Formula and method
Calculate pre-pregnancy BMI using kg/m², then select the CDC range for the BMI group and pregnancy type. The current weight is used only to display weight change.
Worked example
A pre-pregnancy weight of 60 kg and height of 165 cm give BMI 22.0. For one baby, the total-gain reference range is 25–35 lb, about 11.3–15.9 kg.
Week-by-week reference range
For one baby, the Institute of Medicine 2009 guidelines, as tabulated by ACOG, assume a gain of 1.1–4.4 lb (about 0.5–2 kg) over the first trimester, then a weekly rate in the second and third trimesters that depends on pre-pregnancy BMI. The calculator spreads the first-trimester amount evenly over weeks 0–13, then adds the weekly rate range for each week after week 13.
Worked example: with BMI 22.0 (normal weight) at week 20, the range is 1.1 + 0.8 × 7 = 6.7 lb to 4.4 + 1 × 7 = 11.4 lb, about 3.0–5.2 kg. A gain of 7 kg from 60 kg to 67 kg is above that general range. That is a point to discuss at a prenatal visit, not a diagnosis.
| Pre-pregnancy BMI | Total gain | Weekly rate, mean (range) |
|---|---|---|
| Below 18.5 | 28–40 lb | 1 lb (1–1.3 lb) |
| 18.5–24.9 | 25–35 lb | 1 lb (0.8–1 lb) |
| 25–29.9 | 15–25 lb | 0.6 lb (0.5–0.7 lb) |
| 30 or more | 11–20 lb | 0.5 lb (0.4–0.6 lb) |
Who this applies to, and its limits
The weekly schedule is for singleton pregnancies. For twins, IOM 2009 gives provisional total ranges for normal-weight, overweight and obese pre-pregnancy BMI; it gives no twin guideline for underweight, so that range (50–62 lb) comes from Luke et al. (2003), as tabulated by CDC. Neither gives weekly rates for twins, so the calculator shows only the total for twins, and it does not cover triplets or more. Pre-pregnancy BMI categories are the same for all adults and do not account for body composition, adolescence or medical conditions.
Weight often changes unevenly: nausea early on, fluid shifts and measurement timing all affect a single reading. Being above or below the general range does not by itself mean anything is wrong, and it is not a reason to restrict eating. Your prenatal clinician can set an individual goal.