21219 Health Library | Health and Wellness | Wellmont Health System
  • Weight Gain During Pregnancy

    Image for eating while pregnant article Finding out you are pregnant can be an exciting time. There are lots of things you may think about when you start planning ahead. It can also stir up some concerns. One of them may be the amount of weight you gain while you are pregnant. Pregnant women need a proper diet and appropriate weight for a healthy pregancy and for the nourishment of a growing baby.
    Gaining weight during pregnancy can be tricky. If you gain too little or too much, it can harm your unborn baby and create complications for both of you.
    You and your doctor can work out the details, but here is a general idea of what you need to know.

    Optimal Weight Gain

    The amount of weight you should gain during pregnancy depends upon several factors including your prepregnancy weight and your age. If you are of average weight for your height, you are encouraged to gain between 25-35 pounds. If you are underweight or have a low body mass index (BMI), you will need to gain a bit more. If you are overweight, you will be encouraged to gain a little less weight than average.
    Women who are pregnant with twins or multiples will usually gain slightly more weight than average.
    A slow and steady weight gain over the nine month period is best, but keep in mind that women gain weight at different rates. You should never try to lose weight during pregnancy, even if you are overweight. The burning of fat stores during pregnancy could cause your body to release substances that could harm your baby. Your doctor will suggest a weight range than best suits you, but the table below shows some general guidelines from the Institute of Medicine:
    Pregnancy Status 1st Trimester
    Weight Gain
    2nd and 3rd Trimester
    Weight Gain
    Total Weight Gain
    Underweight 1-4 lbs. 1-1.3 lbs/week 28-40 lbs.
    Normal Weight 1-4 lbs. 0.8-1 lbs/week 25-35 lbs.
    Overweight 1-4 lbs. 0.5-0.7 lbs/week 15-25 lbs.
    Obese 1-4 lbs. 0.4-0.6 lbs./week 11-20 lbs.
    Mothers carrying multiples (like twins) usually gain 33-48 lbs.

    Fear of Fat

    Many women fear the inevitable weight gain of pregnancy, even though it is normal and healthy. The important thing to keep in mind is that, for the majority of women, most of the weight gained is not fat. The following table illustrates how an average weight gain is distributed in pregnancy:
    Approximate Distribution of Weight Gain in Average Pregnancy
    Baby 7.5 lbs
    Uterus 2.0 lbs
    Placenta 1.5 lbs
    Blood volume increase in mother 3-4 lbs
    Amniotic fluid 2 lbs
    Fluids in mother's tissues 3-4 lbs
    Breast tissue increase 1-3 lbs
    Increased fat stores in mother 6-8 lbs
    Total Average 26-32 lbs
    If you still are worried about fat, consider how you can change your diet to maximize nutrition.

    Balancing Weight Gain

    Both the amount and type of foods you eat during pregnancy will affect your weight gain.
    During certain times in your pregnancy you may need to increase the number of calories that you take in. Talk to your doctor about how many calories you should add, it will vary per person and throughout your pregnancy. Early stages of pregnancy may not require extra calories but your body may need more calories as your baby grows. But, be careful, it can be easy to underestimate the calories you are adding. At least at first, count your calories to make sure you are only adding the recommended amount.
    The types of food you eat are also important. Consider these guidelines when choosing your food:
    Staying active will also help you manage a healthy weight. Talk to your doctor about any exercise precautions.
    The most important thing to keep in mind is that you are growing a baby, who needs the extra calories to grow. Recommended weight gain is normal and in fact a sign of a helahty pregnancy. Tracking your calories, eating nutritious foods, and staying active will help you keep your weight gain within guidelines. It is the best thing you can do for you and your unborn baby.

    Losing Weight after You Have Your Baby

    Your postpartum weight will, in part, be affected by how much weight you gained during pregnancy. If you gain too much weight during pregnancy or develop poor eating habits and a sedentary lifestyle, you may have more difficulty losing the weight after the baby is born. The following factors help women to lose weight more quickly after giving birth:
    • Eat a healthful, well-balanced diet that is low in fat, high in fiber, and rich in nutrients
    • Breastfeed—your body will burn more calories while breastfeeding
    • Exercise—aim for four or more times a week for at least 30 minutes (regular aerobic exercises that involve the large muscles and elevate the heart rate are best for burning calories)
    It will take some time to lose weight after pregnancy. Instead of focusing on weight loss alone work on developing or maintaining healthy habits like good nutrition and regular physical activity. This will keep you healthy and help you manage some of the sleepless nights you have ahead.


    American Congress of Obstetricians and Gynecologists http://www.acog.org/

    United States Department of Agriculture http://www.choosemyplate.gov/


    The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org/

    Womens Health Canada http://www.womenshealthmatters.ca/


    About Pregnancy Weight Gain. American Pregnancy Association website. Available at: http://www.americanpregnancy.org/pregnancyhealth/aboutpregweightgain.html. Updated June 11, 2012. Accessed November 29, 2012.

    Impact of Physical Activity During Pregnancy and Postpartum on Chronic Disease Risk. Med Sci Sports Exerc. 2006;38(5):989-1006.

    Supertracker. My Foods, My Fitness, My Health. United States Department of Agriculture Supertracker website. Available at: https://www.supertracker.usda.gov/default.aspx. Accessed November 29, 2012.

    Weight Gain In Pregnancy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated August 20, 2012. Accessed November 29, 2012.

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.