Public health nurses began individualized services in the 2nd trimester and continued through the infant’s 2nd birthday. Specific visitation protocols were developed and followed every week until the baby’s birth, weekly for the first 6 weeks, twice a month until the 21st postpartum month, and then monthly until the child’s 2nd birthday. Prenatal visits focused on behavior changes to improve pregnancy outcomes (nutrition, smoking and substance use cessation, signs and symptoms of pregnancy complications, such as urinary tract infections, sexually transmitted infections, and hypertension).