Text messaging presents an opportunity to provide low-cost, multilingual communication that is easily delivered between visits. This small-scale pilot study demonstrates the usefulness of text messaging to improve provider reach and engagement in prenatal care for at-risk women. The obstetric team at Lynn Community Health Center (LCHC) is working hard to promote healthy outcomes by ensuring that women receive the appropriate level of prenatal care. The team strives to deliver culturally sensitive and patient-centered care. Even so, there are barriers to such care, including a wide range of socioeconomic, demographic, physical, or psychological disabilities, which may cause a woman to delay or not enter into care at all.