Pregnancy Risk Assessment Monitoring System (PRAMS)

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What you need to know

What you need to know

​​​​​The Pregnancy Risk Assessment Monitoring System (PRAMS) is a research project sponsored by the Centers for Disease Control and Prevention (CDC) and the Nebraska Department of Health and Human Services. The purpose of the study is to find out why some babies are born healthy and others are not.​

Sections on this page

    PRAMS - Moms Helping Moms

    ​​About PRAMS

    Each year PRAMS asks 2,100 women in Nebraska to answer questions about maternal behaviors and experiences before, during and right after pregnancy.  Surveyed women were picked by a computer from recent birth certificates. The survey takes about 25-42 minutes to complete and includes some sensitive questions, such as questions about smoking or drinking during pregnancy.

    Survey participation is voluntary and there is no penalty or loss of benefits for not participating or answering all questions.

    ​ ​

    Goals & Objectives

    The goal of PRAMS is to improve the health of mothers and babies in Nebraska. PRAMS influences the health care systems and maternal behaviors that affect health during and right after pregnancy. Five specific objectives are to:
    1. Collect population-based data of high scientific quality on topics related to pregnancy and early infancy;
    2. Conduct comprehensive analyses in order to better understand relationships between the behaviors, attitudes, and experiences of a woman during and right after pregnancy;
    3. Translate results from analyses into information to be used for planning and evaluating public health programs and policy;
    4. Build capacity to collect, analyze and translate data that address relevant and timely maternal and child health issues;
    5. To protect the rights and interests of potential and actual participants.

    Frequently Asked Questions

    How does PRAMS work? 

    Each month, a stratified sample of approximately 200 mothers is randomly selected from recent birth certificates. An introductory letter is mailed to each woman in the sample between two and six months after the baby's birth. Since 2023, specific login information is included in this letter for participating mothers to be able to complete the PRAMS survey via the web. A package containing a paper copy of ​the PRAMS survey is mailed a few days later. A second, and then third, survey package is mailed to mothers who do not respond. Each mailing includes information for participating mothers to complete the survey online also. ​PRAMS staff then telephone those mothers who have not responded to the survey mailings. Responses are collected in a database and weighted to represent all women giving birth in Nebraska. 

    PRAMS written materials, including mail, web surveys and telephone interviews are available in both English and Spanish.

    NE PRAMS is an ongoing surveying program. Published reports are based on births from January to December.  ​

    Who are the partners in PRAMS? 

    NE PRAMS is operated by the Nebraska Department of Health and Human Services, and is guided by suggestions from an external Steering Committee. The members are drawn from maternal and child health stakeholder organizations across the state. The CDC provides partial funding and technical assistance. Contact the CDC at

    CDC PRAMS Website​

    What information does the PRAMS survey collect? 


    The survey consists of a core component used by all states participating in PRAMS, and a state-specific component developed to address Nebraska's particular data needs. The survey, which is designed to provide data on topics not available elsewhere, includes the following:

    • Attitudes and feelings about the pregnancy
    • Barriers to and content of prenatal care
    • Nutrition and folic acid awareness
    • Pregnancy-related violence
    • Psychosocial support and stress
    • Use of alcohol and tobacco before, during and after pregnancy
    • Infant's early development, health care, and exposure to passive smoke
    • HIV testing
    • Health insurance coverage

    How can data from PRAMS be used?

    Findings from PRAMS' population-based data can be generalized to the entire population of Nebraska women whose pregnancies resulted in a live birth. Examples of findings from other states' PRAMS data have been used to:

    • Enhance and expand the understanding of maternal behaviors and experiences, and their relationship to unfavorable pregnancy outcomes;
    • Develop and implement new maternal and child health programs, as well as evaluate and modify existing programs;
    • Influence public health policy;
    • Assist health professionals to incorporate the latest research findings into their standards of practice;
    • Monitor progress on local, state and national health objectives and goals.


    Order Free PRAMS Materials

    Order free Please use this order form

    ​Requesting PRAMS Data


    See this brochure for more information about PRAMS Data Use Examples.

    Are you interested in PRAMS data? Do you need a detailed analysis of data for a period between 2000 and 2021?

    ​​Please submit your data request to:

    Masoomeh Hajizadeh Oghaz, PRAMS Program Manager
    Phone: (402) 471-9044
    Fax: (402) 471-7049

    Resources Featuring PRAMS Data

    PRAMS Resources

     Download or Print PRAMS Resources

    PRAMS Survey Questions

    PRAMS data is collected from moms by paper survey and telephone interview. Over the years, PRAMS has changed questions to make them easier to answer, to focus on the data states were interested in, and to adapt to changing norms about maternal and child health. The surveys below can be used to search for questions you may be interested in.

    Nebraska PRAMS Telephone Questionnaires by phase:

    Order PRAMS Resources


    Annual Reports

    PRAMS 2021 Annual Report

    PRAMS 2020 Annual Report

    PRAMS 2019 Annual Report

    Contact Us

    For More Information, Please Contact Us! 
    Masoomeh Hajizadeh Oghaz, PRAMS Program Manager
    Department of Health & Human Services
    Phone Number
    (402) 471-9044
    ​Fax Number
    (402) 471-7049
    Mailing Address
    P.O. Box 95026, Lincoln, Nebraska 68509-5026