The purpose of this quality improvement project was to update third trimester patient education material and increase engagement with material between midwives and patients. There were three specific aims: At least 80% of midwives to report updated material as "very helpful," at least 80% of eligible patients (27 weeks - 33 weeks) would receive the updated packet from the midwife, and at least 80% of patients who received the updated packet would review it with the midwife. Midwives were asked to respond to a survey after each clinic day that they provided the updated packet to patients, responding to both close-ended and open-ended questions.