Inclusion Criteria:  At least 18 years of age Prenatal BMI greater than or equal to 30 At least 28 weeks gestation English speaking Singleton pregnancy  Exclusion Criteria:  Preexisting diabetes Use of medications known to affect weight (example, second generation antipsychotics) Enrolled in current weight management programming Recent weight loss surgery (within the past 3 years) Women who endorse acute psychiatric symptoms (e.g., suicidality) that warrant immediate treatment will be excluded and referred for care.