Commonwealth Fund January 20, 2026
The United States has far higher maternal and infant mortality rates compared to other high-income nations, and stark geographic and racial/ethnic disparities. Timely, high-quality data on the factors contributing to poor and inequitable maternal-infant outcomes is critical for developing and evaluating interventions to address this longstanding public health crisis.
One key source of such data — the Pregnancy Risk Assessment Monitoring System (PRAMS) — is under threat. PRAMS, which is led by the Centers for Disease Control and Prevention (CDC) in collaboration with state and city health departments, plays a crucial role in the health of U.S. mothers and babies. By collecting information directly from mothers on maternal health, health behaviors, and experiences before, during, and after pregnancy, PRAMS helps...
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