Pregnancy Weight Gain Calculator

Pregnancy Weight Gain Calculator 2026

Calculate healthy pregnancy weight gain based on your pre-pregnancy BMI. Uses official IOM and CDC medical guidelines for personalized recommendations for singleton and twin pregnancies.

Last Updated: January 2026 | Medical Guidelines: IOM/CDC/ACOG

How Much Weight Should I Gain During Pregnancy?

Healthy pregnancy weight gain depends on your pre-pregnancy BMI. According to IOM/CDC guidelines: Underweight women should gain 28-40 lbs, Normal weight 25-35 lbs, Overweight 15-25 lbs, and Obese women 11-20 lbs for a singleton pregnancy.

Your Information

Feet
Inches
Week 20 of 40
Your Pre-Pregnancy BMI
25.0
Normal Weight
Recommended Total Weight Gain
25 - 35 lbs
For singleton pregnancy
Expected Gain by Week 20
7.6 - 12.0 lbs
Second/Third trimester
Recommended Weekly Gain (2nd/3rd Trimester)
0.8 - 1 lbs/week

⚠️ Medical Disclaimer: This calculator provides general guidelines based on IOM/CDC recommendations. Individual needs vary. Always consult your healthcare provider for personalized advice.

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How Pregnancy Weight Gain Recommendations Work

**Pregnancy Weight Gain** recommendations are based on your pre-pregnancy **Body Mass Index (BMI)** category, following guidelines established by the Institute of Medicine (IOM) and endorsed by the CDC and ACOG (American College of Obstetricians and Gynecologists). **BMI Formula:** **BMI = Weight (kg) / [Height (m)]²** Or in pounds/inches: **BMI = [Weight (lbs) / Height (inches)²] × 703** **BMI Categories:** * **Underweight:** BMI < 18.5 * **Normal Weight:** BMI 18.5 - 24.9 * **Overweight:** BMI 25.0 - 29.9 * **Obese:** BMI ≥ 30.0 **Recommended Total Weight Gain (Singleton Pregnancy):** | Pre-Pregnancy BMI | Total Weight Gain | Rate (2nd/3rd Trimester) | |-------------------|-------------------|--------------------------| | Underweight (<18.5) | 28-40 lbs (12.5-18 kg) | 1.0-1.3 lbs/week | | Normal (18.5-24.9) | 25-35 lbs (11.5-16 kg) | 0.8-1.0 lbs/week | | Overweight (25.0-29.9) | 15-25 lbs (7-11.5 kg) | 0.5-0.7 lbs/week | | Obese (≥30.0) | 11-20 lbs (5-9 kg) | 0.4-0.6 lbs/week | **For Twin Pregnancies:** * Normal Weight: 37-54 lbs * Overweight: 31-50 lbs * Obese: 25-42 lbs **First Trimester:** Typically 1.1-4.4 lbs (0.5-2 kg) regardless of BMI category. *Note: These are general guidelines. Individual needs vary based on pre-existing conditions, age, and health status. Always consult your healthcare provider for personalized advice.*

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Why Trust This Pregnancy Calculator?

Official Medical Guidelines

Uses IOM (Institute of Medicine) and CDC (Centers for Disease Control) recommendations—the gold standard for pregnancy weight gain in the United States.

BMI-Specific Recommendations

Personalized guidance based on your unique pre-pregnancy BMI category, not generic one-size-fits-all advice.

Singleton & Twin Support

Separate recommendations for single and twin pregnancies, reflecting different nutritional and growth needs.

Trimester Breakdown

Shows expected weekly weight gain for 2nd and 3rd trimesters based on medical research.

Pregnancy Weight Gain Calculator

Track your healthy pregnancy weight gain with our medically-accurate calculator. Based on official Institute of Medicine (IOM) and CDC guidelines, get personalized recommendations tailored to your pre-pregnancy BMI, whether you're expecting one baby or twins.

