WA PRAMS is a survey of new mothers conducted by Washington State Department of Health and the Centers for Disease Control and Prevention (CDC). PRAMS gathers information from mothers about their experiences before, during, and after their most recent pregnancy. The goal of WA PRAMS is to improve the health of mothers and babies in Washington by reducing the risk of adverse birth outcomes such as low birth weight and promoting best practices such as breastfeeding. PRAMS is the best routine source of this information in Washington.
Who Should Participate
Every month women who recently had a baby, are randomly selected from birth records to respond to the PRAMS survey. If selected, you will receive a survey request in the mail, with the option to complete by mail, online or by phone. The PRAMS survey gives us information about access to health care, quality of health care, and other circumstances that may affect the health of the mother and her new baby. Responses from every selected mother are needed to provide a full picture of the health of moms and babies in Washington. All information is kept confidential. Your experiences are important to us.
What Washington Mothers Say
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How PRAMS Data Are Used
PRAMS provides data not available from other sources. The PRAMS survey gives us information about access to health care, quality of health care, and other circumstances that may affect the health of the mother and her new baby. The information collected is used to develop health programs and policies; help doctors and nurses improve care; and make better use of health resources.
All answers are kept private. No one will know the name of the mother who answered the questions. Because of the small number of mothers picked, it is important to have everyone’s answers. Each pregnancy is different. To get a better overall picture of the health of mothers and infants, we need each mother selected to answer the questions.
Examples of PRAMS data use can be found below:
- Maternal and Child Health Data Reports
- Perinatal Data Dashboard
- Selected 2016 Through 2021 Maternal and Child Health (MCH) Indicators
PRAMS Data Collection
In Washington, about 2,000 surveys are sent to participants each year. Each month approximately 200 mothers are randomly drawn from birth records, similar to a lottery drawing. Women from some groups are sampled at a higher rate to ensure adequate data are available for smaller subpopulations. In Washington, we oversample by mother’s race and ethnicity reported on the birth certificate. Once selected, a survey is mailed to the mother along with information about completing the survey by mail, online, or with a phone interviewer.
Telephone follow-up is done for those who do not respond to the mailing. The mail and telephone surveys are available in English and Spanish.
Examples of PRAMS Survey Topics
The PRAMS questionnaire changes periodically. While many topics stay the same, new topics are added with each revision or Phase.
Phase 8 was collected from 2016-2022. PRAMS is currently collecting Phase 9. Which began in 2023.
Phase 8 Topics
- Preconception care
- Pregnancy intention
- Contraception
- Prenatal care
- Smoking, alcohol, and drug use
- Medical complications of pregnancy, labor, or delivery affecting the mother
- Postpartum care
- Medicaid and WIC participation
- Breastfeeding
- Babies’ health and care
- Physical abuse
- Oral health
- Infant sleep environment
- Mental health and wellbeing
- Social support
New Phase 9 Topics
- Feelings on healthcare services received (respected/comfortable)
- Disabilities
- Home visiting services
- Mental health
- Maternity leave
- Firearms
- Discrimination (expanded)
WA PRAMS Advisory Committee
The WA PRAMS Advisory Committee gives guidance to help the PRAMS program implement the surveillance system to ensure resources are used effectively to meet the needs of public health in Washington. They provide input on strategic directions and planning for the survey and use of findings. The Advisory Committee commenced meeting in February 2024 and will meet at minimum semi-annually. Meeting materials will be posted here; please check back for updates.
- February 2, 2024 Meeting - Agenda (PDF) | Notes (PDF) | Slide Deck (PFD)
- June 17, 2024 Meeting - Agenda (PDF) | Notes (PDF) | Slide Deck (PFD)
- October 17, 2024 Meeting - Agenda (PDF) | Notes (PDF) | Slide Deck (PFD)
Requesting PRAMS Data
Our standard PRAMS analytic file contains PRAMS questionnaire and birth certificate variables. We do not release PHI such as birth certificate numbers, dates of birth, or counties to protect the confidentiality of our participants. Requests may require a Data Sharing Agreement for our standard datafile or IRB approval if select PHI is requested.
Working with these data files requires use of spreadsheet, database management, or statistical software that are not provided.
2022 PRAMS Data is now available for request
Resources
- PRAMS 8 Survey Questionnaires - 2016-2022 (PDF)
- PRAMS 9 Survey Questionnaires- 2023 (PDF)
- PRAMS Phase 8 Limited Data Dictionary (XLSX)
- PRAMS Data Analysis Guide 2024 (PDF)
Order Free PRAMS Materials
You can increase awareness of PRAMS by placing our flyer, brochure or posters in your clinic, hospital, or public space.
Order printed materials today at 1-877 867-7267
- Flyer - One page, English and Spanish (PDF)
- Brochure - English (PDF) | Brochure - Spanish (PDF)
- Poster - English and Spanish (PDF)
National PRAMS
For more information on PRAMS, please see the CDC PRAMS website.
Contact Us
Please contact us at WAPRAMS@doh.wa.gov with any questions.