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Women are more susceptible to depression than men and depression around the childbearing years has shown to have deleterious birth outcomes. This study investigated the associations between depression and mental health treatment among particular birth outcomes. Participants included a total of 611 pregnant women, from two separate obstetrics clinics in the southeast, who completed the PHQ-9, a depression screening measure. Birth outcome information was gathered via medical record search and completed on all subjects. About 12% of women scored above the cutoff for elevated depression. Significant differences between education, race, and income were found among most birth outcomes. No significant association was found between depression, mental health treatment, and birth outcomes, but those who had adverse birth outcomes rated higher in terms of severity on particular depressive symptoms of the PHQ-9. Though the possible effectiveness of mental health treatment was not observed based on this cross-sectional study, future research should aim at understanding the role treatment has during pregnancy to treat depression and its relationship to relative birth outcomes.