Skip to main content

The Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS)

The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing, statewide study that collects information about a woman’s behaviors and experiences before, during and after pregnancy. Oklahoma PRAMS is funded by the Centers for Disease Control and Prevention (CDC), the Title V Maternal and Child Health Block Grant and the Oklahoma State Department of Health.  Thirty-six other states conduct a PRAMS survey.  Oklahoma has been a PRAMS participant since the CDC project began in 1988.

The purpose of PRAMS is to discover why some babies are born healthy and why others are not, in an effort to increase the numbers of babies in Oklahoma who are born healthy. The information is used to help guide programs and health policy in Oklahoma and to help make better use of limited resources.

On a monthly basis, Oklahoma PRAMS randomly samples between 200 and 250 new mothers from Oklahoma birth certificates. Mothers are sent as many as three mail questionnaires, with follow-up phone interviews for women who do not respond to the mailed surveys. All information is kept confidential.

Oklahoma currently collects PRAMS data on the following topics: health insurance, prenatal care, breastfeeding, maternal smoking and secondhand smoke exposure, alcohol use, social support and family planning.

Preparing for a Lifetime, It's Everyone's Responsibility Learn what you can do to help ensure the health and safety of Oklahoma's babies.

PRAMSgrams have been converted to .PDF files and may be downloaded from the archive below. The .PDF file format is only viewable with the Adobe(TM) Acrobat(TM) Reader. If you do not already have the Acrobat(TM) reader, you may get it FREE from Adobe(TM)

For more recent data on any topic go to CPONDER or contact Paul Patrick

Age (Maternal)
Rapid Repeat Births among Oklahoma Teens August 2018 (338.1k)
PRAMS Brief - Birth Control Practices among Oklahoma Teen Mothers August 2017 (527.4K)
Adolescent Pregnancy (237k .pdf) - Fall 2005
Primparous and Multiparous Mothers Age 35 and Older in Oklahoma Summer 1998 (4.4m)
First Time Mothers Age 35 and Older in Oklahoma (45k .pdf) - Spring 1998
The Association Between Mother's Age At First Birth And Education (170k .pdf) - Spring 1995
Repeat Births to Teens in Oklahoma (61k .pdf) - Spring 1997

Alcohol
Pre-Pregnancy Binge Drinking and Postpartum Depression (473k pdf) - Summer 2013
Prepregnancy Alcohol Use Brief (618.9k pdf) - Fall 2012

Birth Control/Family Planning
PRAMS Brief - Birth Control Practices among Oklahoma Teen Mothers August 2017 (527.4K)
Patterns of Postpartum Birth Control Use after an Unintended Pregnancy (841k) Summer 2016

Birth Defects
Birth Defects in Oklahoma (940.8k .pdf) - Summer 2012

Birthweight
Prenatal Weight Gain And Birth Weight Among Oklahoma Mothers (139k .pdf) - Spring 1996

Breastfeeding
Breastfeeding Facts at a GlanceFeb 2020 (511k)
Bed-Sharing Practices Among First Time Mothers Who Breastfed at Least Eight Weeks (811k pdf) August 2014
Duration and Exclusivity of Breastfeeding in Oklahoma Brief (159.6k pdf) - Summer 2012
Breastfeeding, Part II: Duration (145k .pdf) - Summer 2005
Summer 2005 Breastfeeding Duration Insert (235k .pdf)
Breastfeeding, Part I: Initiation (844k .pdf) - Spring 2005
Spring 2005 Breastfeeding Initiation Insert (314k .pdf) 
Breastfeeding Tips Insert Updated 2009 
(745.7k pdf) - 2009

Demographics
Disparities in Chronic Health Conditions May 2019 (764k)
Perinatal Characteristics of Women in Oklahoma: A Comparison Of Communities (146k .pdf) - Summer/Fall 1996

Depression
Pre-Pregnancy Binge Drinking and Postpartum Depression (473k pdf) - Summer 2013
Maternal Depression (229.4k pdf) - Spring 2008
Depression After Delivery Among Oklahoma Mothers (135k .pdf) - Fall 1995

Education
The Association Between Mother's Age At First Birth And Education (170k .pdf) - Spring 1995

Folic Acid
Multivitamin Use Before Pregnancy Among American Indian Mothers (256.3k pdf) April 2014
Folic Acid Knowledge and Multivitamin Use Among Oklahoma Women (72k .pdf) - Summer 1998

Hospital Care
Baby Friendy Hospital Practices in Oklahoma, 2012  (872k pdf) - September 2015

Immunization
Influenza Vaccination and Pregnant Women (166.1k pdf) - Winter 2011
Characteristics of Toddlers and Infants with Up-to-Date Immunization Status (238.3k pdf) - Spring 2011

