• PRAMS uses a confidential survey to identify and monitor selected maternal attitudes, behaviors, and experiences before, during, and after pregnancy – information that is not routinely available from other sources. • Each month about 165 women who recently gave birth are randomly chosen to receive the survey by mail. About 2,000 women will be surveyed each year. • PRAMS surveys all mothers who deliver a low birth weight baby • PRAMS over-samples births in the core cities of Central Falls, Newport, Pawtucket, Providence, West Warwick, and Woonsocket. • Women recieve a gift card with the first survey as a thank you gift. • In an effort to obtain a high response rate, the survey is mailed out a second and third time to women who do not respond to the initial mailing. • Women who do not respond after three mailings are called and offered the opportunity to complete the survey over the telephone. • Surveys are available in English and Spanish. Telephone interviews can also be completed in