Inclusion Criteria:  Providing informed consent; Ability to read and speak English or Spanish Pregnant at 14-20 weeks gestation with one fetus, gestational dating will be reviewed before enrollment via ultrasound administered per standard of care Intrauterine pregnancy Self-identification as Latina of Mexican heritage Age 18 to 45 years Born in Mexico or U.S. born and currently living in the U.S. Medicaid or other government supported insurance Women who score 10 or greater on the Center for Epidemiological Studies Depression Scale (CES-D) OR 5 or greater on the Generalized Anxiety Disorder-7 scale (GAD-7), or 14 or > on the Perceived Stress Scale as administered by clinical staff of the participating provider Willingness to adhere to the MLI regimen or usual care regimen Women who develop GDM after enrollment in the study will remain in the study. °Development of hypertension or preeclampsia, pyelonephritis, or GDM will be considered an effect modifier in analysis of infant outcomes.  Exclusion Criteria:  After initial review of the electronic health record (EHR):  Major systemic infections such as HIV, hepatitis <18 years of age Enrollment in a prenatal program such as the Nurse Family Partnership Severe cognitive or psychiatric impairment per judgment of providers, that precludes cooperation with study protocol Inability to read English or Spanish