Abstract PRAMS is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments. DC PRAMS is a population-based surveillance on selected maternal behaviors and experiences that occur prior to, during, and shortly after pregnancy, including emerging issues (e.g., COVID-19), among women with a recent birth. Mothers are selected at random from DC birth registration system. Expected outcomes are: 1) Timely, high quality data source that is representative of mothers who recently gave birth in DC that can be used to monitor prevalence of maternal behaviors and experiences to inform programs, research and system changes that influence maternal and infant health. 2) Data will be available to CDC and DC Health, and other partners for studies of surrounding maternal behaviors and experiences before, during, and shortly after pregnancy. 3) DC Health and CDC will use the PRAMS methodology to obtain data to inform the rapidly emerging issues related to maternal and child health that arise during the data collection cycle, including post-disaster or emergency surveillance, for example, COVID-19.