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Pregnancy & Women's HealthInstitute of Medicine (IOM) Guidelines

Pregnancy Weight Gain Calculator

Provides trimester-by-trimester recommended weight gain curves following Institute of Medicine (IOM) clinical guidelines for single and twin pregnancies.

Pregnancy & Women's Health

Pregnancy Weight Gain Calculator

Track healthy weekly weight gain targets during pregnancy based on pre-pregnancy BMI.

Height50 – 250 cm
cm
Pre-Pregnancy Weight20 – 350 kg
kg
Current Pregnancy Week (1 – 40)1 – 42 wks
wks
IOM GuidelinesBMI: 24.5 (Normal Weight (18.5 – 24.9))
Total Recommended Gain11.5 – 16 kgTarget at Week 20: 3.5 – 5.4 kg
Weekly Rate (T2/T3)~0.42 kg/wk
Pregnancy TypeSingle

Evidence-based estimations. Consult a physician for personalized guidance.

Clinical Formula & Calculation Standard

Official clinical definitions and validated mathematical models

Institute of Medicine (IOM) Gestational Weight Gain Standards

Total Weight Gain Target = Baseline Pre-Pregnancy BMI Category Curve

The National Academy of Medicine (formerly IOM) guidelines define healthy maternal weight gain to minimize risks of gestational diabetes, preeclampsia, and macrosomia.

IOM Recommended Weight Gain Guidelines

Pre-Pregnancy BMIBMI CategorySingleton Total GainSingleton 2nd/3rd Tri RateTwins Total Gain
< 18.5Underweight28 – 40 lb (12.5 – 18.0 kg)1.0 – 1.3 lb / weekNot Specified
18.5 – 24.9Normal Weight25 – 35 lb (11.5 – 16.0 kg)0.8 – 1.0 lb / week37 – 54 lb (16.8 – 24.5 kg)
25.0 – 29.9Overweight15 – 25 lb (7.0 – 11.5 kg)0.5 – 0.7 lb / week31 – 50 lb (14.1 – 22.7 kg)
≥ 30.0Obese11 – 20 lb (5.0 – 9.0 kg)0.4 – 0.6 lb / week25 – 42 lb (11.3 – 19.1 kg)

Clinical Insights & Practical Usage

  • First trimester typical weight gain is modest: 1.0 to 4.5 lbs (0.5 to 2.0 kg) total.
  • Anatomical distribution of 30 lb gain: Fetus (~7.5 lb), Placenta (~1.5 lb), Amniotic fluid (~2 lb), Uterine tissue (~2 lb), Maternal breast tissue (~2 lb), Maternal blood volume (~4 lb), Fluids (~4 lb), Fat stores (~7 lb).

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