Native American
PRAMSGRAM - Infant Safe Sleep Practices among Oklahoma American Indian Mothers April 2018 (757.5k)
Multivitamin Use Before Pregnancy Among American Indian Mothers (256.3k pdf) April 2014
Native American Mothers in Oklahoma (1.5mb pdf) Fall 2007
A Comparison of Prenatal Characteristics Between Native American And White Women In Oklahoma (674k .pdf) - Winter 1994

Maternal Obesity
Maternal Overweight and Obesity (1.8m.pdf) - Fall 2006
Pre-pregnancy Maternal Overweight as a Risk Factor for Child Overweight (246.5k pdf) - Spring 2014

Maternity Leave
PRAMS Brief - Unpaid Maternity Leave among Oklahoma Mothers Feb 2019
PRAMS Fact Sheet - Unpaid Maternity Leave among Oklahoma Mothers Feb 2019

Poverty
Poverty Among Oklahoma Women Delivering a Live Birth: A Socio-Demographic Profile (46k .pdf) - Fall 1997

Pregnancy Intention
Unintended Pregnancy (1.8m.pdf) - Spring 2006
Unwanted Pregnancy In Oklahoma (51k .pdf) - Winter 1996
Father's Intention of Pregnancy (653k.pdf) - Winter 2007

Preconception
PRAMS Brief - Preconception Wellness among Mothers with Medicaid August 2017 (158.5k)
Preconception Care and Racial Disparities - Summer 2015 (501k pdf)

Preconception Care and Its Impact in Oklahoma (818.8k pdf) - Summer 2010
Preconception Care (252k.pdf) - Winter 2008

Prenatal Care
Oral Health During Pregnancy PRAMS Brief (789k pdf) September 2016
Barriers to Prenatal Care in Oklahoma (752k pdf)
First Trimester Prenatal Care and Impact on Household Smoking Rules (670k pdf)
Influenza Vaccination and Pregnant Women (166.1k pdf) - Winter 2011
Flu Information for Pregnant Women (429.9 kb)
Prenatal Care Counseling Disparities in Oklahoma (454.9k pdf) - Winter 2009
Initiation Of Prenatal Care Among Women Having A Live Birth In Oklahoma (120k .pdf) - Summer 1995

Preterm Birth
Early Term and Full Term Births in Oklahoma (655.9k pdf)
Early and Late Preterm Birth in Oklahoma (766k pdf) - Summer 2009

Maternal Race

African American Maternal and Child Health Data Review August 2019 (650k)
Preconception Care and Racial Disparities - Summer 2015 (501k pdf)

African American Health Disparities (603.3k pdf) - Summer 2008
Native American Mothers in Oklahoma (1.5mb pdf) Fall 2007
A Comparison of Prenatal Characteristics Between Native American And White Women In Oklahoma (674k .pdf) - Winter 1994
Stressors, Social Supports and Pregnancy Outcomes among African American and White Mothers (708.9k pdf) - Spring 2009
Prenatal Care Counseling Disparities in Oklahoma (454.9k pdf) - Winter 2009

Safe Sleep
PRAMSGRAM - Infant Safe Sleep Practices among Oklahoma American Indian Mothers April 2018 (757.5k)
Bed-Sharing Practices Among First Time Mothers Who Breastfed at Least Eight Weeks (811k pdf) August 2014
Infant Sleep Position (367k.pdf) - Spring 2007
Bed-Sharing with Infants in Oklahoma (609.2k pdf) - Spring 2012

Stress
Pre and Postnatal Stressors (195k pdf) - Spring 2016

Tobacco Use
First Trimester Prenatal Care and Impact on Household Smoking Rules (670k pdf)
Maternal Smoking Brief (435.5k pdf) - October 2011
Maternal Smoking (2.4m.pdf) - Winter 2006 
Women Who Quit Smoking During Pregnancy (60k .pdf) - Summer 1997

PRAMSgrams have been converted to .PDF files and may be downloaded from the archive below. The .PDF file format is only viewable with the Adobe(TM) Acrobat(TM) Reader. If you do not already have the Acrobat(TM) reader, you may get it FREE from Adobe(TM).

2020
Oklahoma Maternal and Child Health Data Review (August 2020)
Breastfeeding Facts at a Glance Feb 2020 (511k)

2019
African American Maternal and Child Health Data Review August 2019 (650k)
PRAMSGRAM - Disparities in Chronic Health Conditions May 2019
 (764k)
PRAMS Brief - Unpaid Maternity Leave among Oklahoma Mothers February 2019
PRAMS Fact Sheet - Unpaid Maternity Leave among Oklahoma Mothers February 2019

2018
Rapid Repeat Births among Oklahoma Teens August 2018 (338.1k)
PRAMSGRAM - Infant Safe Sleep Practices among Oklahoma American Indian Mothers 
April 2018 (757.5k)

2017
PRAMS Brief - Birth Control Practices among Oklahoma Teen Mothers August 2017 (527.4K)
PRAMS Brief - Preconception Wellness among Mothers with Medicaid August 2017 (158.5k)

