Gestational Weight Gain - Perinatal Services BC
Gestational Weight GainCHARTSA tool for health care providers to support women in having healthyweights when planning a pregnancy, during pregnancy, and postpartum.www.perinatalservicesbc.caPre-Pregnancy BMIWeight Gain (kg)Weight Gain (lb)MonitoringLess than 18.512.5 - 18.028 – 40Use chart withgreen shading18.5 - 24.911.5 - 16.025 – 35Use chart withblue shading25.0 - 29.97.0 – 11.515 – 25Use chart withyellow shading30 or greater*5.0 - 9.011-20Use chart withorange shading* Women with a BMI of 35 or greater may have personalized weight gain recommendationsthat are lower than this range. Health care providers are to determine individualized, healthyweight patterns for women with a BMI of 35 or greater.Body Mass Index (BMI) weight (kg)/ [height (m)]2.To calculate BMI, use Health Canada’s oids/guide-ld-adult/bmi chart java-graph imc java-eng.phpMultiple Gestations:Women pregnant with twins:Pre-Pregnancy BMIWeight Gain (kg)Weight Gain (lb)18.5 – 24.917 - 2537 – 5425 – 29.914 – 2331 – 5030 or greater11 – 1925 – 42Currently Health Canada does not have recommendations for women with a BMI less than18.5 who are pregnant with twins.Currently Health Canada does not have recommendations for gestations of three or morebabies. However, higher weight gain than with a twin pregnancy is expected.Health Canada: Nutrition for a Healthy Pregnancy – National Guidelines for the Childbearing Years, 1999.
20.44018.13515.93013.6Weight and Weight Gain, kgWeight and Weight Gain, lb45Weight Gain ReviewGestational Weight Gain2511.3209CHARTS156.8104.5DateComments5A toolfor health care providers to support women in having healthy2.3weightswhen planning a pregnancy, during pregnancy, and postpartum.00-5-2.3-10-4.50246810 12 14 16www.perinatalservicesbc.ca18 20 22 24 26 28 30 32 34 36 38 40 42 44Weeksof PregnancyThe “right” amount of weightto gainduring pregnancy is a balance based on avoiding the risksassociated with too little and too much weight gain. There is no “one-size-fits-all” recommendation.Generally, it is recommended that most women follow the guidelines below. Health care providerscan use the guidelines to determine a healthy weight pattern for individual women.6027.25524.94540Weight and Weight Gain, lb22.7This chart is for womenwhose pre-pregnancyBMI is less than 18.5.20.418.1The recommended weightgain is within the green(shaded) region.3530Weight Gain (kg):12.5 - 18.015.913.62511.3209156.8104.552.300-5-2.3Weight and Weight Gain, kg50Pre-Pregnancy BMI:Less than 18.5Weight Gain (lb):28-40Weight Gain ReviewDateComments-4.5-100246810 12 14 1618 20 22 24 26 28 30 32 34 36 38 40 42 44Weeks of PregnancyCalculating Body Mass Index (BMI)BMI weight (kg) [height (m)]2 or [weight (lb) x 703] [height (in)]21. Take your weight in pounds and multiply by 703:60555045(lb) x 703 2. Multiply your height in inches by itself:(inches) x (inches) 27.23. Divide your answer in 1 by your answer in 2. This is your BMI.24.9(145 x 703)e.g. A woman who is 145 lb and 5 foot 5 inches would have a BMI of 24.1 BMI65 x 6522.720.4eight Gain, kgeight Gain, lbHealthyeating and being active most days are the best ways to promote a healthy4018.1 weight and a healthy pregnancy.For 35more information on healthy eating, physical activity, and healthy weight during pregnancy and 15.9postpartum go to www.healthyweightBC.ca30Health Canada: Nutrition for a Healthy Pregnancy - National Guidelines for the ChildbearingYears, 199913.6WeightGain ReviewAdapted with permission from the Division of Nutritional Sciences, Cornell University, Funded by NIH Grant #DK57439.DateComments
