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About

Caloric needs during gestation shift dynamically to support placental growth, amniotic fluid production, and fetal development. This calculator utilizes the Mifflin-St Jeor equation for Basal Metabolic Rate (BMR) and applies specific surpluses defined by the American College of Obstetricians and Gynecologists (ACOG). Accuracy in energy intake is critical here; insufficient energy can compromise fetal growth restrictions, while excessive surplus increases the risk of gestational diabetes and macrosomia.

The calculation accounts for the three distinct phases of gestation. The First Trimester typically requires no additional caloric load compared to baseline maintenance. The Second and Third Trimesters introduce specific metabolic demands requiring controlled increases. This tool also considers pre-pregnancy Body Mass Index (BMI) to contextualize weight gain trajectories.

pregnancy trimester nutrition fetal health calorie intake

Formulas

The baseline energy expenditure is calculated using the Mifflin-St Jeor equation for women:

P = {
10w + 6.25h 5a 161

Where w is weight in kg, h is height in cm, and a is age in years. The total requirement E is adjusted by activity factor γ and trimester surplus S:

E = (P × γ) + S

The variable S assumes values of 0 (T1), 340 (T2), or 450 (T3) kcal.

Reference Data

Pre-Pregnancy BMICategoryRecommended Total Gain (lbs)Recommended Total Gain (kg)
< 18.5Underweight28 - 4012.5 - 18
18.5 - 24.9Normal Weight25 - 3511.5 - 16
25.0 - 29.9Overweight15 - 257 - 11.5
30.0Obese11 - 205 - 9

Frequently Asked Questions

Despite significant hormonal changes, the energy cost of the embryo's physical growth in the first 13 weeks is negligible relative to maternal energy stores. ACOG guidelines recommend maintaining maintenance calories to prevent excessive early weight gain.
BMI primarily dictates the safe range of total weight gain rather than the daily caloric surplus. However, medical providers may advise those with a BMI > 30 to adhere to the lower end of the surplus range to manage gestational diabetes risks.
Yes. Lactation is more energetically expensive than pregnancy, typically requiring an additional 450 to 500 kcal per day, depending on milk production volume.