Montana Pregnancy Risk Assessment Monitoring System

The Montana Pregnancy Risk Assessment Monitoring System (PRAMS) is a random, population-based survey of Montana moms about maternal behaviors and experiences before, during, and after pregnancy. The project is a collaborative effort with the Centers for Disease Control and Prevention (CDC). Our purpose is to find out why some babies are born unhealthy and others are not. To do this, our survey asks new mothers questions about their behaviors and experiences around the time of their pregnancy. 



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Montana PRAMS began data collection in 2017 with the Phase 8 questionnaire. Every four years, the questionnaire is revised to address current and important issues for mothers and newborns, and a new Phase begins. Each year Montana samples approximately 1,700 new mothers that have given birth to a live-born infant.  From the aggregate of all births known to Montana Vital Statistics, a complex sampling strategy has been designed to draw random samples.

The 2020 sampling method was designed to oversample American Indian/Alaska Native mothers. The 2021 sampling method is currently under development.

Stratum 1: American Indian / Alaska Native

Stratum 2: Non-American Indian / Alaska Native

PRAMS is primarily a mail surveillance project with telephone follow-up of non-responders. Participants are surveyed by a mailed questionnaire 3-6 months after giving birth, which is followed up by a telephone interview if no response is received from the mailed survey.

FAQs - For Selected Moms

How was I chosen to participate in PRAMS?

Your name was picked by chance, like in a lottery, from the state birth certificate registry. You are one of a small number of women who were chosen to help us in this study.

Is it really important that I answer these questions?

Yes! Because of the small number of mothers picked, it is important to have everyone’s answers. Every pregnancy is different. To get a better picture of overall health of mothers and babies in Montana, we need each mother selected to answer the questions. From the information you give us, we may be able to improve health care for women and children in Montana.

Will my answers be kept private?

Yes – all answers are kept completely private to the extent permitted by law. All answers given on the questionnaires will be grouped together to give us information on Montana mothers of new babies. In reports from this survey, no woman will be identified by name.

Why is the University of Alabama calling me?

Unfortunately we are not able to conduct the phone portion of the survey ourselves. The University of Alabama, Birmingham was selected to help with the phone surveys based on their many years of experience working with PRAMS and their dedication to collecting high quality data.

What if I want to ask more questions about PRAMS?

Please call our PRAMS Director, Miriam Naiman-Sessions, directly at 406-444-1921 or at our toll-free number, 1-800-762-9891. We will be happy to answer any other questions you may have about PRAMS.

FAQs - Data Users

Montana has 2017 and 2018 data available for analysis on an as-requested basis. Data tables for public release are forthcoming. To request data, please contact our PRAMS Epidemiologist, Carrie Jo Riordan, directly at


Resources for Moms

Printable Resource Guide

Montana PRAMS Resource Guide
Early Childhood and Family Support Division Hotline 1-800-762-9891
Child Care Resources
Best Beginnings Scholarship Application
Best Beginnings STARS to Quality Program
General Childcare Resources
Licensed Provider Search
Parenting Support
Healthy Montana Families Home Visiting 406-444-0969;
Healthy Mothers, Healthy Babies – MT Coalition
MT Breastfeeding Coalition
MT Parent Magazine
National Military Family Association
Parenting Montana
Postpartum Support International National Hotline: 1-800-944-4773 Southwest MT: 406-548-4675 Bozeman: 406-570-0738 Missoula:           406-370-7747Whitefish: 434-806-8367
Text 4 Baby Text4Baby app available for iPhone and Android
Children’s Health and Nutrition Services & Insurance
Child & Adult Care Food Program (CACFP)
Healthy Montana Kids (Children's Medicaid & Children's Health Insurance Program) 1-877-KidsNow (1-877-543-7669);
Medicaid Early & Periodic Screening, Diagnosis & Treatment (EPSDT)
Oral Health Program 406-444-2660;
Women, Infants, and Children (WIC) (Supplemental Nutrition Help) 1-800-433-4298;;
Child Safety
Car Seat Safety 1-877-330-BUCKL (877-330-2825)
Child Abuse Hotline 1-866-820-5437
Infant/Child CPR 1-800-733-2767;
National Poison Control 1-800-222-1222; webPOISONCONTROL app available for iPhone and Android
Recalls and Product Safety United States Consumer Product Safety Commission
Safe Kids – local chapters throughout Montana
For Teens and Young Parents
Healthy Young Parent Program
My Life, My Quit for Teens Text “StartMyQuit” to 1-855-891-9989, call or
Safe Teens 1-866-SAFE-TEENS or text SAFE to 57890
Teen Line 1-800-TLC-TEEN or text TEEN to 839863


Human & Community Services
Healthy Montana Kids (Free or Low-Cost Health Insurance Options) 1-877-KidsNow (1-877-543-7669);
Public Assistance 1-888-706-1535
SNAP (Supplemental Nutrition Assistance Program)
TANF (Temporary Assistance for Needy Families)
General Community Resources
Montana 2-1-1 Help Line Dial: 2-1-1;
Montana Law Help
Family Planning Services
Title X Family Planning Program
Domestic and Sexual Assault Support
Domestic Violence Hotline 1-800-799-7233;
Montana Coalition Against Domestic & Sexual Violence
Sexual Assault Hotline 1-800-656-HOPE (1-800-656-4673)
Services for Children with Special Health Needs
Children’s Special Health Services Financial Assistance Program
Genetic Financial Assistance Program
Medical Home Portal
Newborn Hearing and Screening (406) 444-1216;
Parent Partner Program (406) 281-8751;
Pediatric Psychiatry Program - MAPP-Net (Montana Access to Pediatric Psychiatry Network) 1-844-922-MAPP (844-922-6277)
Transition Resources
Mental Health and Suicide Prevention
MT Crisis & Suicide Prevention Line 1-800-273-TALK (1-800-273-8255) or text “MT” to 741741
NAMI (National Alliance on Mental Illness) Montana
State of Montana Suicide Prevention
Tobacco Cessation and Substance Abuse Support
American Indian Quit Line 1-855-372-0037;
MT Alcoholics Anonymous 1-888-607-2000;
MT Region Narcotics Anonymous 1-800-990-6262;
MT Tobacco Quit Line 1-866-485-QUIT (7848)
My Life, My Quit for Teens Text “StartMyQuit” to 1-855-891-9989, call or
Substance Abuse & Mental Health Helpline 1-800-662-HELP (4357);
Tobacco Cessation Program for Pregnant or New Moms (additional services available during pregnancy & postpartum) htps://
Adoption Support
Adopt Us Kids 1-866-9FOSTER (866-936-7837);
Catholic Social Services of Montana 1-800-BABY-DUE (800-222-9383);
Bereavement Support
The Compassionate Friends
First Candle 1-800-221-7437;
Ramsey Keller Memorial