Inclusion Criteria:  Female Less than 45 years old History of preterm birth (< 34 weeks gestational age or 34 - 36 weeks with identifiable risk factors for recurrent preterm birth which may include low preventive care utilization, tobacco use, obesity, depression or anxiety, or history of unmet contraceptive needs) Intention to seek pediatric care at one of two pediatric primary care sites Medicaid insurance  Exclusion Criteria:  History of sterilization procedure. Plan to move away from the area or transfer pediatric primary care within six months of enrollment. Limited English proficiency