated to the question for the specified indicator.

Respondents = Total number of mothers who responded ‘Yes’ to the survey question for the specified indicator; <30 respondents results may be unreliable.

Estimated population affected = Estimated number of Illinois mothers who delivered live born infants in 2021 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

During Pregnancy

Selected Indicators Percentage 95% Confidence Interval Respondents Estimated Population Affected

Received prenatal care during the first trimester

91.0% 88.8% - 92.8% 1,007 112,112

Used WIC services during pregnancy

24.8% 22.0% - 27.9% 262 30,847

Had teeth cleaned by a dentist or dental hygienist

45.7% 42.4% - 49.0% 508 56,577

Diagnosed with depression

14.7% 12.5% - 17.3% 158 18,133

Received influenza immunization 12 months before or during pregnancy

54.6% 51.3% - 57.9% 618 67,471

Diagnosed with high blood pressure (starting in pregnancy) or (pre-)eclampsia

18.4% 16.0% - 21.0% 258 22,677

Diagnosed with gestational diabetes

10.6% 8.8% - 12.8% 129 13,070

Were physically abused by current or ex-husbands/partners, a family member, or someone else during pregnancy

2.0% 1.3% - 3.1% 24 2,472

Smoked last three months of pregnancy

4.3% 3.1% - 5.8% 56 5,260

Felt unsafe in the neighborhood where living

8.8% 7.1% - 10.9% 103 10,986

Enrolled in Medicaid for prenatal care

45.0% 41.6% - 48.4% 455 53,133

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2021 and responded ‘Yes’ or as indicated to the question for the specified indicator.

Respondents = Total number of mothers who responded ‘Yes’ to the survey question for the specified indicator; <30 respondents results may be unreliable.

Estimated population affected = Estimated number of Illinois mothers who delivered live born infants in 2021 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

Postpartum Experiences and Infant Health

Selected Indicators Percentage 95% Confidence Interval Respondents Estimated Population Affected

Smoked after delivery

6.7% 5.2% - 8.6% 79 8,267

Diagnosed with depression

13.1% 11.0% - 15.5% 150 16,206

Had a postpartum checkup

93.2% 91.2% - 94.7% 1,033 115,535

Used postpartum birth control

77.3% 74.4% - 80.0% 853 95,372

Breastfed at least once after birth

88.2% 85.8% - 90.2% 961 107,547

Breastfed for at least 12 weeks after birth

60.2% 56.8% - 63.5% 622 71,348

Enrolled in Medicaid after delivery

43.4% 40.1% - 46.8% 453 53,139

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2021 and responded ‘Yes’ or as indicated to the question for the specified indicator.

Respondents = Total number of mothers who responded ‘Yes’ to the survey question for the specified indicator; <30 respondents results may be unreliable.

Estimated population affected = Estimated number of Illinois mothers who delivered live born infants in 2021 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

Infant usual sleeping

Selected Indicators Percentage 95% Confidence Interval Respondents Estimated Population Affected

Infant put to sleep on their backs most of the time

84.5% 81.9% - 86.8% 923 102,962

Infant slept in crib/bassinet/play yard

92.7% 90.7% - 94.3% 1,006 112,106

Infant slept with a blanket (not recommended)

39.1% 35.8% - 42.4% 398 46,362

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2021 and responded ‘Yes’ or as indicated to the question for the specified indicator.

Respondents = Total number of mothers who responded ‘Yes’ to the survey question for the specified indicator; <30 respondents results may be unreliable.

Estimated population affected = Estimated number of Illinois mothers who delivered live born infants in 2021 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

The 2021 Illinois PRAMS survey was sent to 1,975 recent mothers in Illinois who delivered live born infants. The number of mothers responding to the survey was 1,119 for an unweighted response rate of 56%. The overall weighted response rate was 56%. The weighted response rates were 58% for mothers of low birth weight infants and 56% for mothers of normal birth weight infants. (Source: Illinois 2021 Analysis Weights report.)