• Prior to ACA, access to care - enrollments are lapsing, coverage is being reduced so they aren't accessing care in a timely fashion or at all
• Limits for undocumented immigrants to access care
• Smoking, substance use/abuse by mom
• maternal pre-existing conditions - general overall health of pregnant moms is not ideal
• access to good nutrition, families living in food deserts
• would have to pay out of pocket for pre-natal care if there is no health insurance or appropriate coverage
• non-compliance or apathy in home
• lack of trust with providers
• lack of providers that accept MA
• unintentional pregnancies vs. planned pregnancy
• short pregnancy intervals between children
• environmental stressors: lack of housing, transient, etc.
• lack of transportation to access prenatal care
• lack of knowledge about resources
• lack of education about good pregnancy/prenatal care
• parents with high ACE scores
• domestic violence
• poverty

• outpatient OB providers
• hospitals
• primary care physician
• early head start
• storks nest
• Health Dept
• DSS
• Partnership
• Centering Program
• ITP (school system)
• methadone and other treatment programs
• Judy Center
• MCO's/commercial payers
• Planned Parenthood
• Pregnancy Center
• Birthing Centers
• Doula's
• March of Dimes
• Dept. of Transportation

• Centering Program - group prenatal care through whole pregnancy (cohort of support) education & care
• WIC 
• Healthy Start
• Childbirth Classes
• Stork's Nest
• Community-based parenting/birthing classes
• OB quality incentive program (Amerigroup)
• Incentive Programs for moms
• Long-acting reverisable contraception
• Pregnancy planning

• Healthy Start - particularly focusing on racial disparities
• Stork's Nest
• Incentive programs for moms - perhaps build one here?

The percent of all births and births in selected racial groups with birth weight less than 2,500 grams (approximately 5.5 pounds).