Pregnancy Weight Gain by Trimester

Weight gain during pregnancy isn't linear—it accelerates as your baby grows. ### Typical Gain Pattern (Normal BMI, Singleton) | Trimester | Weeks | Average Gain | Baby's Growth | |-----------|-------|--------------|--------------| | **1st** | 1-13 | 2-5 lbs total | Embryo → 3 inches, 1 oz | | **2nd** | 14-27 | 12-14 lbs (1 lb/week) | 3 in → 14 in, 1 oz → 2 lbs | | **3rd** | 28-40 | 11-13 lbs (1 lb/week) | 14 in → 20 in, 2 lbs → 7-8 lbs | | **Total** | — | **25-35 lbs** | **Full-term baby** | ### What's Normal? **First Trimester (Weeks 1-13):** - Minimal to no weight gain is normal - Morning sickness may cause weight LOSS (up to 5 lbs)—usually not concerning - Focus: Taking prenatal vitamins, managing nausea **Second Trimester (Weeks 14-27):** - Steady weight gain begins (the "glow" period) - Appetite typically returns/increases - Target: ~1 pound per week (normal BMI) - Focus: Balanced nutrition, staying active **Third Trimester (Weeks 28-40):** - Rapid baby growth = continued steady gain - May slow slightly in final weeks before delivery - Swelling/fluid retention increases weight - Focus: Frequent small meals, protein intake ### Red Flags (Call Your Doctor) - Sudden weight gain (>5 lbs in one week) → possible preeclampsia - No weight gain for 2+ weeks in 2nd/3rd trimester - Weight loss in 2nd/3rd trimester without explanation - Severe swelling in hands/face with rapid gain

Healthy Pregnancy Nutrition Guidelines

Eating for two doesn't mean eating twice as much—it means eating smarter. ### Calorie Needs by Trimester | Trimester | Additional Calories Needed | Total Daily (Average Woman) | |-----------|----------------------------|----------------------------| | 1st | 0 extra calories | ~2,000 calories | | 2nd | +300-350 calories | ~2,300-2,350 calories | | 3rd | +450-500 calories | ~2,450-2,500 calories | **Note:** 300 calories = 1 cup Greek yogurt + 1 medium apple + 1 oz almonds. Not a full extra meal! ### What to Eat for Healthy Weight Gain **Prioritize:** 1. **Protein:** Lean meats, fish (low-mercury), eggs, beans, Greek yogurt - Target: 75-100g/day - Why: Builds baby's tissues, supports placenta 2. **Folate/Folic Acid:** Dark leafy greens, fortified cereals, legumes - Target: 600 mcg/day - Why: Prevents neural tube defects 3. **Iron:** Red meat, spinach, fortified cereals - Target: 27 mg/day - Why: Prevents anemia, supports increased blood volume 4. **Calcium:** Dairy, fortified plant milk, almonds - Target: 1,000 mg/day - Why: Baby's bone development 5. **DHA (Omega-3):** Salmon, sardines, DHA-fortified eggs, supplements - Target: 200-300 mg/day - Why: Baby's brain and eye development **Limit:** - Processed foods high in empty calories - Sugary drinks (risk of gestational diabetes) - High-mercury fish (swordfish, king mackerel, tilefish) - Caffeine (limit to 200 mg/day) **Avoid Completely:** - Alcohol (no safe amount) - Raw/undercooked meat, eggs, seafood - Unpasteurized dairy, soft cheeses (listeria risk) - Deli meats unless heated to steaming ### Sample Day of Eating (2nd Trimester, Normal BMI) **Breakfast:** Scrambled eggs (2) with spinach, whole grain toast, berries **Snack:** Greek yogurt with walnuts **Lunch:** Grilled chicken salad with quinoa, mixed vegetables, avocado **Snack:** Apple slices with almond butter **Dinner:** Baked salmon, sweet potato, steamed broccoli **Evening Snack:** Cottage cheese with strawberries **Total:** ~2,350 calories, 90g protein, nutrient-dense

