Review of the problems encountered when attempting to provide high-quality, efficient prenatal care to patients in a residency office and hospital OB clinic. Review of the process of developing a customized, problem-based EMR to support provision of high quality, evidence-base prenatal care. Demonstration of many of the features of the custom prenatal EMR that we developed. Review of the significant improvement in several outcomes measures since the introduction of this EMR. FMDRL_ID: 3081#STFMNortheastRegionMeeting #Conferences