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Pregnancy Risk Assessment Monitoring System (PRAMS)

The Pregnancy Risk Assessment Monitoring System (PRAMS) from the Centers for Disease Control and Prevention (CDC) and state health departments, collects state-specific, population-based data to monitor maternal and child health indicators. Each state samples women who have recently had a live birth by drawing from the birth certificate file. Data are weighted in order to provide representative estimates of a state?s population. Because the data are based on a weighted sample, PeriStats also displays 95% confidence intervals, provided by the CDC, to assist with interpretation of rates and comparisons (see also FAQ on confidence intervals).

For more on PRAMS methods and questionnaires, visit the PRAMS website.

Select PRAMS data are available on PeriStats, including the following subtopics, with many also available stratified by maternal race/ethnicity, maternal age, household income, and Medicaid status:

  • Alcohol use, before pregnancy
  • Alcohol use, during pregnancy
  • Smoking, before pregnancy
  • Smoking, during pregnancy
  • Smoking, quit during pregnancy
  • Smoking, postpartum
  • Medicaid coverage, prenatal care
  • Medicaid coverage, before pregnancy
  • Medicaid coverage, anytime
  • Uninsured, before pregnancy
  • WIC status
  • Income
  • Vitamin use
  • NICU admission
  • Breastfeeding
  • Postpartum follow up
  • Sleep position
  • Obesity before pregnanacy: BMI > 30