Group prenatal care with adolescents has been shown to be an effective model to reduce rates of low birth weight and increase patient satisfaction. For 25 years St. Peter Family Medicine in Olympia, WA has operated an adolescent group prenatal care program (“Adolescent OB,” or, “ADOB”) that incorporates group-based, resident/student led education in pregnancy and newborn care and facilitation of peer support (group is paused during Covid). The program includes the faculty preceptor, behavioral health provider, dietician and integration with community partners. The afternoon ADOB clinic ends with a multidisciplinary team consultation for patient care planning. This group also functions as psychological support for providers and staff exposed to the experiences of this high-risk population. Third-year residents are assigned to a 6-month rotation and join ADOB every other week providing continuity prenatal and OB care. The ADOB clinic involves a 45-minute adolescent medicine didactic led by residency faculty. Curriculum is interactive and topics include, assessment, STIs and teen sexuality, teen pregnancy nutrition and eating disorders, adolescent mental health, paternity and crying baby plans (e.g., Period of Purple Crying) and other topics. Feedback from patients and residents has been positive. Residents witness the growth and transformation as teens become parents.