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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.

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Pregnancy Risk Assessment Monitoring System (PRAMS)

PRAMS Coordinator

Florida PRAMS

The Centers of Disease Control and Prevention (CDC) and the Florida Department of Health initiated the Pregnancy, Risk, Assessment, Monitoring, System (PRAMS)  project for the state in 1993, in response to research indicating the infant mortality rate was no longer declining as rapidly as it has been in the country. The state first survey was Phase II which was published in 1993. 


PRAMS is design to establish and maintain state-specific, population- based surveillance of selected maternal behaviors that occurs during the pregnancy and early infancy.

What is purpose? 

 The purpose for the program and survey is to determine why some babies are born healthy and others are not.  

Who is selected?

PRAMS is a random population based surveillance survey of maternal behaviors, and experiences before, during, and shortly after pregnancy. 

How is PRAMS Data used? 

PRAMS confidential data is used to supplement state data from vital records and to develop and assess programs and policies for women and children to help reduce infant morbidity and mortality by changing maternal behaviors during pregnancy and during the child's early infancy. 

What information is collected on the survey? 

PRAMS questionnaire is completed of three parts: (1) CDC core questions (these topics include maternal pre-pregnancy status, prenatal care, source of payment for prenatal care and delivery, smoking and alcohol consumption, family planning, breast feeding & complications. (2) Standard questions available for the state to choose: Floridian standard question include Medicaid, maternal health problems, HIV testing, folic acid, co-sleeping, insurance for delivery, breastfeeding, birth control, and infectious diseases. (3) State-added questions: include depression, anxiety, socio-economic status, and post-partum care. 

  • Methodology
  • PRAMS Questionnaires
  • PRAMS Reports
  • Data Request
  • Resource Information

Data collection for PRAMS is the result of joint efforts between the CDC, Florida Department of Health, DOH office of Vital Statistics, DOH Bureau of Epidemiology, and the county health departments. Each year Florida samples approximately 2,200 new mothers that have given birth to a live-born infant.  From the aggregate of all births known to Florida vital statistics, a complex sampling strategy designed to draw random samples. PRAMS is primarily a mail surveillance project with telephone interviews conducted as a follow-up for non- responders. Participants are surveyed by mailed questionnaire 2-5 months after giving birth, which is followed up by telephone interview one month later if no response is received from the mailed survey. As of June 2023, Florida PRAMS initiated the email process for participants to complete the survey online. The participants are mailed a letter explaining the procedure of the survey, also providing a link to the survey, including the user ID and passcode which is unique to each participant. 

In 2014, the sampling frame was changed from the prior use of random four strata to a random three strata, which is in current use: 

Stratum 1: Black/normal birthweight

Stratum 2: Non- Black/normal birth weight

Stratum 3: Low birth weight

The PRAMS questionnaire is comprised of three parts:

(1) CDC core questions
(2) Standard questions available for the state to choose
(3) State-added questions

The core component addresses such topics as maternal pre-pregnancy status, prenatal care, source of payment for prenatal care and delivery, smoking and alcohol consumption, family planning, breastfeeding, and complications of pregnancy. Florida’s standard questions include Medicaid, maternal health problems, fertility treatments, HIV testing, folic acid, co-sleeping, insurance for delivery, breastfeeding, birth control, and infections/diseases. State-added questions include depression and sick-baby care. The survey is revised every 3-4 years. Florida initiated the survey with phase II questionnaire in 1993.

Phase VII: 2012-2015

English Questionnaire - Spanish Questionnaire

Phase VI: 2009-2011

English Questionnaire - Spanish Questionnaire

Phase V: 2004-2008

English Questionnaire - Spanish Questionnaire

Phase IV: 2000-2003

English Questionnaire

Phase III:  1996-1999

English Questionnaire

Phase II:  1993-1995

English Questionnaire

Erratum: Florida PRAMS reports from 1993 through 2010 state that PRAMS survey data "can be generalized to the entire state population of live births" during one calendar year. In actuality, survey participants for PRAMS are randomly drawn from birth registration records, so that data collected on infants are limited to one infant per survey participant, regardless of whether the survey participant had multiple births. This criterion typically excludes about 2% of births from the sample frame. Thus, PRAMS data is representative of the entire population of pregnancies which resulted in a live birth. For data on the entire population of live births in Florida, please use CHARTS Florida Birth Query System.

New:                                                                                                                              Pre-Pregnancy BMI and Related Maternal Health and Infant Outcomes Among Mothers in Florida, 2009-2011

2000-2011 PRAMS Trend Report

PRAMS Annual Surveillance Data Books

Phase VII (2012 - 2014)

Florida PRAMS 2015 Surveillance Data Book                                                                 Florida PRAMS 2014 Surveillance Data Book                                                   Florida PRAMS 2013 Surveillance Data Book                                                   Florida PRAMS 2012 Surveillance Data Book

Phase VI (2009 - 2011)
Florida PRAMS 2011 Surveillance Data Book
Florida PRAMS 2010 Surveillance Data Book
Florida PRAMS 2009 Surveillance Data Book

Phase V (2004 - 2008)
Florida PRAMS 2008 Surveillance Data Book
Florida PRAMS 2005 Surveillance Data Book
Florida PRAMS 2004 Surveillance Data Book

Phase IV (2000 - 2003)
Florida PRAMS 2003 Surveillance Data Book
Florida PRAMS 2002 Surveillance Data Book
Florida PRAMS 2001 Surveillance Data Book
Florida PRAMS 2000 Surveillance Data Book

Local PRAMS Data

Phase V (2004 - 2008)

The following reports contain data from 2004 and 2005:

Broward              Orange
Duval                  Palm Beach
Hillsborough       Pinellas
Miami-Dade        Polk

Special Reports

Breastfeeding 2011
Cesarean Delivery 2011
Cigarette Smoking During Pregnancy 2011
Infant Sleep Position 2011
Preterm Birth 2011 (English)
Preterm Birth 2011 (Spanish)

Breastfeeding 2010
Infant Sleep Position 2010
Cigarette Smoking During Pregnancy 2010
Postpartum Depression 2010

Breastfeeding 2009
Infant Sleep Position 2009
Cigarette Smoking During Pregnancy 2009

Cigarette Smoking During Pregnancy 2008
Infant Sleep Position 2008
Knowledge of Folic Acid 2008
Multivitamin and Folic Acid Consumption 2008
Teen Pregnancy 2008

Dataset Request

If you want to obtain a data set with which to conduct your own data analysis, please see our Data Request Guidelines

Data Analysis Report

If you want our statisticians to conduct analysis for you and provide you with the results, please send your request to:

FL PRAMS Coordinator
Florida Department of Health
4025 Esplanade Way, Bin A24 
Tallahassee, FL, 32311
Phone: 850-558-9684
Fax: 850-414-6091                                                                                 

In your request, please explain precisely which question(s) or variable(s) are of interest and how to analyze the data (e.g. data year, age or racial/ethnic group, region, etc.).  All requests will be processed in a timely manner on a first-come, first-serve basis. Once your study is finished, please provide a courtesy copy of any articles and/or reports to the Department of Health based on the PRAMS data provided from the request.

Please note: Florida has a very broad public records law.  Most written communications to or from state officials regarding state business are public records available to the public and media upon request.  Your e-mail communications may therefore be subject to public disclosure.