We hypothesize that relative to families who receive standard individual postpartum and pediatric care, families that receive group care will be more likely to have:

• Improved maternal and child health behaviors: i.e increased breastfeeding, exercise, child safety measures in the home and decreased smoking.
• Better health care use for babies: i.e. attend more care visits, on-time and complete immunizations and decreased emergency services use.
• Better psychosocial outcomes for the families: i.e. decreased stress and depression, and increased social support.
• Improved parenting skills: i.e. improved knowledge of child development, involvement in developmentally appropriate activities, and parental sense of competence.

Inclusion Criteria:

• Postpartum woman with baby in her care
• Receive well-woman care, well-child care and interviews in English
• Willingness to receive care in a group setting
• Woman planning to receive care at the Yale Women's Center for herself and the Primary Care Center for her baby

Exclusion Criteria:

• severe medical problem requiring individualized care for mother or baby
• Baby born at less than 37 weeks gestation
• Baby remaining in hospital when mother getting discharged for any other reason except hyperbilirubinemia
• Baby with severe cardiac, respiratory, neuro-developmental or surgical problems