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Pregnancy Weight Gain Calculator

Recommended pregnancy weight gain by pre-pregnancy BMI and week, using the Institute of Medicine 2009 ranges, with twins handled and a week-by-week target table.

Pregnancy Weight Gain Calculator: with the default inputs, where you are against the guideline is Within the guideline range for this week.

ft
in
weeks
Try an example
These are population guidelines from the Institute of Medicine, not a target set for you. Your midwife or obstetrician knows things this calculator does not, and their plan overrides it.
Do not diet to lose weight while pregnant. Gaining less than the guideline range is associated with low birth weight and preterm birth, so falling below it is a reason to talk to your provider — not a reason to eat less.
Where you are against the guideline
Within the guideline range for this week
Weight gained so far
15 lb
Recommended by now, from
9.9 lb
Recommended by now, to
15.4 lb
Recommended total gain, from
25 lb
Recommended total gain, to
35 lb
Pre-pregnancy BMI
23.3
Pre-pregnancy BMI category
Normal weight
Recommended gain per week from here
0.8–1 lb per week (0.36–0.45 kg)
Assumptions
  • Ranges are the Institute of Medicine / National Research Council 2009 guidelines, which use the WHO BMI cut-offs applied to pre-pregnancy weight.
  • The first-trimester figure of 1.1–4.4 lb (0.5–2 kg) is an assumption the IOM states in a footnote when calculating its weekly rates, not a recommendation. It is shown here as a smooth ramp to week 13 for readability.
  • Kilogram figures are converted from the published pound ranges. The IOM's own kilogram ranges are rounded slightly differently (for example 17–25 kg rather than 16.8–24.5 kg for normal-weight twins).
  • Twin figures are the IOM's provisional guidelines and give a total only. The week-by-week twin band is this calculator's linear interpolation to 37 weeks, not an IOM recommendation, and no recommendation exists for underweight women carrying twins.
  • Pre-pregnancy BMI is calculated from the weight and height you enter; recalled pre-pregnancy weight is often a little low.
  • This is a guideline reference, not medical advice and not a diagnosis. Your midwife or obstetrician's plan takes precedence.
Recommended gain by week — Normal weight
01020300714212835BelowIOM rangeAboveWeek 24 · +15 lbWeek of pregnancyCumulative gain (lb)Recommended gain by week — Normal weight
Week-by-week target range — Normal weight
WeekFrom(lb)To(lb)Mid-point(lb)
00 lb0 lb0 lb
10.1 lb0.3 lb0.2 lb
20.2 lb0.7 lb0.4 lb
30.3 lb1 lb0.6 lb
40.3 lb1.4 lb0.8 lb
50.4 lb1.7 lb1.1 lb
60.5 lb2 lb1.3 lb
70.6 lb2.4 lb1.5 lb
80.7 lb2.7 lb1.7 lb
90.8 lb3 lb1.9 lb
100.8 lb3.4 lb2.1 lb
110.9 lb3.7 lb2.3 lb
121 lb4.1 lb2.5 lb
131.1 lb4.4 lb2.8 lb
114 of 41

Cumulative gain since your pre-pregnancy weight. The first thirteen weeks are shown as a ramp toward the 1.1–4.4 lb first-trimester figure, which the IOM states as a calculation assumption in a footnote rather than as a recommendation.

IOM 2009 recommendations for all categories
Pre-pregnancy BMITotal gain, singletonRate, 2nd/3rd trimesterTotal gain, twins
Underweight (under 18.5)28–40 lb (12.7–18.1 kg)1–1.3 lb/weekNo recommendation — insufficient data
Normal weight (18.5–24.9)25–35 lb (11.3–15.9 kg)0.8–1 lb/week37–54 lb (16.8–24.5 kg)
Overweight (25.0–29.9)15–25 lb (6.8–11.3 kg)0.5–0.7 lb/week31–50 lb (14.1–22.7 kg)
Obesity (30 and above)11–20 lb (5–9.1 kg)0.4–0.6 lb/week25–42 lb (11.3–19.1 kg)

Institute of Medicine and National Research Council, Weight Gain During Pregnancy: Reexamining the Guidelines (2009). Twin figures are the report's provisional guidelines.

Math verified by automated testsUpdated 2026-09-093 sources cited

How this is worked out

The formula

Pre-pregnancy BMI = pre-pregnancy weight (kg) ÷ height (m)²

Recommended cumulative gain by week w (singleton):
  w ≤ 13:  ramp toward 1.1–4.4 lb across the first trimester
  w > 13:  1.1–4.4 lb + (weekly rate for your BMI category) × (w − 13)

Weekly rates (2nd/3rd trimester, lb/week):
  Underweight 1.0–1.3 · Normal 0.8–1.0 · Overweight 0.5–0.7 · Obesity 0.4–0.6

Open How it’s calculated above to see this worked through with your own numbers.

