The Pregnancy Risk Assessment and Monitoring System (PRAMS) began in Puerto Rico (PR) in 2016, through the Department of Health's Mothers, Children and Adolescents Division (DMNA), with the purpose of studying maternal and child health needs. Previously, the DMNA conducted the PR Maternal and Child Health Study (ESMIPR), which provided us with very valuable information. However, the data were not representative of all live births in the study period.
Explain the purpose and representativeness of the Pregnancy Risk Assessment and Monitoring System (PRAMS) in Puerto Rico compared to previous maternal and child health studies.