Healthier At-home Meals for Expectant Mothers

Use of Home-delivered Meals to Reduce Excessive Gestational Weight Gain for High-risk Women

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