The 4th Trimester Initiative: The Impact of Parental Support on Pregnant Trainee Wellbeing

The goal of this clinical trial is to determine the impact of a parental support package for new trainee mothers which focuses on mentorship, lactation, and sleep, and access to perinatal care. The main questions it aims to answer are whether this set of interventions will improve trainee wellbeing and decrease medical error. Participants will be randomized to intervention and control groups. The intervention group will receive: 1. A Snoo smart sleep bassinet 2. A Willow wearable breast pump 3. Access to Maven Clinic for 24/7 on-demand perinatal care 4. A faculty mentor in their own department The control group will receive the standard support currently offered by training programs. All participants will wear a Fitbit to track sleep and will take a series of surveys querying pregnancy, birth, and postpartum experiences; wellbeing; and professional satisfaction. Researchers will compare intervention and control groups to see if the intervention group has: 1. decreased rates of burnout 2. increased professional fulfillment 3. decreased thoughts of leaving the profession 4. increased perception of organizational and personal value alignment 5. increased sleep 6. decreased risk of medical errors 7. increased personal fulfillment of breastfeeding goals 8. decreased risk of postpartum depression

Inclusion Criteria: * Pregnant residents and fellows at ≥12 weeks' gestation * Part of a residency or fellowship training program at MGH, BWH, BCH, Tufts Medical Center, Brown University, Hartford Healthcare or BIDMC during pregnancy and for 6 months postpartum * Clinically active and will remain clinically active until 6 months postpartum Exclusion Criteria: * Nonclinical setting/dedicated research time * Planned leave of ≥16 weeks * Completing training within 6 months postpartum * Maternal or fetal comorbidity precluding use of the support package * Non-birthing parent