Preventing Obstetric Complications With Dietary Intervention

Inclusion criteria

• Age at enrollment ≥ 18 years of age
• Receiving prenatal care at Froedtert
• ≤ 16 weeks and 6 days of gestation
• At risk of preeclampsia, defined as being eligible for low dose aspirin treatment AND/OR at risk for gestational diabetes defined as having a history of gestational diabetes, OR previously given birth to an infant weighing ≥ 4000 g, OR has a diagnosis of PCOS
• Pre-pregnancy Body Mass Index ≥ 25 kg/m^2
• Resides in Milwaukee County at time of consent
• Low socio-economic status (<200% of FPL defined as receiving Medicaid)
• Able to read and communicate in English
• Has access to a smart device/computer with reliable internet connection
• Has access to a working refrigerator
• Viable singleton pregnancy

Exclusion criteria

• Diagnosed with Type I or Type II Diabetes or Hemoglobin A1C ≥ 6.5%
• Diagnosed with End Stage Renal Disease
• Use of weight-increasing psychotropic agents
• Active inflammatory bowel disease, or history of bowel resection or malabsorptive syndrome, or history of bariatric surgery
• Significant food allergies, preferences or dietary requirements that would interfere with diet adherence
• Multifetal gestation
• Active substance use that would preclude program adherence
• Chronic use of oral corticosteroids
• Unable to provide informed consent