Pregnancy weight gain

How much should you actually gain?

Based on the 2009 Institute of Medicine guidelines — the same numbers your OB uses. We'll show you the recommended range, where you are now, and how it tracks week by week.

Height
ft
in
Pre-pregnancy weight
lb
Current weight
lb
Current week of pregnancy
20
Recommended total · BMI 23.3 · healthy weight
25–35 lb(11.3–15.9 kg)
At week 20, expect roughly 7–12 lb gained so far.
You're tracking
+8.0 lb · on track

Right where you should be. To finish in range, aim for about 0.8–1.4 lb per week for the next 20 weeks.

Recommended range, week by week
0lb10lb20lb30lb40lbwk 0wk 10wk 20wk 30wk 40
Recommended rangeYou, today
How accurate is this, honestly?
AccuracyIOM ranges

The total-gain ranges (28–40 lb for underweight, 25–35 lb for normal BMI, 15–25 lb for overweight, 11–20 lb for obese) are the 2009 Institute of Medicine / National Academy of Medicine guidelines, reaffirmed by ACOG in 2013 (Committee Opinion 548). They're based on outcomes data linking gestational weight gain to birth weight, cesarean rate, postpartum weight retention, and gestational diabetes risk.

These are population-level guidelines, not a verdict on your body. Some people gain mostly in the second trimester; some catch up in the third. Twin pregnancies have higher recommended ranges (additional ~10 lb on the low end). Hyperemesis, gestational diabetes, and individual metabolism all shift the picture.

The most useful thing you can do with this number is bring it to your OB — they have the rest of the context.

Sources: Institute of Medicine (US) and National Research Council Committee, Weight Gain During Pregnancy: Reexamining the Guidelines (National Academies Press, 2009); ACOG Committee Opinion 548, "Weight Gain During Pregnancy" (2013, reaffirmed 2018).

Read the full methodology →
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