Gestational Weight GainCHARTSA tool for health care providers to support women in having healthyweights when planning a pregnancy, during pregnancy, and postpartum.www.perinatalservicesbc.caThe “right” amount of weight to gain during pregnancy is a balance, based on avoiding the risksassociated with too little and too much weight gain. There is no “one-size-fits-all” recommendation.Generally, it is recommended that most women follow the guidelines below. Health care providerscan use the guidelines to determine a healthy weight pattern for individual women.6027.25524.945Weight and Weight Gain, lb40This chart is for womenwhose pre-pregnancyBMI is between18.5 - 24.9.22.7The recommended weightgain is within the blue(shaded) region.15.9353018.5 - 24.9Weight Gain (kg):20.411.5 - 16.018.1Weight Gain (lb):13.62511.3209156.8104.552.300-5-2.3Weight and Weight Gain, kg50Pre-Pregnancy BMI:25 - 35Weight Gain ReviewDateComments-4.5-100246810 12 14 1618 20 22 24 26 28 30 32 34 36 38 40 42 44Weeks of PregnancyCalculating Body Mass Index (BMI)BMI weight (kg) [height (m)]2 or [weight (lb) x 703] [height (in)]21. Take your weight in pounds and multiply by 703:(lb) x 703 (inches) x (inches) 27.2602. Multiply your height in inches by itself:5524.93. Divide your answer in 1 by your answer in 2. This is your BMI.(145 x 703)e.g. A woman who is 145 lb and 5 foot 5 inches would have a BMI of 22.7 24.1 BMI65 x 65504520.4eight Gain, kgWeight Gain, lb18.140Healthyeating and being active most days are the best ways to promote a healthyweight and a healthy pregnancy.For 35more information on healthy eating, physical activity, and healthy weight during pregnancy and 15.9postpartum go to www.healthyweightBC.ca302513.6Weight Gain ReviewHealth Canada: Nutrition for a Healthy Pregnancy - National Guidelines for the Childbearing Years, 1999Date#DK57439. CommentsAdapted with permission from the Division of Nutritional Sciences, Cornell University, Funded11.3 by NIH Grant
18.13515.93013.611.325Weight and Weight Gain, kgWeight and Weight Gain, lb40Weight Gain ReviewDateCommentsGestational Weight Gain209156.8CHARTS104.552.30A toolfor health care providers to support women in having healthy0-2.3-5weightswhen planning a pregnancy, during pregnancy, and postpartum.-4.5-100246810 12 14 1618 20 22 24 26 28 30 32 34 36 38 40 42 44www.perinatalservicesbc.caWeeks of PregnancyThe “right” amount of weight to gain during pregnancy is a balance, based on avoiding the risksassociated with too little and too much weight gain. There is no “one-size-fits-all” recommendation.Generally, it is recommended that most women follow the guidelines below. Health care providerscan use the guidelines to determine a healthy weight pattern for individual women.6027.25524.9Greater than 25.0 - 29.9This chart is for womenwhose pre-pregnancyBMI is between25 - 29.9.22.7Weight Gain (kg):20.47.0 - 11.518.1Weight Gain (lbs):The recommended weightgain is within the yellow(shaded) region.15.945Weight and Weight Gain, lb40353013.62511.3209156.8104.552.300-5-2.3Weight and Weight Gain, kg50Pre-Pregnancy BMI:15 - 25Weight Gain ReviewDateComments-4.5-100246810 12 14 1618 20 22 24 26 28 30 32 34 36 38 40 42 44Weeks of PregnancyCalculating Body Mass Index (BMI)555045t and Weight Gain, lb4027.21. Take your weight in pounds and multiply by 703:2. Multiply your height in inches by itself:(lb) x 703 (inches) x (inches)24.922.73. Divide your answer in 1 by your answer in 2. This is your BMI.20.4(145 x 703)e.g. A woman who is 145 lb and 5 foot 5 inches would have a BMI of 24.1 BMI65 x 6518.13515.93013.6t and Weight Gain, kg60BMI weight (kg) [height (m)]2 or [weight (lb) x 703] [height (in)]2Healthy eating and being active most days are the best ways to promote a healthy weight and a healthy pregnancy.Weight Gain ReviewFor more information on healthy eating, physical activity, and healthy weight during pregnancy and postpartum go to www.healthyweightBC.caDateComments2511.3Health Canada: Nutrition for a Healthy Pregnancy - National Guidelines for the Childbearing Years, 1999209 by NIH Grant #DK57439.Adapted with permission from the Division of Nutritional Sciences, Cornell University, Funded
18.13515.93013.62511.3209156.8104.552.300Weight and Weight Gain, kgWeight and Weight Gain, lb40Weight Gain ReviewDateCommentsGestational Weight GainCHARTSA -5tool for health care providers to support women in having healthy-2.3weights when planning a pregnancy, during pregnancy, and postpartum.