Loading
Get Pregnancy Risk Assessment Monitoring System (prams). Phase 5 Core Questionnaire - Cdc
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Pregnancy Risk Assessment Monitoring System (PRAMS). Phase 5 Core Questionnaire - CDC online
The Pregnancy Risk Assessment Monitoring System (PRAMS) is a vital survey aimed at collecting information on maternal behaviors and experiences before, during, and after pregnancy. This guide provides clear, step-by-step instructions for completing the Phase 5 Core Questionnaire to ensure accurate and helpful data collection.
Follow the steps to fill out the PRAMS Phase 5 Core Questionnaire effectively.
- Click the ‘Get Form’ button to access the Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 5 Core Questionnaire and open it for completion.
- Begin by answering the initial questions about your health insurance status prior to your pregnancy. Indicate whether you had health insurance (not counting Medicaid) and if you were on Medicaid by checking the appropriate boxes.
- Continue by providing information on your vitamin intake in the month before your pregnancy, selecting how often you took a multivitamin or prenatal vitamin.
- Fill in personal details such as your date of birth, weight before pregnancy, and height without shoes. Use the provided fields for measurements in pounds or kilos, feet, inches, or centimeters.
- Indicate if you had other babies born alive before this pregnancy, and answer subsequent questions regarding the health of those babies at birth.
- Reflect on your feelings about becoming pregnant just before conception and answer questions about the pregnancy attempt, if applicable.
- Provide details on the prenatal care you received, including how many weeks/months pregnant you were when you first received prenatal care and whether that care met your timing preferences.
- Discuss any complications or problems you experienced during prenatal care visits. Be sure to indicate whether certain factors were issues for you in obtaining care.
- Continue answering questions regarding your pregnancy, such as lifestyle choices including smoking and drinking habits, maternal health issues, and psychosocial factors experienced before and during pregnancy.
- As you approach the end of the questionnaire, provide information about your delivery experiences, including dates, payment methods for medical services, and subsequent healthcare for your newborn.
- Finally, review your answers for accuracy and make any necessary corrections. Save, download, print, or share your completed questionnaire as needed.
Complete your Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 5 Core Questionnaire online to contribute to maternal and infant health research.
Scores of 0 to 2 indicate lower risk, scores of 3 to 6 indicate moderate risk, and any risk score above 7 indicates a higher risk pregnancy. The antenatal risk score is composed of four parts.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.