Montana Pregnancy Risk Assessment Monitoring System

Montana PRAMS Rectangle Logo

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. 


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


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


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:           406-370-7747                         Whitefish: 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


Women, Infants, and Children (WIC) (Supplemental Nutrition Help)


Child Safety

Car Seat Safety

1-877-330-BUCKL (877-330-2825)

Child Abuse Hotline


Infant/Child CPR


National Poison Control


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


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


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


MT Alcoholics Anonymous


MT Region Narcotics Anonymous


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)


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


Ramsey Keller Memorial