Gestational Weight Gain and the Electronic Medical Record (WATE)

Less than one third of pregnant women actually achieve the Institute of Medicine's (IOM) recommended weight gain. To date, there are no randomized controlled trials studying the use of the electronic medical record to alert providers to initiate the counseling of patients on the IOM gestational weight gain recommendations. In the investigator's planned study intervention, using the EPIC EMR system, an electronic alert (Best Practice Advisory) will appear for providers at each prenatal care visit. This alert will remind providers to counsel patients on the recommendations for gestational weight gain. The control group will receive standard prenatal care, without electronic alerts generated regarding BMI and gestational weight gain. The investigators hypothesize that a higher percentage of patients who receive the intervention will meet the IOM guidelines for weight gain.

Patients will have an electronic medical record popup/highlight in their chart, displaying the recommended guidelines for weight gain in pregnancy.

The patient's medical record will be displayed as usual, with no flag or highlight for weight gain recommendations

Primary outcome will be measured as the percent of patients who achieve their recommended weight gain goal in pregnancy (IOM guidelines)

Survey to patients at the end of pregnancy regarding how patients perceive and are influenced by EMR notifications and counseling

Inclusion Criteria: Pregnant with a single intrauterine gestation Present for new OB visit up to 13 weeks and 6 days gestation Exclusion Criteria: They have a multiple gestation pregnancy They are under the age of 18 They do not speak English