Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, (Logsdon, 2000;Norbeck & Tilden, 1983).This can lead to stress, which directly and indirectly affects maternal and fetal well being.Complications Although extensive research has been conducted over the past 30 years validating the link between psychosocial factors and perinatal outcomes, little attention is given to these in the perinatal setting. Obstetrical providers are still relying on biomedical and demographic information alone to determine perinatal risk.Women in the military are a vulnerable population at risk for antepartum, intrapartum, and postpartum complications (Magann & Nolan, 1991;Rosen & Evans, 2000). The lack of social support due to geographic separation from family, friends, and often times, partners, seems to be contributory to their risk. This is significant since studies have shown that social support can buffer the detrimental effects of stress.The purpose of the proposed innovation is twofold. One, to heighten military provider awareness of the impact stress and psychosocial variables have on perinatal outcomes. Two, to incorporate psychosocial risk assessment and strategies to counter those risks throughout routine prenatal care.The proposed innovation will be a one-day continuing education program to 50-60 OB/GYN physicians, residents, nurse practitioners, clinical nurses, medical technicians, and inpatient nurse managers providing care at Wilford Hall Medical Center, San Antonio, Texas. The innovation will continue over 12 months by utilizing The Prenatal Psychosocial Profile (PPP) at least three times over the course of the pregnancy to assess stress, social support, and self-esteem. Formal documentation and intervention strategies will be readily accessible to providers.Evaluation of the program will include pre-and post-attitudinal questionnaires along with a program evaluation. A follow-up questionnaire will be administered at one year to all healthcare personnel providing OB/GYN services to evaluate the acceptance of psychosocial evaluation and input for the decision making process to accept, modify, or adopt the innovation. Evaluation will also include review of prenatal records at three, six, and twelve months to determine if the PPP is being utilized, psychosocial risks are being addressed, and appropriate interventions are being recommended.