Pregnancy Risk Assessment Monitoring System (PRAMS)
The Pregnancy Risk Assessment Monitoring System (PRAMS) is a joint ongoing, site-specific, and population-based surveillance program between state, territorial, and/or local health departments and the Centers for Disease Control and Prevention (CDC). Developed in 1987, PRAMS was created to reduce infant morbidity and mortality by influencing maternal behaviors before, during, and after live birth. PRAMS is designed to identify groups of pregnant patients and infants who may be high risk for health problems; monitor changes in health status; and measure progress towards goals in improving the health of mothers and infants.
***Due to Reductions in Force orders from the Trump administration, there are currently no CDC staff overseeing PRAMS. PRAMS ARF data requests are thus not being processed. Researchers who want to analyze data must contact each site separately to request access to their data.
Updated March 27, 2026
Are you advocating for PRAMS on the national or state level?
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Does your state participate in PRAMS?
As of 2024, forty-six states, the District of Columbia, New York City, the Northern Mariana Islands, and Puerto Rico currently participate in PRAMS. The births in the 50 jurisdictions that participate in PRAMS surveillance are 81% of all live births in the United States.
Additional Resources
From the Centers for Disease Control and Prevention: