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Monitoring Progress Toward Achieving Maternal and Infant Healthy People 2010 Objectives --- 

19 States, Pregnancy Risk Assessment Monitoring System (PRAMS), 2000--2003
Jump to full article: Morbidity and Mortality Weekly Report (MMWR), 2006-10-06

Intro:

The HP 2010 objective for this indicator (objective no. 16-17c) is that 99% of pregnant women will abstain from cigarette smoking. Because PRAMS does not collect data on tobacco use during the first or second trimester of pregnancy, for this analysis, abstinence from smoking during pregnancy was defined as abstinence from smoking during the last 3 months of pregnancy. In 2003, prevalence of abstinence from cigarette smoking during the last 3 months of pregnancy ranged from 72.5% in West Virginia to 96.1% in Utah (Table 2). No state achieved the objective for abstinence from smoking during pregnancy. During 2000--2003, prevalence of abstinence from cigarette smoking during pregnancy increased significantly only in Utah (Table 6); for the other states, prevalence of abstinence from smoking during the last 3 months of pregnancy remained relatively unchanged. . . .

The HP 2010 objective for this indicator (objective no. 27-6) is that 30% of smokers will stop smoking during pregnancy. For this analysis, smoking cessation was defined as the report of any cigarette smoking during the 3 months before pregnancy but no cigarette smoking reported during the last 3 months of pregnancy. In 2003, prevalence of smoking cessation during pregnancy ranged from 30.2% in West Virginia to 65.8% in Utah (Table 2). All states achieved the health objective for smoking cessation. During 2000--2003, prevalence of smoking cessation during pregnancy increased significantly (Table 7) in Utah; for the other states, trend analysis indicated that prevalence of smoking cessation remained relatively unchanged. . . .

No state achieved the HP 2010 objectives for three indicators in the preconception period that affect maternal and child health outcomes (intended pregnancy, multivitamin use during the month before pregnancy, and physical abuse during the 12 months before pregnancy). For behaviors in the prenatal period, results were mixed. No state achieved the objective for abstinence from smoking during pregnancy. However, all states included in this analysis achieved the objective for smoking cessation during pregnanc

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