-4.5-100246810 12 14 1618 20 22 24 26 28 30 32 34 36 38 40 42 44www.perinatalservicesbc.caWeeks of PregnancyThe “right” amount of weight to gain during pregnancy is a balance, based on avoiding the risksassociated with too little and too much weight gain. There is no “one-size-fits-all” recommendation.Generally, it is recommended that most women follow the guidelines below. Health care providerscan use the guidelines to determine a healthy weight pattern for individual women.6027.25524.9This chart is for womenwhose pre-pregnancyBMI is 30 or greater*.45Weight and Weight Gain, lb40The recommended weightgain is within the orange(shaded) region.353030 or greater22.7Weight Gain (kg):20.45.0 - 9.018.1Weight Gain ight and Weight Gain, kg50Pre-Pregnancy BMI:11 - 20Weight Gain ReviewDateComments-4.50246810 12 14 1618 20 22 24 26 28 30 32 34 36 38 40 42 44Weeks of Pregnancy* Women with a BMI of 35 or greater may have personalized weight recommendations that do not follow this chart.Calculating Body Mass Index (BMI)BMI weight (kg) [height (m)]2 or [weight (lb) x 703] [height (in)]21. Take your weight in pounds and multiply by 703:2. Multiply your height in inches by itself:(lb) x 703 (inches) x (inches)3. Divide your answer in 1 by your answer in 2. This is your BMI.(145 x 703)e.g. A woman who is 145 lb and 5 foot 5 inches would have a BMI of 24.1 BMI65 x 65Healthy eating and being active most days are the best ways to promote a healthy weight and a healthy pregnancy.For more information on healthy eating, physical activity, and healthy weight during pregnancy and postpartum go to www.healthyweightBC.caHealth Canada: Nutrition for a Healthy Pregnancy - National Guidelines for the Childbearing Years, 1999Adapted with permission from the Division of Nutritional Sciences, Cornell University, Funded by NIH Grant #DK57439.
babies. However, higher weight gain than with a twin pregnancy is expected. Pre-Pregnancy BMI Weight Gain (kg) Weight Gain (lb) Monitoring Less than 18.5 12.5 - 18.0 28 - 40 Use chart with green shading 18.5 - 24.9 11.5 - 16.0 25 - 35 Use chart with blue shading 25.0 - 29.9 7.0 - 11.5 15 - 25 Use chart with yellow shading
adequate gestational weight gain and no GDM and 12.6%, 13.5% and 17.3% among women with BMIs of 25 or higher, excess gestational weight gain, and GDM, respectively. A reduction ranging between 46.8% in Asian and Pacific Islanders and 61.0% in non-Hispanic black women in LGA prevalence might result if women had none of the three exposures.
The weight gain during pregnancy was varied from 0 to 25 kg with mean weight gain of 10.5 4.18 kg in our studied population. Mean gestational weight gain was found slightly less in the study done in Patan Hospital.12 whereas Indonesian pregnant had slightly more weight gain than our studied pregnant women. 13 A multi-centric
Table 1. IOM 2009 Revised Guidelines for Gestational Weight Gain Note. Assumes 1.1-4.4lbs weight gain in first trimester. Following the release of these recommendations, multiple studies have been undertaken to learn more about weight gain in pregnancy and to try to help pregnant women gain weight appropriately.
between early gestational weight gain and the risk of severe maternal morbidity, and 3) calculate the population attributable fraction of known, modifiable risk factors of severe maternal morbidity. A total gestational weight gain z-score of 2 (31kg at 40 weeks gestation among normal
1.05 95% CI 0.95 to 1.16) or in mean weight gain (0.01 kg per week 95% CI -0.03 to 0.05). GRADE quality of evidence was low for both outcomes. There was no indication in the two trials that either excessive gestational weight gain or mean gestational weight gain differed in women of normal weight at the beginning of pregnancy compared with .
Weight gain and severe outcomes (very preterm 32 weeks; very small for gestational age ( 3rdpercentile), stillbirth, and neonatal death Weight gain and macrosomia Weight gain and C-section Detailed analysis of postpartum weight through 50 weeks Limitations: lack of pre-pregnancy weight/BMI; predominantly an
INSTI: Significant weight gain. Greater magnitude of weight gain in people of African descent and women: Probably greater with DTG and BIC than RAL.4,5,6 NRTIs: Greater weight gain with TAF vs. ABC and TDF;5,6 and greater weight gain with INSTI in conjunction with TAF.1 NNRTI less conducive to weight gain.5,6,7,8
Ratio 104 121 143 165 195 231 273 319 377 473 559 649 731 841 1003 1247 1479 1849 2065 2537 3045 3481 4437 5133 6177 7569 50 Hz 60 Hz 13.9 12.0 10.1 8.79 7.44 6.28 5.31 4.55 3.85 3.07 2.59 2.23 1.98 1.72 1.45 1.16 0.98 0.754 0.702 0.572 0.476 0.417 0.327 0.282 0.235 0.192
