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What is PRAMS?

PRAMS, the Pregnancy Risk Assessment Monitoring System, is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments. PRAMS collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. 

PRAMS provides data not available from other sources.  These data can be used to identify groups of women and infants at high risk for health problems, to monitor changes in health status, and to measure progress towards goals in improving the health of mothers and infants. PRAMS data are used by researchers to investigate emerging issues in the field of reproductive health and by state and local governments to plan and review programs and policies aimed at reducing health problems among mothers and babies.


Influenza Coverage Among Pregnant Women – United States 2013-2014 Influenza Season. Source MMWR 2013;63(37);816-21.

Disparities in Influenza Vaccination Coverage Among Women with Live-Born Infants: PRAMS Surveillance During the 2009-2010 Influenza Season. Ahluwalia IB, Ding H, Harrison L, D'Angelo D, Singleton JA, Bridges C; PRAMS Influenza Working Group. Public Health Rep. 2014; 129(5):408-16.

Racial/Ethnic and Nativity Differences in Birth Outcomes Among Mothers in New York City: The Role of Social Ties and Social Support. Almeida J, Mulready-Ward C, Bettegowda VR, Ahluwalia IB. Mat. Child Health J. 2014; 18(1):90-100.

Prenatal Breastfeeding Counseling --- Pregnancy Risk Assessment Monitoring System, United States, 2010 [PDF - 2MB]. Lind JN, Ahluwalia IB, Perrine CG, Li R, Harrison L, Grummer-Strawn LM. . MMWR Surveill Summ. 2014 Sep 12;63:14-9.

Core State Preconception Health Indicators - Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System, 2009. Robbins CL, Zapata LB, Farr SL, Kroelinger CD, Morrow B, Ahluwalia I, D'Angelo DV, Barradas D, Cox S, Goodman D, Williams L, Grigorescu V, Barfield WD;  Centers for Disease Control and Prevention (CDC). MMWR Surveill Summ. 2014 Apr 25; 63(3):1-62.

Assessing the validity and reliability of three indicators self-reported on the pregnancy risk assessment monitoring system survey. Ahluwalia IB, Helms K, Morrow B.  Public Health Reports. 2013. 128(6):527-36.

Provider communication on perinatal depression: a population-based study. Farr SL, Ko JY, Burley K, Gupta S. Arch Womens Ment Health. 2015 Jan 13. PMID:25578631

PRAMStat logo

PRAMStat is an online data resource developed to provide public access to over 250 maternal and child health indicators from the Pregnancy Risk Assessment Monitoring System (PRAMS).  

map showing PRAMS Participating States which EXCLUDE these states: ID, MT, ND, SD, IN, KY, AZ, NV and CA

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Protecting Babies from Flu
One of the best ways a pregnant woman can take care of her unborn child is by taking care of herself. Because expectant mothers are at increased risk of severe complications from influenza, CDC recommends they get an annual flu vaccine.

Pre-birth Preventive Care
One of the best ways an expectant mother can care for her unborn child is to take care of herself. A recent CDC report found that there are gaps in the services women receive during pregnancy.

Social Media Tools

Image of the CPONDER badge.Take advantage of CDC social media tools. A number of social media tools from PRAMS are available. These free, easy-to-use communication tools can expand the reach of your health messages.