This study tests if **community-based patient navigators** can help improve health for pregnant women who are at high risk. A patient navigator is someone who helps guide patients through the healthcare system. The study will include 540 pregnant women who are less than 20 weeks pregnant. These women will be randomly placed into two groups. One group will receive regular care, while the other group will get extra help from a community-based patient navigator from mid-pregnancy until 12 months after giving birth.

Participants will be asked to complete **questionnaires** and have their medical records reviewed. They will be compensated for their time. The study aims to reduce serious health problems during and after pregnancy, especially for Black women who have a higher risk of these issues.

Key Points:

• The study lasts from mid-pregnancy to 12 months after giving birth.
• Participants will receive compensation for their time.
• The study aims to improve maternal health and reduce racial disparities.

Women eligible for the study need to be Black, at least 18 years old, covered by Medicaid, and have some unmet social needs. Those who plan to leave the Atlanta area, are incarcerated, or cannot speak English are not eligible.