2016
Oral Health During Pregnancy PRAMS Brief
 (789k pdf) September 2016
Patterns of Postpartum Birth Control Use after an Unintended Pregnancy (841k) Summer 2016
Pre and Postnatal Stressors (195k pdf) - Spring 2016

2015
Baby Friendy Hospital Practices in Oklahoma, 2012  (872k pdf) - September 2015
Preconception Care and Racial Disparities - Summer 2015 (501k pdf)

2014
Barriers to Prenatal Care in Oklahoma (752k pdf)
Bed-Sharing Practices Among First Time Mothers Who Breastfed at Least Eight Weeks (811k pdf) August 2014
Multivitamin Use Before Pregnancy Among American Indian Mothers (256.3k pdf) April 2014
Pre-pregnancy Maternal Overweight as a Risk Factor for Child Overweight (246.5k pdf)

2013
First Trimester Prenatal Care and Impact on Household Smoking Rules (670k pdf)
Early Term and Full Term Births in Oklahoma (655.9k pdf)
Pre-Pregnancy Binge Drinking and Postpartum Depression (473k pdf)

2012
Prepregnancy Alcohol Use Brief (618.9k pdf)
Duration and Exclusivity of Breastfeeding in Oklahoma Brief (159.6k pdf)
Birth Defects in Oklahoma (940.8k .pdf)
Gestational Diabetes among Oklahoma Women (845.6k pdf)
Bed-Sharing with Infants in Oklahoma
 (609.2k pdf)

2011
Influenza Vaccination and Pregnant Women (166.1k pdf)
Flu Information for Pregnant Women (429.9 kb)
Maternal Smoking Brief, October 2011
(435.5 kb)
Characteristics of Toddlers and Infants with Up-to-Date Immunization Status (238.3k pdf)

2010 
Preconception Care and Its Impact in Oklahoma (818.8k pdf)

2009 
Early and Late Preterm Birth in Oklahoma (766k pdf)
Stressors, Social Supports and Pregnancy Outcomes among African American and White Mothers (708.9k pdf)
Prenatal Care Counseling Disparities in Oklahoma (454.9k pdf)

PRAMSGRAM example page2008
African American Health Disparities (603.3k pdf) 
Maternal Depression (229.4k pdf)
Preconception Care (252k.pdf)

2007
Native American Mothers in Oklahoma (1.5mb pdf)
Infant Sleep Position (367k.pdf)
Father's Intention of Pregnancy (653k.pdf)

2006
Maternal Overweight and Obesity (1.8m.pdf)
Unintended Pregnancy (1.8m.pdf)
Maternal Smoking (2.4m.pdf)                                                                                    

2005
Adolescent Pregnancy (237k .pdf) 
Breastfeeding, Part II: Duration (145k .pdf)
Summer 2005 Insert (235k .pdf)
Breastfeeding, Part I: Initiation (844k .pdf) 
Spring 2005 Insert (314k .pdf) 
Breastfeeding Tips Insert Updated 2009
 (745.7k pdf)

1998
Folic Acid Knowledge and Multivitamin Use Among Oklahoma Women (72k .pdf)
First Time Mothers Age 35 and Older in Oklahoma (45k .pdf)
Primiparous and Multiparous Mothers Age 35 and Older in Oklahoma (4.4m pdf)
Healthy People 2000 Objectives (4.1m)

1997
Poverty Among Oklahoma Women Delivering a Live Birth: A Socio-Demographic Profile (46k .pdf)
Women Who Quit Smoking During Pregnancy (60k .pdf)
Repeat Births to Teens in Oklahoma (61k .pdf)

1996
Unwanted Pregnancy In Oklahoma (51k .pdf)
Perinatal Characteristics of Women in Oklahoma: A Comparison Of Communities (146k .pdf)
Prenatal Weight Gain And Birth Weight Among Oklahoma Mothers (139k .pdf)

1995
Depression After Delivery Among Oklahoma Mothers (135k .pdf)
The Association Between Mother's Age At First Birth And Education (170k .pdf)
Initiation Of Prenatal Care Among Women Having A Live Birth In Oklahoma (120k .pdf)

1994
A Comparison of Prenatal Characteristics Between Native American And White Women In Oklahoma (674k .pdf)

  • For more information on PRAMS nationwide please visit www.cdc.gov/prams.  
  • For PRAMS prevalence data from 2000-2008 visit CDC's PRAMS web-based query system at CPONDER
  • For custom reports/analysis or additional variables, contact Binitha Kunnel

Contact Information

Project Administration/Operations:                     
Ayesha Lampkins, MPH
PRAMS/TOTS Project Manager

MCH Assessment
Phone:  (405) 426-8098 or 1-800-766-2223

E-mail:  Ayesha Lampkins

Statistical Inquiries/Data Requests:                     
Binitha Kunnel, MS
Senior Biostatistician
 MCH Assessment
Phone:  (405) 426-8097 or 1-800-766-2223
Email: Binitha Kunnel

Back to Top