The purpose of the study is to assess if the Fresh Connect food prescription (Fresh Connect Food Rx) program that provides consistent access to healthy fresh produce through purchases at the grocery store plus nutrition education impacts gestational weight gain, other pregnancy and birth outcomes, and food and nutrition security in low-income, ethnically diverse, at-risk women residing in Houston, Texas. Enrollment of participants will begin in pregnancy at the time of the first prenatal visit (as long as the first visit occurs before the end of the first trimester); each participant will be followed until 60 days post-partum (up to 11 months follow-up per participant).
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Absolute gestational weight gain (GWG) in pounds
Timeframe: From the start of the first trimester of pregnancy to the end of the first trimester of pregnancy (3 months)
Absolute gestational weight gain (GWG) in pounds
Timeframe: From the start of the second trimester of pregnancy to the end of the second trimester of pregnancy (3 months)
Absolute gestational weight gain (GWG) in pounds
Timeframe: From the start of the third trimester of pregnancy to the end of the third trimester of pregnancy (3 months)
Excess gestational weight gain (EGWG) in pounds
Timeframe: From the start of the first trimester of pregnancy to the end of the first trimester of pregnancy (3 months)
Excess gestational weight gain (EGWG) in pounds
Timeframe: From the start of the second trimester of pregnancy to the end of the second trimester of pregnancy (3 months)
Excess gestational weight gain (EGWG) in pounds
Timeframe: From the start of the third trimester of pregnancy to the end of the third trimester of pregnancy (3 months)