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About

Gestational weight gain is a vital indicator of maternal and fetal health. This calculator serves as a maternity companion, comparing a user's current weight trajectory against the Institute of Medicine (IOM) 2009 guidelines. These standards vary significantly based on pre-pregnancy BMI. Insufficient gain can lead to preterm birth or low birth weight, while excessive gain increases the risk of gestational diabetes and postpartum retention. The tool maps the specific "safe tunnel" for weeks 1 through 40.

pregnancy weight gain BMI maternity health

Formulas

The calculator first determines pre-pregnancy BMI to assign a category:

BMI = WeightHeight2

Recommended minimum weight Wmin at week t (for t > 13) is approximated by:

Wmin = Wstart + Gain1st + (t 13) × Ratemin

Where Ratemin is the weekly gain factor derived from the IOM table above.

Reference Data

Pre-Pregnancy BMICategoryTotal Gain (lbs)Total Gain (kg)2nd/3rd Trim. Rate (lbs/wk)
< 18.5Underweight28 - 4012.5 - 181.0 - 1.3
18.5 - 24.9Normal Weight25 - 3511.5 - 160.8 - 1.0
25.0 - 29.9Overweight15 - 257 - 11.50.5 - 0.7
30.0Obese11 - 205 - 90.4 - 0.6
Twin PregnancyAll37 - 5417 - 251.5 (approx)

Frequently Asked Questions

No. The IOM guidelines for twin pregnancies are higher (typically 37-54 lbs total). This tool is calibrated for singleton pregnancies only.
It is common to lose or maintain weight in the first 13 weeks due to nausea (morning sickness). The guidelines generally assume a small gain (1-4 lbs) in the first trimester, but individual variances are high. Consult a doctor if weight loss is severe.
BMI accounts for height. A taller person naturally needs to gain more mass to support the pregnancy than a shorter person with the same BMI. The guidelines tailor the "reserve" energy needed based on your starting body composition.