Index: Health / Subcategory: Alcohol Tobacco & Other Drugs

Perinatal Alcohol and Tobacco Use

Date Updated: 06/19/2013

'The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based risk factor surveillance system designed to identify and monitor behaviors and experiences of women before, during, and after pregnancy. Colorado continues to have one of the highest low birth weight rates in the nation for total births and for births in all major racial and ethnic groups. PRAMS provides a method for the collection and analysis of perinatal data to better understand not only low birth weight rates, but also maternal behaviors, access to prenatal care, pregnancy intendedness, and health care delivery to women and infants in Colorado.

'The PRAMS questionnaire is mailed to a sample of Colorado women each month and telephone follow-up is conducted with women who do not return the survey by mail. The written questionnaires and telephone interviews can both be completed in English or Spanish. Approximately 240 women in Colorado receive the survey each month, with an expected response rate of at least 70% (Colorado Health Information Dataset).'

Where large increases are evident, it is important to note that the sample size is rather small, therefore these increases may be insignificant. See data tables for actual numbers and percentages.

What this chart shows: Maternal Report of Alcohol Use During Pregnancy, 2002-2011

Data Source: Colorado Health Information Dataset-Pregnancy Risk Assessment Monitoring System (PRAMS)

See data table

What the above data tell us:

During the interview (see above for study method), mothers were asked: 'Did you drink alcohol during the last 3 months of your pregnancy?'

In 2011, a larger percentage (10.8%) of Larimer County mothers admitted to using alcohol during the last 3 months of their pregnancy than for the entire state of Colorado (10.1%).

Over the last ten years, the percentage of mothers in Larimer County using alcohol during their pregnancy, ranged from a low of 5.0% in 2002 to a high of 12.9% in 2006. One possible explanation for such large variations in data is that the raw numbers in Larimer County are relatively low, so even slight deviations equate to higher percentage changes. (See data table)

Nationally, one out of every 50 women who knew they were pregnant reported binge drinking (5 or more drinks at one time). Additionally, approximately one in eight women of childbearing age (18 to 44 years) who could become pregnant reported binge drinking; these alcohol levels can pose a threat to the fetus should a woman be pregnant and not know it. (Centers for Disease Control)

What this chart shows: Maternal Tobacco Use at Stages of Pregnancy, 2007-2011 (5-year average)

Data Source: Colorado Health Information Dataset-Pregnancy Risk Assessment Monitoring System (PRAMS)

See data table

What the above data tell us:

During the interview (see above for study method), mothers were asked: 'Did you smoke during the 3 months before you got pregnant?', 'Did you smoke during the last 3 months of your pregnancy?', and 'Do you smoke now (when the survey was completed)?'

In Colorado, the five-year average (2007-2011) of survey respondents who reported not smoking while pregnant was 91.3% compared to 91.0% for Larimer County, significantly lower than the Healthy People 2010 Objective of 99%.

According to the Centers for Disease Control, in 2008, 13% of pregnant women reported smoking during the last three months of pregnancy.

Additional Information:

Related Information on COMPASS-

Other Resources -

Industry Standards or Targets:

Healthy People 2010:

Healthy People 2020:

Data Tables:

Maternal Report of Alcohol Use During Pregnancy

Colorado
Number 'Yes'

Colorado Percentage

Larimer County Number 'Yes'

Larimer County Percentage

2002

200 9.5% 8 5.0%

2003

191 8.7% 10 7.0%

2004

187 10.1% 11 7.2%

2005

207 11.1% 12 9.8%

2006

187 11.2% 16 12.9%

2007

178 11.4% 13 12.5%

2008

207 10.7% 11 10.6%

2009

193 10.5% 13 9.7%

2010

182 11.6% 10 10.7%

2011

161 10.1% 10 10.8%

See chart

Return to Text

Maternal Tobacco Use and Pregnancy, 2007-2011 (5-year average)

 

'Yes'
N

'Yes'
%

'No'
N

'No'
%

Smoking Before Pregnant

 

Colorado

2,255 20.9% 7,223 79.1%

Larimer County

111 20.2% 446 79.8%

Smoking During Pregnancy

 

Colorado

1,081 8.7% 8,411 91.3%

Larimer County

54 9.0% 503 91.0%

Smoking Now (After Pregnancy)

 

Colorado

1,510 13.0% 7,966 87.0%

Larimer County

72

12.1%

485 87.9%

See chart