Maternal Health Risk Factors from Pregnancy Risk Assessment Monitoring System

PRAMS is a population-based surveillance system tracking maternal experiences and behaviors before, during, and after pregnancy. It operates in 50 U.S. jurisdictions, with New York City sampling approximately 2,100 mothers annually from birth certificate records. The system is a partnership with the CDC.

Use Cases

• Analyze YEAR-over-YEAR trends in PREVALENCE % for specific maternal behaviors like breastfeeding.
• Assess statistical confidence in risk factor estimates using LOWER 95% CONFIDENCE INTERVAL and UPPER 95% CONFIDENCE INTERVAL columns.
• Compare risk factor PREVALENCE % across different jurisdictions using the SOURCE column.
• Investigate specific maternal health QUESTIONS, such as prenatal care attendance or postpartum depression screening.

Strengths

• Covers 50 jurisdictions, including 47 states and major territories.
• Provides annual estimates with confidence intervals for statistical reliability.
• New York City collects data from approximately 2,100 participants per year.

Limitations

• Sample size per jurisdiction is not specified beyond NYC's 2,100 annual participants.
• Data is limited to mothers who delivered a live birth, excluding other pregnancy outcomes.
• Specific row count and total dataset size are unknown.

Provenance

Source

data.cityofnewyork.us, as part of the CDC PRAMS partnership.

Collection Method

Stratified random sample selected from birth certificate records.

Time Range

Ongoing surveillance system; specific years covered are not provided.

Freshness

Last updated date is 2026-03-27, indicating planned future updates.

Geography

50 U.S. jurisdictions, including New York City specifically.