2026 Maternal Health Standards โ€” IOM Guidelines

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Pregnancy Weight Gain Calculator: Healthy Gain by Week

Estimate healthy weight gain during pregnancy.

Client-side only โ€” no pregnancy or biometric data sent to any server

Biometric baseline & current stage

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Pre-pregnancy BMI 24.0 โ€” Normal. IOM pregnancy weight guidelines used for ranges.

Weight gain roadmap

Recommended total gain (IOM)
25โ€“35 lbs

Normal (BMI 24.0) โ€” single pregnancy.

At week 20

Healthy zone: 7.9โ€“12.9 lbs gained

Your gain so far: 15.0 lbs

Above or below the typical range for this weekโ€”discuss with your provider if concerned.

Healthy zone vs your gain

0Week 20: you 15.0 lbs40

Shaded area: recommended range by week. First trimester ~1โ€“4 lbs total; ~1 lb/week after.

Where the gain goes (approximate)

  • Fetus, placenta, amniotic fluid: ~11 lbs
  • Increased blood & fluid volume: ~5โ€“7 lbs
  • Uterus & breasts: ~3โ€“5 lbs
  • Fat stores (energy for breastfeeding): ~6โ€“8 lbs

Trimester breakdown

Most people gain only 1โ€“4 lbs in the first trimester (first 3 months), then roughly 1 lb per week in the second and third trimesters. Healthy weight gain during pregnancy by week varies by pre-pregnancy BMIโ€”this calculator uses IOM pregnancy weight guidelines to show your target range.

Nutritional synergy

Pregnancy typically requires about 300 extra calories per day in the second and third trimestersโ€”roughly a healthy sandwich or glass of milk. Key nutrients:

  • Folate / Folic acid โ€” 400โ€“800 mcg daily; supports neural tube development.
  • Calcium โ€” supports fetal bones and your bone health.

Pregnancy Weight Gain Calculator: IOM & Your Roadmap

Recommended gain isn't one numberโ€”it's a range that depends on your starting weight and whether you're carrying one baby or two. These insights explain why the first trimester often adds so little, why the "healthy zone" is a guide rather than a strict rule, and how to use the calculator without stress.

Weight Gain Intelligence

Why the First Trimester Often Adds So Little

โ€ขEarly pregnancy is about building placenta and foundations, not "eating for two."
โ€ขNausea can limit gain or even cause a small lossโ€”and that's common. The calculator's curve reflects a slower start in the first months, so if you're barely gaining at week 10, you're often still on track. The big gain comes later when baby and support tissues grow most.

Why the "Healthy Zone" Is a Guide, Not a Rule

โ€ขYour target range (from pre-pregnancy BMI) spreads total gain over 40 weeks.
โ€ขThe "healthy zone" by week helps you spot big deviationsโ€”not to stress over small ones. Second and third trimesters do most of the work; the calculator shows where you stand so you and your provider can adjust if needed.

Why Extra Calories Matter (Without Doubling Portions)

โ€ขPregnancy doesn't mean eating for two in volume.
โ€ขExtra energy is needed for fetal development and your own tissues, but it's a modest increaseโ€”not double portions. The calculator doesn't prescribe calories; it shows where your gain stands relative to IOM ranges so you can see if you're on track.

Pregnancy Weight Gain Calculator: IOM Guidelines by Week | 2026

Pregnancy weight gain calculator: healthy weight gain during pregnancy by week, pregnancy weight gain chart for twins. How much weight should I gain while pregnant? IOM pregnancy weight guidelines. Client-side onlyโ€”no data sent.

What This Pregnancy Weight Gain Calculator Does

Calculator Purpose & Outputs

  • What You'll Get:

    Recommended Total Gain (IOM): By pre-pregnancy BMIโ€”underweight 28โ€“40 lbs, normal 25โ€“35 lbs, overweight 15โ€“25 lbs, obese 11โ€“20 lbs (singleton). Pregnancy weight gain chart for twins: normal 37โ€“54 lbs, overweight 31โ€“50 lbs, obese 25โ€“42 lbs.

    Healthy Zone at Current Week: Healthy weight gain during pregnancy by weekโ€”typically 1โ€“4 lbs total in first trimester, ~1 lb/week after. The calculator shows if your current gain is within range.

    Interactive Chart: Visual "healthy zone" (shaded) vs your actual weight gain by week.

    Weight Distribution: Where the gain goes (fetus/placenta/fluid ~11 lbs, blood/fluid ~5โ€“7 lbs, uterus/breasts ~3โ€“5 lbs, fat stores ~6โ€“8 lbs).

    Units: US (lbs, ft/in) or metric (kg, cm).

    Privacy: No pregnancy or biometric data sentโ€”client-side only.

  • IOM Pregnancy Weight Guidelines:

    How much weight should I gain while pregnant? The Institute of Medicine (IOM) sets ranges by pre-pregnancy BMI. This pregnancy weight gain calculator applies those IOM pregnancy weight guidelines and a trimester-based curve (1โ€“4 lbs first trimester, ~1 lb/week in second and third) to show your target by week.

  • Ideal Users:

    Anyone asking "How much weight should I gain while pregnant?": Enter height and pre-pregnancy weight for IOM-based ranges and healthy weight gain during pregnancy by week.

    Pregnancy weight gain chart for twins: Turn on the twin toggle for higher total and weekly targets.

