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Pregnancy Weight Gain Calculator

Your pre-pregnancy BMI, the recommended total gain for one baby or twins, and the weight range that puts you at by delivery.

Recommended total gain

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Extra calories (CDC): about 0 in the first trimester, +340/day in the second, +450/day in the third.

The table (CDC / Institute of Medicine 2009)

Before pregnancyOne babyTwins
Underweight · BMI under 18.528–40 lb50–62 lb*
Normal weight · 18.5–24.925–35 lb37–54 lb
Overweight · 25.0–29.915–25 lb31–50 lb
Obese · 30.0–39.911–20 lb25–42 lb

* Underweight with twins: from Luke et al. 2003, as noted by CDC.

Common questions

How much weight should I gain during pregnancy?

It depends on your BMI before pregnancy. For one baby, CDC (citing the Institute of Medicine): 28–40 lb if underweight, 25–35 lb at a normal weight, 15–25 lb if overweight, 11–20 lb with obesity.

What about twins?

37–54 lb at a normal weight, 31–50 lb if overweight, 25–42 lb with obesity. For underweight women with twins, CDC's 50–62 lb figure comes from a separate study (Luke 2003), not the IOM.

Do I need to eat more?

CDC: generally no extra calories in the first trimester, about 340 more a day in the second and about 450 more in the third.

My BMI is 40 or higher — which row applies?

CDC's table lists obesity as BMI 30.0–39.9. Ask your clinician for a target if your BMI is 40 or above.

How it's computed

Pre-pregnancy BMI = kg ÷ m², then the matching CDC row. Kilograms = lb ÷ 2.2046. Target weight = your pre-pregnancy weight + the range.

Sources

  1. CDC — Weight gain during pregnancy (Institute of Medicine 2009 recommendations, singleton and twins). www.cdc.gov

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