Inclusion Criteria:  At least 14 years of age Less than 16 weeks gestation English speaking Singleton pregnancy Receiving care at Magee-Womens Hospital, Latterman family health or other UPMC practices that provide obstetric care  Exclusion Criteria:  Preexisting diabetes Use of medications known to affect weight Enrolled in current weight management programming History of weight loss surgery Women who endorse acute psychiatric symptoms (e.g., suicidality) that warrant immediate care