{
  "release_id": "c7fb95f1d15a7d13",
  "id": "maternal:prams",
  "owner": "maternal",
  "kind": "resource",
  "slug": "prams",
  "name": "Pregnancy Risk Assessment Monitoring System (PRAMS)",
  "aliases": [],
  "atlases": [
    "maternal"
  ],
  "summary_plain": "A US survey system, run by the CDC with state health departments, that asks women who recently had a baby what they did, thought and went through before, during and shortly after pregnancy. Researchers can request its data, and some results are published online.",
  "summary_technical": "Design as described in the 2018 AJPH overview (PMID 30138070): state-based surveillance; samples drawn from birth certificates of women with a live-born infant; survey by mail and telephone; annual state samples of about 1000 to 3000; stratification by characteristics such as maternal age, race or ethnicity, area of residence and infant birth weight; multistate data sets available to researchers for states that meet response rate thresholds. The CDC PRAMS pages return an access error to scripts, so the record rests on the paper's abstract only. It names CDC as the owner through the core record.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [],
  "navigation": {
    "maternal": {
      "life-stage": [
        "pregnancy",
        "postpartum"
      ],
      "care-area": [
        "postpartum-recovery"
      ]
    }
  },
  "payload": {
    "resource_type": "dataset",
    "owner": "core:cdc",
    "contents": "Survey responses from women who recently delivered a live-born infant, about their behaviours, attitudes and experiences from before pregnancy to shortly after it.",
    "access": "Multistate data sets can be requested by researchers through a proposal, and estimates for selected indicators are available online (2018 paper abstract).",
    "license": null
  },
  "content_digest": "209f99aba164eb8da45bffed61278d1b0f1823dec41df3042d5827fc215affb5",
  "review": {
    "content_digest": "209f99aba164eb8da45bffed61278d1b0f1823dec41df3042d5827fc215affb5",
    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [
    {
      "release_id": "c7fb95f1d15a7d13",
      "id": "maternal:claim-prams-design",
      "owner": "maternal",
      "subject_entity_id": "maternal:prams",
      "category": "descriptive",
      "statement": "PRAMS, the Pregnancy Risk Assessment Monitoring System, is an ongoing surveillance system, run state by state, that follows what mothers do, think and experience before, during and shortly after pregnancy. CDC's Division of Reproductive Health conducts it with state health departments. In each participating jurisdiction a sample of women who gave birth to a live infant is drawn from birth certificate records so that it represents all such women, and they are surveyed by mail and telephone. Annual state samples run from roughly 1000 to 3000 women. States that reach set response rate thresholds are included in pooled multistate data sets that researchers can request by submitting a proposal, and estimates for selected indicators are available online.",
      "context": {
        "id": "maternal:ctx-prams-women-with-live-births",
        "label": "Women who delivered a live-born infant in PRAMS jurisdictions, United States",
        "recipient": "maternal",
        "population": "Women who delivered a live-born infant, selected from birth certificate records in each participating jurisdiction to represent all such women there. The survey asks what they did, thought and went through from before pregnancy to shortly after it.",
        "care_setting": "Not applicable: a mail and telephone survey",
        "geography": "United States: the participating state-based jurisdictions (the abstract does not list them)",
        "life_stage_note": "Before, during and shortly after pregnancy",
        "life_stage_terms": {
          "maternal": [
            "pregnancy",
            "postpartum"
          ]
        },
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "An ongoing surveillance system; annual state samples of about 1000 to 3000 women",
        "eligibility": {
          "inclusion": [
            "Women who delivered a live-born infant in a participating jurisdiction"
          ],
          "exclusion": [
            "Not stated in the PubMed abstract"
          ]
        }
      },
      "evidence_stage": "not_applicable",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "This is a description of the survey design as of the 2018 overview paper. The paper's abstract does not say how many states take part, what the response rates are or which indicators are collected. CDC's own PRAMS pages return an access error to scripts, so they were not read, and nothing here describes current participation.",
      "editorial_state": "draft",
      "checked_at": "2026-10-15",
      "next_review_due": null,
      "valid_from": null,
      "valid_to": null,
      "citations": [
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 2, fragment 1 of 2",
          "applicability_note": "PubMed abstract of the AJPH 2018 design overview.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 2, fragment 2 of 2",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 3",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 5",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 6",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 7",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 10",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, sentence 11",
          "applicability_note": "PubMed abstract.",
          "snapshot": {
            "id": "maternal:pubmed-30138070-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:15Z",
            "content_hash": "2825ff111ab9f374dad35d4e0e90f9ee9889c6f6fcfb5fc47b488256e6c91271",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:pubmed-10-2105-ajph-2018-304563",
            "source_type": "publication",
            "title": "The Pregnancy Risk Assessment Monitoring System (PRAMS): Overview of Design and Methodology",
            "canonical_url": "https://doi.org/10.2105/AJPH.2018.304563",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.2105/AJPH.2018.304563",
                "normalized_value": "10.2105/ajph.2018.304563",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "30138070",
                "normalized_value": "30138070",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmcid",
                "value": "PMC6137777",
                "normalized_value": "PMC6137777",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": null,
            "publisher": "American journal of public health",
            "edition": "PubMed record (abstract and bibliographic data) from NCBI E-utilities, retrieved 2026-10-15. The full text and the version of record were not read. PMC6137777 is not in the PMC Open Access subset, so no full text was fetched.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities. Only the hash of the bytes is kept, because publisher copyright may apply to the abstract (https://pubmed.ncbi.nlm.nih.gov/disclaimer/). Short factual quotations under 25 words, with the citation.",
            "public_text": "quote"
          }
        }
      ],
      "review": {
        "content_digest": "305911b6c6ad33ecb2152410d1db6bb7ea90f7129772e93145e621c4ed5c9ff6",
        "current": [],
        "conflicting": [],
        "stale": [],
        "inactive": []
      },
      "api_path": "api/v1/claims/maternal--claim-prams-design.json"
    }
  ],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "related_to",
        "label": "Conducted by CDC's Division of Reproductive Health with state health departments",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "core:cdc",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      },
      {
        "predicate": "related_to",
        "label": "Survey of experiences around pregnancy and the time after birth",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:postnatal-care",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ],
    "incoming": []
  },
  "page_path": "resources/prams/",
  "context_path": "api/v1/context/maternal--prams.md"
}
