A Modernized Approach to Prenatal Care in Low Risk Women

Inclusion Criteria: * Age \< 35 * Doesn't live alone * Current phone number * Previous pregnancy * No prior second trimester miscarriage/fetal loss after 13 weeks * Previous delivery * If yes, all had uncomplicated antepartum course * All Deliveries \> 37 weeks * All birth weight \> 2700 grams * Maternal BMI between 18.5 and 30 * No chronic medical problems * No current substance abuse * Spontaneous conception * No family history of pre-eclampsia * Agrees to first trimester aneuploidy screening Exclusion Criteria: * Clinically significant abnormalities on routine physical exam or routine laboratory results * Multiple pregnancy * Fetal abnormalities detected on either the 11-14 week or the 18 week ultrasound including a nuchal translucency \> 3 mm but not including second trimester markers for aneuploidy or a low lying placenta * A risk of fetal aneuploidy on first trimester screening \> 1:300 PAPP-A \< 5 %ile or HCG \< 1 %ile (abnormalities of these serum analytes routinely obtained as part of aneuploidy screening are associated with an increased risk of adverse outcome) * Elevated blood pressure (\> 140/90), * Cervical length \< 3 cm at the 18 week ultrasound (which is associated with an increased risk for preterm delivery).