Singleton Prenatal Weight Gain Chart (Overweight Or Obese - Pre-Pregnant Bmi)
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1
2Pregnancy Weight Gain Graphs for Singletons
(Overweight or Obese – Pre-pregnant BMI)
Step 1: Assess and Advise
Step 2: Consider Referral to a
Step 3: Support
Registered Dietitian When
• Calculate pre-pregnant BMI
• Woman has a concurrent medical
• Reassure weight gain is
at initial visit
condition with an impact on nutrition
an important part of
(e.g. hyperemesis, bowel diseases)
pregnancy related to fetal
• Provide individualized
development
weight gain recommendations
• Woman has an eating disorder, or a
based on BMI category
history of an eating disorder
• Reinforce consistent and
appropriate weight gain
• Discuss an appropriate rate
• Woman is less than 20 years old
(especially in the 2
and
nd
and pattern of weight gain
• Woman expresses concerns around
3
trimesters)
rd
weight gain or body changes
• Pregnancy weight trend indicates
inadequate or excessive weight gain
lb
kg
51
Overweight
23
48
22
Pre-Pregnant BMI: 25.0–29.9
46
21
Total weight gain for pregnancy: 15–25 lbs (7–11.5 kg)
44
20
42
19
Mean weight gain rate in 2
& 3
trimesters: 0.6 lb/week (0.3 kg/week)
nd
rd
40
18
Pre-Pregnant BMI:
37
17
35
16
33
15
31
14
29
13
26
12
25 lbs (11.5 kg)
24
11
22
10
20
9
18
8
15 lbs (7 kg)
15
7
13
6
11
5
9
4
7
3
4
2
2
1
0
0
-2
-1
-4
-2
-6
-3
2
4
6
8
10 12
14
16 18 20
22 24
26 28
30
32 34 36
38 40
Weeks of Pregnancy
Inadequate Weight Gain
Excessive Weight Gain
• Weight gain below the shaded area
• Weight gain above the shaded area
• Loss below pre-pregnancy weight in 1
trimester
• Gain of 7 or more lbs (3 kg) per month
st
• Loss in 2
or 3
trimester
nd
rd
Prenatal Nutrition Guidelines for Health Professionals: Gestational Weight Gain. Health Canada. 2010. Reproduced with permission from the Minister of Health, 2011.
Page 1 of 2
18297(2012-03)
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