Prenatal and Postpartum-
Preconception Risk Overviews

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Terms and Conditions



The PRO screens pregnant women for psychosocial risk factors that may affect a healthy pregnancy or birth or impede a woman’s ability to comply with prenatal care recommendations.

The PRO was developed by the Minneapolis Health Department, originally for the health care clinics and social service agencies that served as Twin Cities Healthy Start program sites. It is now available at no cost to any registered user. The PRO screens for 15 risk domains addressing basic needs, social support, interpersonal violence, mental health, substance use, legal problems, and child protection services involvement, and categorizes risk levels as low, moderate, or high.


The P-PRO screens women for psychosocial risk factors during the postpartum or preconception periods. The domains are identical to those in the PRO but some of the time frames differ. The time frame changes allow for repeat administration of the P-PRO if desired.

Development of the Prenatal Risk Overview and this website were supported in part by Twin Cities Healthy Start administered by the Minneapolis Health Department, project number H49MC00073 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act). The Pregnancy Psychosocial Risk Screening Validation Study was funded by Grant Number R40MC07840 from the Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Research Program. The study was implemented at Community-University Health Care Center and NorthPoint Health and Wellness Center in Minneapolis and West Side Community Health Services East Side Family Clinic in St. Paul.

Federal government funding for Twin Cities Healthy Start and the Pregnancy Psychosocial Risk Screening Validation Study does not constitute endorsement by the United States Department of Health & Human Services (HHS) or the Health Resources Services Administration of the PRO screening interview or this website.

The PRO website will not contain information that can be used to identify an individual who was interviewed. The website will assign a unique identification number to each PRO or P-PRO interview. The risk profile reports will include this ID number but not the name of the registrant agency or any demographic descriptors of the individual interviewed.

You can export or print the PRO or P-PRO results which will show the risk level for each domain and the specific responses that elevated the risk level. The final screen will give you a PDF report for printing or saving electronically. You will be also able to log in at a later date to view ID numbers for the list of interviews you conducted and to access corresponding reports. Because the system does not store unique client identifiers, we recommend that you maintain a master list that matches PRO or P-PRO IDs with identifiers such as name and DOB or medical record number. An example of such a list is available for download on the PRO website.

The USER GUIDE contains more information about the screening system, matching PRO or P-PRO interview IDs to client identities, comparing results over time for the same client, and downloading data.