Pregnancy Risk Assessment Monitoring System (PRAMS)

PRAMS, the Pregnancy Risk Assessment Monitoring System, is a population-based surveillance program. PRAMS uses a confidential survey to identify and monitor selected maternal attitudes, behaviors and experiences before, during, and after pregnancy – information that is not routinely available from other sources Rhode Island implemented PRAMS in 2002 and is one of 41 states currently participating in PRAMS. more Each month about 165 Rhode Island women who recently gave birth are randomly chosen to receive the survey by mail About 1,900 women, more than 16% of recent mothers, are selected to participate in PRAMS each year. Rhode Island PRAMS surveys all mothers who deliver a low birth weight infant and prior to 2012, over-sampled births occurring in the core cities of Central Falls, Newport, Pawtucket, Providence, West Warwick and Woonsocket. Several actions are taken to obtain a high response rate. A gift card is sent with the first survey in appreciation for their anticipated participation. The survey is mailed out a second and third time to women who do not respond to the initial mailing. Women who do not respond after three mailings are called and offered the opportunity to complete the survey over the telephone. Surveys and interviews are available in English and Spanish. The PRAMS program requires state's to achieve at least a 65% response rate from the participants. The data from completed surveys are analyzed and used to improve the health of pregnant women and their babies including:

  • Identification of women and infants populations at high risk for health problems
  • Monitoring unintended pregnancy, prenatal care, breastfeeding, smoking, drinking, and infant health
  • Measuring progress towards public health goals for improving the health of mothers and infants
  • Developing new, and modify existing, maternal and child health programs.
  • Helping health professionals incorporate new research findings into standards of practice