Health professionals who serve expecting mothers understand the quality of care they provide to the women they support. It is impossible for any one person or clinic to identify strengths and weaknesses in prenatal care at the population level. To provide this important perspective on completeness of prenatal care, both successes and missed opportunities, we turn to the thousands of mothers who complete the MI PRAMS survey each year. MI PRAMS mothers tell us about their behaviors and experiences which helps us better understand their actions surrounding health and pregnancy, providing opportunities for providers to reduce health risks. This presentation will outline the state of prenatal care in Michigan as well as how traumatic experiences during childhood may influence a mother’s behaviors during pregnancy.