What you enter

Pre-pregnancy weight
A number.in lb, kg, st · from 30 to 600 · defaults to 140
Height
A number.in ft, in, cm, m · from 3 to 8.5 · defaults to 5.4167
Current weight
A number.in lb, kg, st · from 30 to 600 · defaults to 155
Weeks pregnant
Gestational age in completed weeks, counted from the first day of your last period.from 1 to 45 · whole numbers only · defaults to 24
Number of babies
Choose one of 2 options.One (singleton) · Twins

What you get back

Where you are against the guidelinemain answer
Weight gained so far
Recommended by now, from
Recommended by now, to
Recommended total gain, from
Recommended total gain, to
Pre-pregnancy BMI
Pre-pregnancy BMI category
Recommended gain per week from here

What this assumes

  • Ranges are the Institute of Medicine / National Research Council 2009 guidelines, which use the WHO BMI cut-offs applied to pre-pregnancy weight.
  • The first-trimester figure of 1.1–4.4 lb (0.5–2 kg) is an assumption the IOM states in a footnote when calculating its weekly rates, not a recommendation. It is shown here as a smooth ramp to week 13 for readability.
  • Kilogram figures are converted from the published pound ranges. The IOM's own kilogram ranges are rounded slightly differently (for example 17–25 kg rather than 16.8–24.5 kg for normal-weight twins).
  • Twin figures are the IOM's provisional guidelines and give a total only. The week-by-week twin band is this calculator's linear interpolation to 37 weeks, not an IOM recommendation, and no recommendation exists for underweight women carrying twins.
  • Pre-pregnancy BMI is calculated from the weight and height you enter; recalled pre-pregnancy weight is often a little low.
  • This is a guideline reference, not medical advice and not a diagnosis. Your midwife or obstetrician's plan takes precedence.

About this calculator

How much weight you should gain in pregnancy depends almost entirely on one thing: what you weighed before. The Institute of Medicine's 2009 guidelines set four ranges by pre-pregnancy BMI, and they are the standard used across US obstetric care. This calculator applies them to your week and shows whether you are inside the band, along with the whole trajectory.

The ranges

For a single baby, the IOM recommends:

  • Underweight (BMI under 18.5): 28–40 lb (12.5–18 kg), gaining 1.0–1.3 lb a week in the second and third trimesters
  • Normal weight (18.5–24.9): 25–35 lb (11.5–16 kg), 0.8–1.0 lb a week
  • Overweight (25.0–29.9): 15–25 lb (7–11.5 kg), 0.5–0.7 lb a week
  • Obesity (30 and above): 11–20 lb (5–9 kg), 0.4–0.6 lb a week

The first trimester is handled separately, and carefully: the IOM does not recommend a first-trimester figure. Its weekly rates are calculated on the assumption of a 1.1–4.4 lb (0.5–2 kg) gain across all thirteen weeks, stated in a footnote. Many people gain nothing at all in that period, or lose a little to nausea, and that is normal.

Twins

The IOM published provisional twin guidelines, and they are provisional for a reason — the evidence base is much thinner. Normal weight: 37–54 lb. Overweight: 31–50 lb. Obesity: 25–42 lb. For underweight women carrying twins the IOM gives no recommendation at all, saying there was insufficient data to set one. This calculator says so plainly rather than inventing a number.

The twin guidance is also a total only, with no weekly rate. The week-by-week band shown for twins spreads that total between the end of the first trimester and 37 weeks, which is this calculator's interpolation and not something the IOM published.

How to use the result

Compare where you are with the band for your week, then take the answer to your next appointment rather than acting on it. A single weigh-in tells you very little — scales move with fluid, time of day, clothing and the bowel, and pregnancy adds swelling on top. The trend across several appointments is what your provider is watching.

Two things worth saying plainly

Gaining below the range is not the safe side. Insufficient gestational weight gain is associated with low birth weight, small-for-gestational-age babies and preterm birth. Pregnancy is not a time to run a calorie deficit, and no one should be dieting to stay inside the lower end of a band on a web page.

Gaining above the range is common and is not a moral failure. More than half of pregnancies in the US exceed the IOM range. It is associated with higher risks of gestational diabetes, caesarean delivery and retained weight afterwards, which is worth discussing — through food quality, activity and support, not restriction.

If a number on this page makes you want to eat less, that is the signal to talk to your midwife or doctor about it instead.

Frequently asked questions

How much weight should I gain in pregnancy?

It depends on your pre-pregnancy BMI: 25–35 lb if you started at a normal weight, 28–40 lb if underweight, 15–25 lb if overweight, and 11–20 lb with obesity. Those are the Institute of Medicine's 2009 ranges.

How much should I gain in the first trimester?

The IOM assumes 1.1–4.4 lb (0.5–2 kg) across the whole first thirteen weeks when it calculates its weekly rates — it does not set that as a recommendation. Gaining nothing, or losing a little to nausea, is common and usually fine.

What if I am gaining too fast?

Raise it at your next appointment. The answer is almost never a calorie deficit — it is usually about food quality, drinks, and whether activity is still possible. Restricting intake in pregnancy carries its own risks.

What if I am not gaining enough?

Tell your provider sooner rather than later. Low gestational weight gain is linked to low birth weight and preterm birth, and it can also be a sign that nausea or food access is a bigger problem than it looks.

What about twins?

The IOM's provisional twin ranges are 37–54 lb for normal weight, 31–50 lb for overweight and 25–42 lb with obesity. There is no recommendation for underweight women with twins, because the evidence was not there to set one.

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