{"id":2863,"date":"2019-10-28T18:59:28","date_gmt":"2019-10-28T22:59:28","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=2863"},"modified":"2022-04-14T17:28:41","modified_gmt":"2022-04-14T21:28:41","slug":"normal-weight-gain-during-pregnancy","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/","title":{"rendered":"Weight Gain During Pregnancy: What&#8217;s Normal?"},"content":{"rendered":"\n<p>Weight gain is a top topic for your prenatal care visits. Gain too much or too little weight, and the child is at risk (and your doctor will probably complain). Even more, the concept of \u201ceating for two\u201d may stimulate pregnant women to overeat.<\/p>\n\n\n\n<p>We&#8217;ll cover what the normal weight gain during pregnancy is, and how much exceeds the expected weight gain.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Normal Weight Gain in Pregnancy<\/h2>\n\n\n\n<p>Here are the guidelines for suggested weight gain over pregnancy:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Starting weight<\/strong><\/td><td><strong>Suggested weight gain (lb)<\/strong><\/td><td><strong>Weight gain per week (lb)<\/strong><\/td><\/tr><tr><td><strong>Underweight (BMI &lt; 18.5)<\/strong><\/td><td>28-40<\/td><td>0.85<\/td><\/tr><tr><td><strong>Normal Weight (BMI 18.5-25)<\/strong><\/td><td>25-35<\/td><td>0.75<\/td><\/tr><tr><td><strong>Overweight (BMI 25-30)<\/strong><\/td><td>15-25<\/td><td>0.50<\/td><\/tr><tr><td><strong>Obese (BMI &gt; 30)<\/strong><\/td><td>11-20<\/td><td>0.38<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The higher your starting weight, the less weight gain you should have through pregnancy. Conversely, if you are underweight when you get pregnant, you should gain more than average.<\/p>\n\n\n\n<p>Too little or too much weight gain (&lt;22 pounds and &gt;45 pounds, respectively, for a woman starting at normal weight), increases risk of preterm birth by around 1.4x. But both too little and too much weight gain have unique issues.<br><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Risks of Too Little Weight Gain in Pregnancy<\/h3>\n\n\n\n<p>Eating too little in pregnancy could cause the fetus to be smaller for gestational age (SGA). Specifically:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gaining 10 pounds lower than the recommendation doubles risk of SGA babies (from 10% to 20%) and halves risk of too-large babies (from 5% to 2.5%).<\/li><li>42% of SGA babies have complications of difficulty breathing, irregular blood sugar regulation, and abnormal neurological signs<\/li><li>A SGA baby born prematurely has higher risk of complications than an appropriate weight baby. In one study:<ul><li>Chronic lung disease increased from 29% to 57%<\/li><li>Mortality increased from 17% to 33%<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>These are serious symptoms and a big caution against too little weight gain during pregnancy.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Risks of Too Much Weight Gain in Pregnancy<\/h3>\n\n\n\n<p>Eating too much in pregnancy could cause the fetus to be large for gestational age (LGA):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gaining 10 lb more than recommendation doubles risk of LGA babies (from 5% to 10%) and halves risk of SGA babies (from 10% to 5%)<\/li><li>LGA babies roughly double the risk of requiring C-section and instrument-assisted delivery, and roughly triple risk of needing resuscitation or ICU transfer. (Shortform note: we could not find the baseline rates from Oster\u2019s references)<\/li><\/ul>\n\n\n\n<p>Another concern is that too much weight gain during pregnancy may cause your child to be overweight later in life. This has been shown in animal studies, with a possible mechanism being <a href=\"https:\/\/www.shortform.com\/blog\/peter-attia-insulin-resistance\/\">insulin resistance<\/a> in the womb leading to insulin resistance in life.&nbsp;<br><\/p>\n\n\n\n<p>But this is hard to control from environmental factors and parent habits, and Oster argues the effects are small. One long-term study found that for every kg Mom gained, BMI increased by 0.03. In other words, gaining 10 pounds over the recommendation would increase the child\u2019s future BMI by 0.13 &#8211; in the range of 1-2 pounds.<br><\/p>\n\n\n\n<p>In general, <strong>the risks of too little weight gain are more severe than those of too much weight gain<\/strong>.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Returning to Normal Weight after Pregnancy<\/strong><\/h2>\n\n\n\n<p>Some women may undereat in the hopes that they won\u2019t have to take off weight after pregnancy.<br><\/p>\n\n\n\n<p>One study found that women who gained the recommended amount ended up 5 lbs heavier 6 months after delivery. But <strong>90% of women starting out at normal weight had returned to normal weight by 24 months postpartum<\/strong>.<\/p>\n\n\n\n<p>Given that the risks of SGA babies are far worse, <strong>Oster argues that it\u2019s far better to err on gaining too much weight than too little. <\/strong>And gaining 1 pound over the guideline (36 instead of 35 pounds) is not a big deal. While doctors currently get equally concerned over both too little and too much weight gain, Oster argues doctors should weigh too little weight gain much more strongly. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Weight gain is a top topic for your prenatal care visits. Gain too much or too little weight, and the child is at risk (and your doctor will probably complain). Even more, the concept of \u201ceating for two\u201d may stimulate pregnant women to overeat. We&#8217;ll cover what the normal weight gain during pregnancy is, and how much exceeds the expected weight gain.<\/p>\n","protected":false},"author":2,"featured_media":2820,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[16],"tags":[56],"class_list":["post-2863","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-expecting-better","","tg-column-two"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Weight Gain During Pregnancy: What&#039;s Normal? - Shortform Books<\/title>\n<meta name=\"description\" content=\"What&#039;s the expected weight gain during pregnancy? What amount is too much or too little? Discover how much you should be gaining each week.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Weight Gain During Pregnancy: What&#039;s Normal?\" \/>\n<meta property=\"og:description\" content=\"What&#039;s the expected weight gain during pregnancy? What amount is too much or too little? Discover how much you should be gaining each week.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/\" \/>\n<meta property=\"og:site_name\" content=\"Shortform Books\" \/>\n<meta property=\"article:published_time\" content=\"2019-10-28T22:59:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-04-14T21:28:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.shortform.com\/blog\/wp-content\/uploads\/2019\/11\/expecting-better-pregnant-3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"817\" \/>\n\t<meta property=\"og:image:height\" content=\"521\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Allen Cheng\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Allen Cheng\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/\"},\"author\":{\"name\":\"Allen Cheng\",\"@id\":\"https:\/\/www.shortform.com\/blog\/#\/schema\/person\/e9c1cecc340502045489d4c4e6f4a877\"},\"headline\":\"Weight Gain During Pregnancy: What&#8217;s Normal?\",\"datePublished\":\"2019-10-28T22:59:28+00:00\",\"dateModified\":\"2022-04-14T21:28:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/\"},\"wordCount\":609,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.shortform.com\/blog\/wp-content\/uploads\/2019\/11\/expecting-better-pregnant-3.jpg\",\"keywords\":[\"Expecting Better\"],\"articleSection\":[\"Health\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/\",\"url\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/\",\"name\":\"Weight Gain During Pregnancy: What's Normal? - Shortform Books\",\"isPartOf\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.shortform.com\/blog\/normal-weight-gain-during-pregnancy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.shortform.com\/blog\/wp-content\/uploads\/2019\/11\/expecting-better-pregnant-3.jpg\",\"datePublished\":\"2019-10-28T22:59:28+00:00\",\"dateModified\":\"2022-04-14T21:28:41+00:00\",\"description\":\"What's the expected weight gain during pregnancy? 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