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Recommended weight gain by BMI (IOM guidelines)
The 2009 guidelines from the US Institute of Medicine (IOM, now NAM) recommend the following total weight gain for singleton pregnancies by pre-pregnancy BMI: Underweight (BMI < 18.5): 12.5β18 kg (28β40 lb), Normal (18.5β24.9): 11.5β16 kg (25β35 lb), Overweight (25β29.9): 7β11.5 kg (15β25 lb), Obese (β₯ 30): 5β9 kg (11β20 lb). The lower your pre-pregnancy weight, the more gain is recommended, and vice versa. These ranges are statistical recommendations derived from maternal and fetal health outcomes.