The hardship continues for four mothers and their teenage daughters.Tensions run high at Lorna and Chae’s baby shower. Kim’s boyfriend violates probation. Newly single, Nicole struggles. Lemhele races to the hospital to give birth.

Two families welcome a new child into their fold. Two defiant boyfriends return, while another slips away. As new life emerges, tempers grow short, emotions run high, relationships threaten to unravel, and families are forever changed.

The limits of motherhood are tested when Nicole has a c-section and Mariah refuses to help because of AJ; Kim goes through a painful labor and delivery; Lemhele & Shaniyah go back to therapy; and Chaé learns that her baby may have a heart condition.

As babies arrive, life gets more complicated for the families. Nicole makes a controversial announcement. Kim deals with an overeager grandmother. Shaniyah gets induced due to medical concerns; and Chaé faces unexpected paternity questions.

In the season finale, Kim’s boyfriend, Michael is released from rehab; Nicole and AJ get married; Shaniyah and Lemhele struggle with two new babies in the house; Lorna has a difficult birth and Chaé learns the truth about her baby's father.

The Kleins are headed back to China, this time with all 6 grandparents in tow! It\'s an emotional trip as Will and the family learn more about his birth country. Will takes part in a Confucius school and the family tries a traditional Chinese meal.

The trip to China continues as the Klein family visits the Forbidden City and takes an immersive lesson in Chinese cooking. Then, the family climbs to the top of the Great Wall and reflects on what life could have been without Will.

650-lb Melissa begins her seven-year weight loss journey.

650-lb Melissa struggles to get to her ideal weight.

Love motivates 660-lb Donald to begin his weight loss journey.

750-lb Henry begins his weight loss journey in the hopes of transforming himself in time to attend his high school reunion.

Ashley's career was derailed after she was let go due to her excessive weight. Will she be able to turn her life around and achieve her goal of owning a childcare facility?

Twins Kandi & Brandi have a combined weight totaling over 1100lbs. These inseparable twins fear losing each other to obesity, so they make a change together. But a life-threatening event during weight loss surgery recovery may separate them forever.

At 670 pounds Ashley must live in her parents' home with her husband. Desperate to save her life and her marriage, she decides it's time for a drastic change. Can weight loss surgery save her life?

Cynthia is a 610-lb single mother raising five kids. She's been focused on her children, but now realizes what her death would mean for them. As she battles her emotions & the pressures of life, she is forced to fight harder to save her own life.

Weighing over 600-lbs Kirsten is close to losing her mobility. While she's trying to get control of her obesity she's also in danger of losing her troubled son. She must regain her health in order to be the best mother she can to care for her son.