Georgia Pregnancy Risk Assessment Monitoring System (PRAMS)

The Georgia Pregnancy Risk Assessment Monitoring System (PRAMS) is a Centers for Disease Control and Prevention (CDC)-funded research project conducted by the Georgia Department of Public Health (DPH) designed to collect information on mothers and babies. Georgia PRAMS began in January 1993 and supplements birth certificate data by providing information on women's attitudes, experiences, and behaviors before, during, and after the delivery of their live born infant.

Georgia PRAMS Goal

The purpose of Georgia PRAMS is to improve the health of mothers and babies in Georgia by reducing the risk of adverse birth outcomes such as low birthweight, preterm birth, and infant and maternal morbidity and mortality. Georgia PRAMS provides essential data to identify high risk groups, select maternal and child health priorities, establish prevention programs, and make policy changes that can improve the health of mothers and babies in Georgia.

Georgia PRAMS data are used to identify groups of mothers and babies with a high risk for health problems, to monitor changes in health status, and to measure progress toward goals to improve the health of mothers and babies. Georgia PRAMS aids in the planning and evaluation of programs and policies aimed toward reducing health problems among mothers and babies in Georgia. Additionally, Georgia PRAMS data are used by researchers to investigate emerging issues in the field of maternal and child health.

Georgia PRAMS Publications

Tobacco Use During Pregnancy Infographic

Secondhand Smoke Exposure During Pregnancy Infographic

Georgia PRAMS WIC Breastfeeding Data Summary

Summer 2017 Newsletter

Winter 2017 Newsletter

Fall 2018 Newsletter

Georgia PRAMS Data Requests

Data Request Form
Data Sharing Agreement
Analysis Tips
Data-to-Action Success Story (Template)
Data-to-Action Success Story (Example)

For assistance requesting Georgia PRAMS data, please contact the Georgia PRAMS Team at

Georgia PRAMS Questionnaires

Current Questionnaire
Phase 8 + Disability & Opioid  (2018- ) P8 + Disabilty & Opioid - English P8 + Disabilty & Opioid - Spanish
Previous Questionnaires
Phase 8 + Zika (2016-2018) P8 + Zika - English P8 + Zika - Spanish
Phase 7 (2012-2015) P7 - English P7 - Spanish
Phase 6 (2009-2011) P6 - English P6 - Spanish
Phase 5 (2004-2008) P5 - English P5 - Spanish

Georgia PRAMS Methodology

Each month, a stratified random sample of approximately 100-200 mothers is chosen to participate from the Georgia birth certificate registry. Mothers are sent a Georgia PRAMS questionnaire two to six months post-delivery that consists of about 80 questions, along with an introductory letter, a question and answer brochure about Georgia PRAMS, a calendar, a consent letter, and a resource brochure that includes telephone numbers for various Georgia programs.

The Georgia PRAMS questionnaire consists of two parts. First, there are core questions that are asked by all participating PRAMS states, including questions about the following:

  • Infant health care
  • Contraceptive use
  • Pregnancy-related morbidity
  • Content and source of prenatal care
  • Maternal alcohol and tobacco consumption
  • Physical abuse before and during pregnancy
  • Attitudes and feelings about the most recent pregnancy
  • Mother's knowledge of pregnancy-related health issues such as adverse effects of tobacco and alcohol, benefits of folic acid, and risks of HIV

The remaining questions on the survey are chosen from a pretested list of standard questions developed by CDC. Georgia PRAMS includes expanded questions on prenatal care visits, breastfeeding, HIV testing and influenza vaccination during pregnancy, postpartum depression, and infant safe sleep.

PRAMS sites often oversample subpopulations to draw stronger conclusions about various factors of interest. Since 2004, Georgia PRAMS has stratified and oversampled by:

Year   Strata

Low Birthweight; Normal Birthweight; Black; Non-Black


Low Birthweight; Normal Birthweight; Black; Non-Black


Low Birthweight; Normal Birthweight; Black; Non-Black


Low Birthweight*, Clayton County; Low Birthweight*, all other Georgia counties; Normal Birthweight


Low Birthweight*, Chatham County; Low Birthweight*, all other Georgia counties; Normal Birthweight


Low Birthweight*, Lowndes County; Low Birthweight*, all other Georgia counties; Normal Birthweight


All Birthweight, Burke & McDuffie Counties; Low Birthweight*, all other Georgia counties; Normal Birthweight, all other Georgia counties


All Maternal Ages, All Birthweight, Burke & McDuffie Counties; Teen Mothers+, All Birthweight, all other Georgia counties; Adult Mothers, Low Birthweight*, all other Georgia counties; Adult Mothers, Normal Birthweight, all other Georgia counties


Teen Mothers+; Adult Mothers; Low Birthweight*; Normal Birthweight

2013 - 2015

Counties identified as infant mortality clusters in 2012 (Bibb, Chatham, Fulton, Lowndes, Muscogee, Richmond); All other Georgia counties

2016 - 2017

 Pre-pregnancy Chronic Conditions (e.g., diabetes and hypertension)


Premature infant (between 20-36 weeks' gestation), Healthy Start Augusta Participants

Note. *"Low Birthweight" refers to infants who weighed less than 2,500 grams at birth, while "Normal Birthweight" refers to infants who weighed 2,500 grams or more at birth; +"Teen Mothers" refers to mothers who were 19 years old or younger at the time their new baby was born, while "Adult Mothers" refers to mothers who were 20 years old or older at the time their new baby was born.

Georgia PRAMS Special Projects

PRAMS for Dads Pilot Project

Fathers play key roles in the health and development of their families. Georgia PRAMS has partnered with researchers at Northwestern University to conduct a PRAMS-like survey for recent fathers. The purpose of PRAMS for Dads is to better understand the role of fathers in the health of families in Georgia. 

Contact Information

Georgia PRAMS Project

Maternal and Child Health Epidemiology

Georgia Department of Public Health

2 Peachtree St. NW, Atlanta, GA 30303

Phone: 1-800-743-7265


Page last updated 05/14/2019