Preventing Obstetric Complications With Dietary Intervention

Inclusion criteria: 1. Age at enrollment ≥ 18 years of age 2. Receiving prenatal care at Froedtert 3. ≤ 16 weeks and 6 days of gestation 4. 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 5. Pre-pregnancy Body Mass Index ≥ 25 kg/m\^2 6. Resides in Milwaukee County at time of consent 7. Low socio-economic status (\<200% of FPL defined as receiving Medicaid) 8. Able to read and communicate in English 9. Has access to a smart device/computer with reliable internet connection 10. Has access to a working refrigerator 11. Viable singleton pregnancy Exclusion criteria: 1. Diagnosed with Type I or Type II Diabetes or Hemoglobin A1C ≥ 6.5% 2. Diagnosed with End Stage Renal Disease 3. Use of weight-increasing psychotropic agents 4. Active inflammatory bowel disease, or history of bowel resection or malabsorptive syndrome, or history of bariatric surgery 5. Significant food allergies, preferences or dietary requirements that would interfere with diet adherence 6. Multifetal gestation 7. Active substance use that would preclude program adherence 8. Chronic use of oral corticosteroids 9. Unable to provide informed consent