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.

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.

PRAMS 2018 Data Release

PRAMS Releases 2018 Data

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Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth — Oklahoma and Texas, 2015

Image of a mom with her infant: Selected 2016 – 2017 Maternal and Child Health (M) Indicators

Selected 2016 – 2017 Maternal and Child Health (M) Indicators

PRAMS state map: Overview of Design and Methodology

PRAMS Overview of Design and Methodology

About Data Collection and Processing

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PRAMS Special Projects

Improving Health for Mothers and Babies

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PRAMS Success Stories

Highlighted 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:
  • 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