Pregnancy Weight Gain Graphs for Singletons (Overweight or Obese – Pre-pregnant BMI)

Step 1: Assess and Advise Step 2: Consider Referral to a Step 3: Support Registered Dietitian When • Calculate pre-pregnant BMI • Woman has a concurrent medical • Reassure weight gain is at initial visit condition with an impact on nutrition an important part of • Provide individualized (e.g. hyperemesis, bowel diseases) pregnancy related to fetal weight gain recommendations • Woman has an eating disorder, or a development based on BMI category history of an eating disorder • Reinforce consistent and • Discuss an appropriate rate • Woman is less than 20 years old appropriate weight gain nd and pattern of weight gain • (especially in the 2 and Woman expresses concerns around rd weight gain or body changes 3 trimesters) • Pregnancy weight trend indicates inadequate or excessive weight gain

lb kg 51 23 48 22 Overweight 46 21 Pre-Pregnant BMI: 25.0–29.9 44 20 Total weight gain for pregnancy: 15–25 lbs (7–11.5 kg) 42 19 Mean weight gain rate in 2nd & 3rd trimesters: 0.6 lb/week (0.3 kg/week) 40 18 37 17 Pre-Pregnant BMI: 35 16 33 15 31 14 29 13 26 12 25 lbs (11.5 kg) 24 11 22 10 20 9

Weight Gain Weight 18 8 15 7 15 lbs (7 kg) 13 6 11 5 9 4 7 3 4 2 2 1 0 0 -2 -1 -4 -2 -6 -3 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 Weeks of Pregnancy

Inadequate Weight Gain Excessive Weight Gain • Weight gain below the shaded area • Weight gain above the shaded area • Loss below pre-pregnancy weight in 1st trimester • Gain of 7 or more lbs (3 kg) per month • Loss in 2nd or 3rd trimester

Prenatal Nutrition Guidelines for Health Professionals: Gestational Weight Gain. Health Canada. 2010. Reproduced with permission from the Minister of Health, 2011.

18297(2012-03) Page 1 of 2 Pregnancy Weight Gain Graphs for Singletons (Overweight or Obese – Pre-pregnant BMI)

Step 1: Assess and Advise Step 2: Consider Referral to a Step 3: Support Registered Dietitian When • Calculate pre-pregnant BMI • Woman has a concurrent medical • Reassure weight gain is at initial visit condition with an impact on nutrition an important part of • Provide individualized (e.g. hyperemesis, bowel diseases) pregnancy related to fetal weight gain recommendations • Woman has an eating disorder, or a development based on BMI category history of an eating disorder • Reinforce consistent and • Discuss an appropriate rate • Woman is less than 20 years old appropriate weight gain nd and pattern of weight gain • (especially in the 2 and Woman expresses concerns around rd weight gain or body changes 3 trimesters) • Pregnancy weight trend indicates inadequate or excessive weight gain

lb kg 51 23 48 22 Obese 46 21 Pre-Pregnant BMI: greater than or equal to 30 44 20 Total weight gain for pregnancy: 11–20 lbs (5–9 kg) 42 19 Mean weight gain rate in 2nd & 3rd trimesters: 0.5 lb/week (0.2 kg/week) 40 18 37 17 Pre-Pregnant BMI: 35 16 33 15 31 14 29 13 26 12 24 11 22 10 20 9 20 lbs (9 kg)

Weight Gain Weight 18 8 15 7 13 6 11 5 11 lbs (5 kg) 9 4 7 3 4 2 2 1 0 0 -2 -1 -4 -2 -6 -3 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 Weeks of Pregnancy

Inadequate Weight Gain Excessive Weight Gain • Weight gain below the shaded area • Weight gain above the shaded area • Loss below pre-pregnancy weight in 1st trimester • Gain of 7 or more lbs (3 kg) per month • Loss in 2nd or 3rd trimester

Prenatal Nutrition Guidelines for Health Professionals: Gestational Weight Gain. Health Canada. 2010. Reproduced with permission from the Minister of Health, 2011.

18297(2012-03) Page 2 of 2