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When you need to gain more weight during pregnancy
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When you need to gain more weight during pregnancy

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  • What Is the Right Amount of Weight to Gain?

    Most women should gain somewhere between 25 and 35 pounds during pregnancy. If a woman does not gain enough weight, there may be health problems for the mother and baby.

    Most women will gain 2 - 4 pounds during the first trimester, and 1 pound a week for the rest of the pregnancy. Through the entire pregnancy:

    • Overweight women need to gain less (15 - 20 pounds or less, depending on your prepregnancy weight)
    • Underweight women will need to gain more (28 - 40 pounds)
    • You should gain more weight if you are having more than one baby. Women having twins will need to gain 37 - 54 pounds.

    Some women have a hard time gaining weight during pregnancy. Sometimes it is because women start a pregnancy underweight, or they have other health issues that keep them from gaining weight. Sometimes it is caused by just not being able to keep food down due to nausea and vomiting.

    Either way, a balanced, nutrient-rich diet, along with moderate exercise, is the basis for a healthy pregnancy. Talk to your doctor about how many calories you should eat each day, and how you can gain the right amount of weight.

  • If You Need to Gain Weight During Pregnancy

    If your health care provider says you should gain more weight, here are some tips to help:·

    • Don’t skip meals. Instead of eating 3 big meals, eat 5 - 6 small meals every day.
    • Keep quick, easy snacks on hand. Nuts, raisins, cheese and crackers, dried fruit, and ice cream or yogurt are good choices.
    • Spread peanut butter on toast, crackers, apples, bananas, or celery. One tablespoon of creamy peanut butter will provide about 100 calories and 7 grams of protein.
    • Add nonfat powdered milk to foods such as mashed potatoes, scrambled eggs, and hot cereal.
    • Add butter or margarine, cream cheese, gravy, sour cream, and cheese to your meals.
    • Try to eat more foods that are high in good fats, such as nuts, fatty fish, avocados, and olive oil.
    • Drink juices made from real fruit that are high in vitamin C or beta carotene. Grapefruit juice, orange juice, papaya nectar, apricot nectar, and carrot juice are good choices.
    • Avoid junk food.
    • As your health care provider about taking prenatal vitamins and other supplements.
  • Body Image and Pregnancy

    If you've struggled with your weight in the past, it may be hard to accept that it's okay to gain weight now. It's normal to feel anxious as the numbers on the scale edge up.

    Pregnancy is not a time to diet or worry about weight gain. Keep in mind that weight gain is needed for a healthy pregnancy. The extra pounds will come off after you've had the baby. Remember not to gain too much as this can cause your baby to be too big. A healthy diet and regular exercise will help you have a healthy pregnancy and baby.

    If your worries about your body image affect your pregnancy or your daily life, talk to your health care provider.

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Review Date: 8/23/2012  

Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

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