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PRAMS - Pregnancy Risk Assessment Monitoring System


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 prior to, during and immediately following pregnancy.

Why does PRAMS exist?

  • PRAMS was initiated by CDC, in 1987, because infant mortality rates were no longer declining as rapidly as they had in prior years. In addition, the incidence of low birth weight infants had changed little in the previous 20 years. Research indicated that maternal behaviors during pregnancy may influence infant birth weight and mortality rates. The goal of the PRAMS project is to improve the health of mothers and infants by reducing adverse outcomes such as low birth weight, infant mortality, and morbidity and maternal morbidity. PRAMS provides state-specific data for planning and assessing health programs and for describing maternal experiences that may contribute to maternal and infant death.

Why is PRAMS important?

  • PRAMS provides data for state health officials to use to improve the health of mothers and infants.
  • PRAMS allows CDC and the states to monitor changes in maternal and child health indicators (e.g., unintended pregnancy, prenatal care, breast-feeding, smoking, drinking, infant health).
  • PRAMS enhances information from birth certificates that was used to plan and review state maternal and infant health programs.
  • The PRAMS sample was chosen from all women who had a live birth recently, so findings could be applied to the state’s entire population of women who had recently delivered a live-born infant.
  • PRAMS not only provides state-specific data but also allows comparisons among participating states because the same data collection methods were used in all states.

How is the PRAMS data used?

  • PRAMS provides data not available from other sources about pregnancy and the first few months after birth. This data could 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 is used by state and local governments to plan and review programs and policies aimed at reducing health problems among mothers and babies.
  • PRAMS data is used by state agencies to identify other agencies that have important contributions to make in planning maternal and infant health programs and to develop partnerships with those agencies.

Delaware PRAMS

  • Delaware PRAMS project began in 2006.
  • Delaware PRAMS developed a steering committee that met to learn about PRAMS, identified perinatal issues for our state, and selected questions for the survey.
  • Data collection started in August of 2007.
  • Public use PRAMS data is available through the Centers for Disease Control (CDC).
  • CPONDER is a simple analysis tool that creates tables of results for individual questions or subject categories. It can be accessed at: http://apps.nccd.cdc.gov/cPONDER/
  • Multi-state data sets for researchers are also available through the CDC. Go to: http://www.cdc.gov/PRAMS/index.htm for further information.
  • Delaware data is available by contacting the project coordinator.

Delaware PRAMS Surveys:


Delaware Analysis Reports:




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Last Updated: Thursday March 20 2014
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