Pregnancy & Postpartum Nutrition Counseling
Nutrition for Real Life
Nourishment for people who want to feel healthy, confident, and at peace with food & in their body
You Want to Do This Well
You care deeply about nourishing your body, protecting your baby, and not slipping back into old patterns.
But suddenly food feels loaded.
Your body is changing in ways you can’t fully control, and suddenly every choice feels like it carries more weight. You might be trying to manage everything perfectly, afraid of gaining too much, or hearing the voice that says you just need to be more disciplined.
You don’t need more control.
You need steady, compassionate support that helps you meet your body’s real needs without shame, rigidity, or fear.
A Different Kind of Nutrition Counseling
This is relationship-based, non-diet nutrition counseling for pregnancy and postpartum (which goes on forever, by the way!).
My work is grounded in intuitive eating and weight-inclusive care. This means your worth, health, and access to support are never dependent on your body size or weight. Together, we focus on rebuilding trust with your body, responding to hunger and fullness cues, and making food choices that feel supportive rather than restrictive.
Pregnancy and postpartum place real, often changing nutritional demands on the body. This isn’t about ignoring those needs; it’s about learning how to meet them without overriding your body, disconnecting from satisfaction, or falling back into fear-based rules.
Instead of asking you to fit yourself into a plan, we build care that adapts to your needs, capacity and season of life. The goal isn’t to eat perfectly or control your body. It’s to feel more confident around food, more connected to your body, and more supported overall.
People come to nutrition counseling for many reasons — and often, it’s about more than food.
- Guilt or confusion after a gestational diabetes diagnosis
Wanting to eat without constant second-guessing
Complicated feelings about a changing body or a history of body shame
Feeling overwhelmed, exhausted, or depleted
Wanting to break cycles of dieting and food guilt
Hoping to model a more peaceful relationship with food and body for their children
Pregnancy and postpartum can bring old patterns back to the surface — and introduce entirely new pressures around food, body, and responsibility. This is tender, complex work.
Wherever you’re starting from is enough.
People come to nutrition counseling for many reasons — and often, it’s about more than food.
Guilt or confusion after a gestational diabetes diagnosis
Wanting to eat without constant second-guessing
Complicated feelings about a changing body or a history of body shame
Feeling overwhelmed, exhausted, or depleted
Wanting to break cycles of dieting and food guilt
Hoping to model a more peaceful relationship with food and body for their children
Pregnancy and postpartum can bring old patterns back to the surface — and introduce entirely new pressures around food, body, and responsibility. This is tender, complex work.
Wherever you’re starting from is enough.
Gestational Diabetes Nutrition Support
Gestational diabetes is a significant part of my nutrition practice, and an area where people often feel the most pressure, fear, and restriction around food.
Gestational diabetes care can quickly pull people away from their bodies and into constant monitoring, self-blame, or rigid rules. My approach works to counter that — supporting blood sugar management while protecting adequacy, flexibility, and your relationship with food.
Gestational diabetes nutrition support with me centers on:
Eating enough and eating regularly
Using blood sugar data as information, not judgment
Balancing structure with flexibility
Adapting intuitive eating thoughtfully during pregnancy
Exploring all options — including medication — without shame
Guidelines and recommendations vary widely, and you deserve care that helps you understand your options, make informed decisions, and feel supported along the way.
For deeper, gestational diabetes–specific education and resources, explore my dedicated support page.
Working Together
I offer personalized nutrition counseling built on relationship, not checklists.
We take time to understand your history, your needs, and what nourishment looks like in your real life. As things change during pregnancy, postpartum, or beyond, our work adapts with you.
Some clients work with me for nutrition counseling only, while others choose couple it with my doula services. This care can feel very holistically supportive.
Initial Nutrition Counseling Session (90 minutes)
A supportive, in-depth assessment where we explore your health history, relationship with food, body image experiences, and goals. Together, we create a plan that supports intuitive eating, blood sugar management (if relevant), and realistic nourishment — without triggering old patterns.
Follow Up Sessions (45 minutes)
Weekly or bi-weekly sessions focused on integration and support. We look at what’s working, what isn’t, and adjust so nourishment continues to feel sustainable.
Investment
$300 — Initial 90-minute session
$150 — Follow-up sessions
Most insurance plans cover nutrition counseling. I am in network with BlueCross BlueShield of Vermont, Green Mountain Care/Medicaid, MVP, United, and Cigna. Clients are responsible for verifying benefits, and paying any co-pays, deductibles, or co-insurance as determined by your plan. I can also bill for out of network benefits.
Sessions are available virtually or in person in Richmond, VT.
Meet Emily
I’m Emily Piazza, Registered Dietitian Nutritionist, Certified Intuitive Eating Counseling, Birth Doula, and mom of three based in Vermont. I support people during pregnancy and postpartum who want a more peaceful relationship with food, including those navigating gestational diabetes, body image concerns, or a history of disordered eating.
I bring both professional training and lived experience to this work, and I care deeply about offering nutrition support that feels respectful, realistic, and human.
People often ask...
Will you help me lose weight?
I practice from a weight-neutral, weight-inclusive approach. We focus on health, nourishment, and behaviors that support your well-being rather than goals based on the scale.
I understand that many people have a desire for weight loss, especially during postpartum. We can talk about that openly and explore what’s underneath it, while prioritizing your health and relationship with food.
Do you help with eating disorders or disordered eating?
Yes. I work with clients who have a history of eating disorders or disordered eating, including those who notice old patterns resurfacing during pregnancy or postpartum.
We move at a pace that feels supportive and prioritize mental health, body respect, and reducing shame around food. When appropriate, I collaborate as part of a broader care team.
What is intuitive eating — and how does it work during pregnancy, postpartum, or gestational diabetes?
Intuitive eating is a framework that helps you listen to your body’s signals, including hunger, fullness, satisfaction, and energy, while letting go of dieting, rigid food rules, and shame.
During pregnancy, postpartum, and gestational diabetes, intuitive eating still applies alongside real nutritional and medical needs.
In our work together, this means adapting structure thoughtfully so nourishment supports your health and your relationship with food.
How long do clients work with you?
It varies based on your needs and goals.
Some clients work with me for a few sessions to address a specific concern, while others benefit from meeting more regularly over several months. We’ll decide together what feels supportive—and we can always adjust along the way.
Ready for the next step?
Gestational Diabetes Support
If gestational diabetes is what brought you here, you can explore dedicated resources and support designed specifically for this season.
Work Together
If you’re ready to talk through your needs and see if this feels like the right fit, I’d love to connect.