PRAMS, the Pregnancy Risk Assessment Monitoring System, is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments.
Developed in 1987, PRAMS collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. PRAMS surveillance currently covers about 83% of all U.S. births.
PRAMS provides data not available from other sources. 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.
The goal of the PRAMS project is to improve the health of mothers and infants by reducing adverse outcomes.
The PRAMS questionnaire has two parts—core questions that are asked by all states and standard questions developed by CDC.
Researchers may request the PRAMS Analytic Research File for studies that involve multiple states by submitting a proposal to CDC.
PRAMS surveillance system is a standardized data collection system.
Forty-seven states, New York City, Puerto Rico, the District of Columbia and the Great Plains Tribal Chairmen’s Health Board (GPTCHB) currently participate in PRAMS.
PRAMS has implemented enhanced surveillance approaches by modifying the standard protocol.
PRAMS surveillance data can be incorporated into public health decision making or translated in a variety of ways.
MMWRs and other PRAMS publications.
- Ashley H. Hirai, Katherine Kortsmit, Lorena Kaplan, Erin Reiney, Lee Warner, Sharyn E. Parks, Maureen Perkins, Marion Koso-Thomas, Denise V. D’Angelo and Carrie K. Shapiro-Mendoza. Prevalence and Factors Associated With Safe Infant Sleep Practices. Pediatrics November 2019, 144 (5) e20191286; DOI: https://doi.org/10.1542/peds.2019-1286
- Li, R., Bauman, B., D’Angelo, D. V., Harrison, L. L., Warner, L., Barfield, W. D., & Cox, S. (2019). Affordable Care Act-dependent Insurance Coverage and Access to Care Among Young Adult Women With a Recent Live Birth. Med Care, 57(2), 109-114. doi:10.1097/MLR.0000000000001044
- Shulman HB, D’Angelo DV, Harrison L, Smith RA, Warner L. The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology. American journal of public health. 2018;108(10):1305-1313.
- Oduyebo, T., Zapata, L. B., Boutot, M. E., Tepper, N. K., Curtis, K. M., D’Angelo, D. V., Whiteman, M. K. (2019). Factors associated with postpartum use of long-acting reversible contraception. Am J Obstet Gynecol, 221(1), 43 e41-43 e11. doi:10.1016/j.ajog.2019.03.005
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