Exercise & Activity During Pregnancy

Staying active during pregnancy helps manage weight gain and prepares your body for labor. ### Benefits of Pregnancy Exercise ✅ Easier weight management ✅ Reduced back pain and swelling ✅ Lower risk of gestational diabetes ✅ Improved mood and sleep ✅ Faster postpartum recovery ✅ Shorter labor (some studies suggest) ### Safe Activities (With Doctor Approval) **Recommended:** - **Walking:** 30 minutes daily—easiest, safest option - **Swimming:** Low-impact, full-body workout, reduces swelling - **Prenatal Yoga:** Flexibility, relaxation, breathing practice - **Stationary Cycling:** Low-impact cardio - **Light Strength Training:** Maintain muscle, no heavy weights **Avoid:** - Contact sports (soccer, basketball) - Activities with fall risk (skiing, horseback riding) - Scuba diving - Hot yoga/hot Pilates - Exercises lying flat on back after 1st trimester - High-intensity workouts if not done pre-pregnancy ### Guidelines **Intensity:** "Talk test"—you should be able to hold a conversation while exercising **Frequency:** 150 minutes/week moderate activity (e.g., 30 min × 5 days) **Hydration:** Drink before, during, and after exercise **Warning Signs to STOP:** - Dizziness or faintness - Chest pain or rapid heartbeat - Vaginal bleeding or fluid leakage - Contractions or abdominal pain - Reduced fetal movement ### Postpartum Weight Loss **Realistic Expectations:** - Immediate loss after delivery: 10-13 lbs (baby, placenta, fluid) - 1st week: Additional 5 lbs (more fluid loss) - 6 months: Most women lose 15-20 lbs total - 1 year: Gradual return to pre-pregnancy weight (for many, not all) **Breastfeeding burns 300-500 calories/day but increases appetite. Don't restrict calories while breastfeeding—focus on nutritious foods.** Safe postpartum weight loss: 1-2 lbs/week after 6-week checkup cleared exercise.

Frequently Asked Questions

Q:Why does my BMI affect pregnancy weight gain recommendations?

Your pre-pregnancy BMI indicates your nutritional status starting pregnancy. Underweight women need more weight gain to support healthy fetal development and have adequate nutrient stores. Overweight/obese women have existing nutrient reserves, so excessive gain increases risks like gestational diabetes, high blood pressure, and delivery complications. BMI-based recommendations optimize outcomes for both mother and baby.

Q:What if I'm gaining too much or too little weight?

First, don't panic—talk to your doctor. Slightly outside the range isn't necessarily dangerous. If gaining too much: focus on nutrient-dense foods, avoid empty calories, stay active (with doctor approval). If gaining too little: ensure adequate calories, eat frequent small meals, consider calorie-dense healthy foods like nuts and avocados. Never diet during pregnancy without medical supervision.

Q:Is it safe to lose weight during pregnancy if I'm overweight?

No. Even if you're obese, you should gain some weight during pregnancy (11-20 lbs recommended). Weight loss or maintaining weight without gain can deprive your baby of essential nutrients for development. However, excessive gain should be prevented through healthy eating and approved physical activity, not through restrictive dieting.

Q:How much should I gain in the first trimester?

Most women gain 1-5 pounds during the first trimester, regardless of BMI. Some women lose weight due to morning sickness—this is usually not concerning if you resume healthy gain in the 2nd trimester. The majority of weight gain happens in the 2nd and 3rd trimesters as the baby grows rapidly.

Q:Where does pregnancy weight go?

For a 30-pound gain: Baby (7-8 lbs), Placenta (1-2 lbs), Amniotic fluid (2 lbs), Uterus growth (2 lbs), Breast tissue (2 lbs), Blood volume (4 lbs), Fluid retention (4 lbs), Fat stores for breastfeeding (7 lbs). Most of this (except fat stores) is lost during delivery and the weeks following birth.

Q:Do these guidelines apply to twin pregnancies?

No—twin pregnancy weight gain recommendations are higher. For normal BMI: 37-54 lbs total (vs 25-35 for singleton). Overweight: 31-50 lbs. Obese: 25-42 lbs. Our calculator includes twin-specific recommendations. Triplets or higher-order multiples should follow individual medical guidance—there's insufficient data for standard guidelines.

Your Healthy Pregnancy Journey

Every pregnancy is unique. Use this calculator as a guideline, but always work with your healthcare provider for personalized advice throughout your pregnancy.