Healthy Weight Gain During Pregnancy
Watching the scale go up can be stressful, but gaining weight during pregnancy is a beautiful, necessary process. However, gaining too little or too much weight can increase the risk of complications like gestational diabetes, preeclampsia, or preterm birth. Our Pregnancy Weight Gain Calculator uses the official guidelines from the Institute of Medicine (IOM) to give you a personalized target.
It All Starts with BMI
Because every woman starts pregnancy at a different size, there is no "one size fits all" weight gain number. Medical guidelines are entirely based on your Pre-Pregnancy Body Mass Index (BMI).
- Underweight (BMI < 18.5): Recommended gain of 28 - 40 lbs.
- Normal Weight (BMI 18.5 - 24.9): Recommended gain of 25 - 35 lbs.
- Overweight (BMI 25.0 - 29.9): Recommended gain of 15 - 25 lbs.
- Obese (BMI ≥ 30.0): Recommended gain of 11 - 20 lbs.
The Trimester Timeline
Weight gain isn't a straight line. During the first trimester, the baby is tiny. You only need to gain about 1 to 5 pounds total during these first 13 weeks. If morning sickness causes you to lose a little weight, don't panic; it is very common and usually not harmful.
During the second and third trimesters, the baby begins to grow rapidly. Depending on your BMI, you should aim to gain between 0.5 to 1 pound per week during this phase.
What About Twins?
If you are expecting multiples, you need to gain significantly more weight to support both babies. Women with a normal BMI should aim to gain between 37 and 54 pounds during a twin pregnancy.