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Pregnancy Risk Assessment Monitoring System (PRAMS)

The best source of data on mothers and babies.

The Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based risk factor surveillance system designed to identify and monitor behaviors and experiences of women before, during, and after pregnancy.   PRAMS is a collaboration between state departments of health and the Centers for Disease Control and Prevention (CDC). State specific information is collected by surveying a sample of women who have recently given birth in participating PRAMS states. Findings from the PRAMS survey are used to develop and assess perinatal health programs in public and private health care settings.

For more information about PRAMS across the 40 participating states please visit: http://www.cdc.gov/prams/

Wyoming PRAMS Highlight

Maternal Smoking

Smoking during pregnancy is associated with preterm delivery, low birthweight, cleft lip/palate, SIDS, and other adverse outcomes for the mother and fetus. 

  • Between 2007 and 2010, 30.4% of Wyoming mothers smoked during the three monrths prior to their pregnancy. Among smokers, just under half of mothers quit smoking during pregnancy (47.9%) 
  • 16.2% of Wyoming women continued to smoke in the last three months of their pregnancy between 2007 and 2010.  A higher proportion of women who continued to smoker were teens, unmarried, had less than a high shcool education, and had prenatal care provided by Medicaid.  

For more information about maternal smoking check out our WY PRAMS Maternal Smoking Fact Sheet.

PRAMS in Wyoming

The Wyoming Department of Health was awarded a grant from CDC to establish PRAMS in Wyoming in 2006. Data collection began in 2007. PRAMS data assists the Wyoming Department of Health and its partners evaluate and improve services to women and infants to prevent poor pregnancy outcomes.

The core set of questions and the questions developed specifically for Wyoming collect information on many topics, including:

  • attitudes and feelings about pregnancy
  • prenatal care and barriers to care
  • obstetric history
  • psychosocial support and stress
  • alcohol and tobacco use
  • pregnancy-related morbidity
  • infant health care
  • economic status of the mother
  • home safety and injury prevention
  • health care coverage during pregnancy and delivery

To see information collected on these topics in Wyoming please visit http://www.health.wyo.gov/familyhealth/prams/data.html

PRAMS Data Collection and Analysis

Wyoming women who had a live birth infant are sampled from Wyoming brirth certificate records two to six months after delivery.  Wyoming PRAMS uses a combination of two data collection approaches: statewide mailings of the surveys and telephone follow-up with women who do not return the survey by mail.  Responses to the surveys are collected by the health department where all answers are grouped to provide statewide prevalence information. The written questionnaires and telephone interviews can both be completed in Spanish when necessary. Approximately 140 women in Wyoming will receive the survey each month, with an expected response rate of at least 65 percent.

Data collected from women who gave birth in a given year are generally available for analysis and dissemination by late fall of the following year. Findings from data analyses are distributed to state legislators, professional societies, health care organizations, universities, and other interested persons.


 The PRAMS Project is funded under grant number 5UR6DP000501-05 from the Centers for