    Tracking progress: Enter current weight and current week to see if you're in the healthy zone.

  • Accuracy & Limitations:
    Ranges are general guidelines, not personalized medical advice. Conditions like gestational diabetes or multiples may require different targets. Discuss with your obstetric or midwifery provider.
This pregnancy weight gain calculator (weight gain during pregnancy tool) provides a personalized weight gain schedule based on pre-pregnancy BMI, using Institute of Medicine (IOM) guidelines. Enter your current pregnancy week, height, pre-pregnancy weight, and current weight; get your total recommended gain, healthy weight gain during pregnancy by week, and an interactive chart. Twin toggle adjusts ranges for a pregnancy weight gain chart for twins.

Trimester Breakdown & Nutritional Synergy

Trimester Breakdown and Calories

  • First Trimester (Weeks 1โ€“12):
    1โ€“4 lbs total gain is common. Nausea may limit intake; the calculator's curve reflects this slower start. Pregnancy weight gain chart for singles and twins both show a gentler slope in the first trimester.
  • Second & Third Trimesters (Weeks 13โ€“40):
    ~1 lb per week. Healthy weight gain during pregnancy by week follows this pattern; the tool shows your target range at each week. For a pregnancy weight gain chart for twins, the total and weekly targets are higher (IOM twin ranges).
How much weight should I gain while pregnant? IOM pregnancy weight guidelines: women typically gain only 1โ€“4 lbs in the first 3 months (first trimester) and roughly 1 lb per week in the second and third trimesters. Healthy weight gain during pregnancy by week follows this patternโ€”the pregnancy weight gain calculator shows your target range at each week. Nutritional synergy: pregnancy typically requires about 300 extra calories per day in the second and third trimestersโ€”equivalent to a healthy sandwich or glass of milkโ€”to support fetal development. Key nutrients include folate/folic acid (400โ€“800 mcg daily; neural tube development) and calcium (bone health).

Pregnancy Weight Gain Calculator FAQ

? What if I gain too much weight during pregnancy?

Gaining above the IOM range doesn't mean you've harmed your babyโ€”but it can increase your risk of gestational diabetes, high blood pressure, and a larger baby (which may affect delivery). Talk to your provider; they may suggest gentle adjustments to diet and activity rather than strict dieting. This pregnancy weight gain calculator shows your target range by pre-pregnancy BMI so you can track healthy weight gain during pregnancy by week.

? Is it safe to lose weight while pregnant?

Intentional weight loss during pregnancy is generally not recommended unless your provider advises it (e.g. some people with obesity may be guided to gain less). Losing weight can deprive you and the fetus of needed nutrients. If you're overweight or obese and concerned, ask your provider for personalized IOM pregnancy weight guidelinesโ€”this pregnancy weight gain calculator gives general ranges, not medical advice.

? Why am I gaining weight so fast?

First trimester: many people gain 1โ€“4 lbs total; some gain little or none (or lose weight with nausea). Second and third trimesters: ~1 lb per week is typical. Rapid gain can be due to fluid retention, diet, or activity changes. If you're concerned, compare your gain to a pregnancy weight gain chart (like this calculator's healthy zone) and discuss with your provider. How much weight should I gain while pregnant? Use your pre-pregnancy BMI in this tool for IOM-based ranges.

? How much weight should I gain while pregnant?

It depends on your pre-pregnancy BMI (Institute of Medicine guidelines). Underweight (BMI <18.5): 28โ€“40 lbs. Normal (18.5โ€“24.9): 25โ€“35 lbs. Overweight (25โ€“29.9): 15โ€“25 lbs. Obese (โ‰ฅ30): 11โ€“20 lbs. For twins, ranges are higher (e.g. normal 37โ€“54 lbs). This pregnancy weight gain calculator uses your height and pre-pregnancy weight to show your target and a healthy weight gain during pregnancy by week.

? Is there a pregnancy weight gain chart for twins?

Yes. IOM guidelines for twin pregnancies: normal BMI 37โ€“54 lbs, overweight 31โ€“50 lbs, obese 25โ€“42 lbs. Underweight with twins often uses provider-specific targets. This pregnancy weight gain calculator has a twin toggleโ€”when you select twins, the recommended total and weekly healthy zone update to the pregnancy weight gain chart for twins.

? What are the IOM pregnancy weight guidelines?

The Institute of Medicine (IOM) guidelines set total weight gain ranges by pre-pregnancy BMI: underweight 28โ€“40 lbs, normal 25โ€“35 lbs, overweight 15โ€“25 lbs, obese 11โ€“20 lbs (singleton). For twins, ranges are higher. Gain is typically 1โ€“4 lbs in the first trimester and roughly 1 lb per week after. This pregnancy weight gain calculator applies IOM pregnancy weight guidelines and shows a healthy zone by current week.
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Fitness Reference Note

Informational Use: These calculations (BMI, Calories, etc.) are based on standard statistical formulas and are intended for general reference and goal-setting purposes only.

Consult Experts: This tool does not provide medical advice, diagnosis, or treatment. Results may not be accurate for athletes, pregnant individuals, or those with underlying health conditions.

Health Safety: Always consult with a healthcare professional or qualified trainer before beginning any new diet or intensive exercise program.

Privacy First: All calculations are performed locally in your browser. No health data is stored or transmitted to any server.

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