Pregnancy Weight Gain
The health and weight of your baby at birth depend greatly on how much weight you gain over the course of your pregnancy. The weight of your baby factors into your weight gain, but your body also gains weight through its increase in blood volume — about 50 percent — as well as muscle, fluid, and tissue. Your body weight increases at a different rate depending on your stage of pregnancy. During the first trimester, weight gain is slow, about 2 to 4 pounds. During the last six months, weight gain should increase to about ½ to 1 pound per week, depending on your total target weight gain. Even though all women differ slightly, it is best to gain weight at a steady pace.
Trimester |
Weight Gain |
First trimester (1–3 months) |
2 to 4 pounds |
Second trimester (4–6 months) |
12 to 14 pounds |
Third trimester (7–9 months) |
8 to 10 pounds |
Your body weight before pregnancy will help to determine a healthy weight gain for you during pregnancy. The American College of Obstetricians and Gynecologists recommends the following target weight gains for healthy women. Keep in mind that these are only guidelines and that every woman is unique.
Pre-Pregnancy Weight* |
Suggested Weight Gain |
Normal weight (BMI of 19.8 to 26) |
25 to 35 pounds |
Overweight (BMI 26 to 29) |
15 to 25 pounds |
Obese (BMI greater than 29) |
At least 15 pounds |
Underweight (BMI of less than 19.8) |
28 to 40 pounds |
*BMI, or body mass index, according to National Academy of Sciences classification. See Appendix B for instructions on calculating your body mass index.
Because all women are different, suggested weight gains are expressed in ranges. Shoot for your target weight gain, and if you are not sure where your pre-pregnancy weight falls, speak to your doctor or calculate your pre-pregnancy BMI in Appendix B.
Women who are African-American or in their teenage years (younger than eighteen) are advised to gain toward the upper limit of the weight range to help decrease the risk for delivering a low birth-weight baby. Taller women should shoot for the higher end of the weight gain ranges, and shorter women (62 inches or under) should shoot for the lower end of the range for weight gain.
Multiple babies obviously means more weight gain. But remember, there is a vital need for the extra weight you need to gain! You are supporting more than one baby. Infants of multiple births have a much greater chance of being born premature or at a low birth weight. Women carrying twins are expected to gain about 35 to 45 pounds. Although women carrying triplets usually don't go full-term, if they did, they would need to gain somewhere around 50 to 60 pounds. Most women carrying twins have a higher-than-average weight gain in the first trimester. Experts stress the importance of early weight gain for women pregnant with twins because weight gain in the first two trimesters has been found to have the greatest impact on the birth weight of the babies.
Breaking Down Your Weight Gain
Your body is expanding. You know that not all of this extra weight can be coming from your baby alone, so where is it coming from? Many different parts of your body are used to support a healthy pregnancy, such as the storage of extra body fat to sustain the baby's rapid growth and provide needed energy during labor, delivery, and breastfeeding. It may ease your mind a bit to know exactly what is contributing to your weight gain and the importance of each component. The following chart will give you an approximate breakdown of a normal 25- to 35-pound weight gain. Of course, the picture differs somewhat from woman to woman.
Baby |
7 to 8 pounds |
Placenta |
1 to 2 pounds |
Amniotic fluid |
2 pounds |
Uterus |
2 pounds |
Breasts |
1 to 2 pounds |
Increase in blood volume |
3 pounds |
Body fat |
5 or more pounds |
Increase in muscle tissue and fluid |
4 to 7 pounds |

