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2022 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

38.5% 35.1% - 41.9% 383 46,368

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

37.2% 33.8% - 40.7% 350 44,815

Smoked during the three months before pregnancy

8.0% 6.3% - 10.2% 84 9,585

Consumed alcoholic drinks during the three months before pregnancy

62.7% 59.1% - 66.1% 579 74,119

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

3.9% 2.7% - 5.6% 36 4,583

Enrolled in Medicaid the month before pregnancy

29.4% 26.1% - 32.9% 256 33,902

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2022 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 2022 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

46.7% 43.2% - 50.3% 441 56,407

Dieted to lose weight

32.8% 29.5% - 36.2% 310 39,567

Had teeth cleaned by a dentist or dental hygienist

60.7% 56.4% - 64.8% 395 48,959

Had a health care visit with an OB/GYN

63.0% 58.7% - 67.0% 418 50,833

Had health care visit for illness or chronic condition

22.1% 18.7% - 25.8% 145 17,809

Had health care visit for family planning or birth control

17.0% 14.0% - 20.4% 116 13,703

Had health care visit for depression or anxiety

19.0% 15.8% - 22.5% 122 15,298

Checked for diabetes by health care worker

20.2% 17.4% - 23.2% 190 24,271

Taking regular prescription medications other than birth control

23.8% 21.0% - 26.9% 249 28,736

Talked with a health care worker about their family history

43.6% 40.1% - 47.1% 432 52,605

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2022 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 2022 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

1.7% 1.0% - 3.0% 19 2,101

Diagnosed with high blood pressure

3.6% 2.5% - 5.1% 49 4,373

Diagnosed with depression

14.4% 12.1% - 17.1% 146 17,383

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2022 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 2022 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

91.1% 88.3% - 93.0% 843 108,664

Used WIC services during pregnancy

23.5% 20.5% - 26.7% 207 27,991

Had teeth cleaned by a dentist or dental hygienist

42.6% 39.1% - 46.1% 409 50,911

Diagnosed with depression

13.9% 11.6% - 16.6% 133 16,485

Received influenza immunization 12 months before or during pregnancy

56.4% 52.8% - 59.9% 534 67,406

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

16.8% 14.4% - 19.6% 199 20,030

Diagnosed with gestational diabetes

14.1% 11.8% - 16.8% 132 16,853

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

2.9% 1.9% - 4.5% 25 3,445

Smoked during the last three months of pregnancy

2.7% 1.8% - 4.1% 32 3,238

Felt unsafe in the neighborhood where living

13.9% 11.6% - 16.6% 139 16,805

Enrolled in Medicaid for prenatal care

42.0% 38.5% - 45.7% 360 48,300

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2022 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 2022 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

4.2% 3.0% - 5.9% 47 4,980

Diagnosed with depression

12.7% 10.5% - 15.2% 127 15,186

Had a postpartum checkup

92.0% 89.7% - 93.8% 867 109,922

Used postpartum birth control

76.9% 73.8% - 79.8% 722 91,898

Breastfed at least once after birth

89.3% 86.8% - 91.3% 816 106,148

Breastfed for at least 12 weeks after birth

61.7% 58.0% - 65.2% 534 69,484

Enrolled in Medicaid after delivery

41.5% 38.0% - 45.2% 363 48,334

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2022 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 2022 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

84.3% 81.5% - 86.8% 770 99,889

Infant slept in crib/bassinet/play yard

92.9% 90.7% - 94.5% 851 109,641

Infant slept with a blanket (not recommended)

33.5% 30.1% - 37.1% 301 38,278

Percentage = Weighted percentage of Illinois mothers who gave birth to live infants in 2022 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 2022 and who would respond ‘Yes’ or as indicated to the question for the specified indicator.

In 2022, the overall state response rate fell short of the 50% rate that CDC PRAMS regards as the epidemiologically valid threshold. The 2022 Illinois PRAMS survey was sent to 1,925 recent mothers in Illinois who delivered live-born infants. A total of 948 responded to the survey for an unweighted response rate of 49.2%. The overall weighted response rate is 48.9%. The weighted response rates are 51.9% for mothers of low-birth-weight infants and 48.7% for mothers of normal-birth-weight infants. (Sources: Illinois 2022 Analysis Weights, Illinois 2022 Unit Response Report)