Implementing Guidelines on Weight Gain and Pregnancy (2013) / Chapter Skim
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Implementing Guidelines on Weight Gain & Pregnancy
Implementing Guidelines on Weight Gain & Pregnancy
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Implementing Guidelines on Weight Gain & Pregnancy
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See the full report at iom.edu/healthypregnancy
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published new guidelines on weight gain and pregnancy. Health care providers can do a lot to help women learn about and follow the guidelines.
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The time before pregnancy and after delivery is just as important as the pregnancy itself.
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A long-term view of the reproductive cycle is critical to a healthy pregnancy as well as to a woman's long-term health. One in five American women is obese at the start of pregnancy.
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Beginning pregnancy at a healthy weight is the key.
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Health care providers should counsel women about choices for healthy diet and physical activity so that women can be at an optimal weight when they enter pregnancy. Less than one in three women gains within the IOM guidelines, regardless of prepregnancy weight.
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+ Some weight gain during pregnancy -- but not too much -- is important.
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The chart on the next page shows the recommended weight gain for each weight category. 40 15 LBS LBS About one in five women gains Just one in ten gains more than 40 pounds during less than 15 pounds, a pregnancy -- more than any reasonable goal for many woman should gain.
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WEIGHT GAIN BY TRIMESTER Prepregnancy TOTAL FIRST TRIMESTER SECOND AND THIRD BMI WEIGHT GAIN TRIMESTER WEIGHT GAIN PER WEEK Underweight <18.5 kg/m2 2.2-6.6 LBS 1-3 KGS 1.0-1.3 LBS 0.44-0.58 KGS Normal (healthy) weight 2.2-6.6 LBS 1-3 KGS 0.8-1.1 LBS 0.35-0.5 KGS 18.5 to 24.9 kg/m2 Overweight 25-29.9 kg/m2 2.2-6.6 LBS 1-3 KGS 0.5-0.7 LBS 0.23-0.33 KGS Obese >30 kg/m2 0.5-4.4 LBS .2-2 KGS 0.4-0.6 LBS 0.17-0.27 KGS About 50 percent of overweight women gain more than 30 during pregnancy.
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TOTAL PREGNANCY WEIGHT GAIN Prepregnancy BMI LBS KGS 28- 12.5- Underweight 40 18 <18.5 kg/m2 LBS KGS Normal (healthy) 25- 11.5- weight 35 16 18.5 to 24.9 kg/m2 LBS KGS Overweight 15- 7.0- 25-29.9 kg/m2 25 11.5 LBS KGS Obese 11- 5-9 >30 kg/m2 20 NOTE: To calculate BMI, visit http://www.nhlbisupport.com/bmi
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Returning to a healthy weight after delivery sets the stage for a healthy future pregnancy.
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6 months after giving birth 25 percent retain more than About 20 pounds 50 percent of women retain more than 10 pounds
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? As a health care provider, what can you do to help your patients achieve a healthy pregnancy?
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Working in partnership with your patients is the best way to help women conceive at a healthy weight, gain appropriately during pregnancy, and return to a healthy weight after delivery by • recording prepregnancy BMI; • charting weight gain throughout pregnancy; • sharing the results so that women know how they are doing with their weight gain goals; • counseling women about healthy choices for diet and physical activity so that they can achieve their goals for weight gain during pregnancy and weight loss afterward; and • referring women to a dietitian or physical activity specialist, if needed, for extra assistance. Although a majority of health care providers report counseling women about appropriate weight gain ?
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Notes
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Notes
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