Healthier At-home Meals for Expectant Mothers

This study is being done to test the feasibility, acceptability, and preliminary efficacy of a meal delivery intervention for managing gestational weight gain among pregnant women with overweight or obesity.

Inclusion Criteria: * Age ≥ 18 years * Gestational age ≤ 15 weeks as assessed by ultrasound * Body mass index (BMI) ≥ 25 kg/m2 * Singleton viable pregnancy * Receiving care and planning to deliver at UAB * Residing within the delivery radius of the meal delivery company * Wi-Fi or Bluetooth Internet connection in home (for digital Wi-Fi enabled study scale) Exclusion Criteria: * Self-reported major health conditions (e.g., heart disease, cancer, renal disease, and Type 1 or Type 2 diabetes) * Current substance abuse * Current treatment for serious psychiatric disorder (schizophrenia, bipolar disorder) * Known fetal anomaly * Planned termination of pregnancy * Past history or current diagnosis of anorexia or bulimia * Current use of one or more of the following medications: * Metformin * Systemic steroids * Antipsychotic agents * Anti-seizure medications or mood stabilizers that would be expected to have a significant impact on body weight * Medications for ADHD including amphetamines and methylphenidate * Any teratogenic agent Class D * Participation in another dietary and/or weight management intervention during pregnancy * Unwilling or unable to consume prepared meals delivered weekly * Unable to understand and communicate in verbal and written English