Leah Remini, Molly Sims and Milla Jovovich each gained 70-80 pounds while pregnant. They’re not alone. Around 48% of women gain too much, putting themselves and their fetus at risk for complications during pregnancy and birth.

As unhealthy as that is, for the 25% of women in the U.S. who go into pregnancy already obese, the health challenges are even more daunting. They’re at greater risk of gestational diabetes and hypertensive disorders of pregnancy (leading to post-birth diabetes and high blood pressure), and their children can develop health challenges that plague them throughout life.

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