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The American College of Obstetricians and Gynecologists supports the Institute of Medicine's guidelines on weight gain during pregnancy. The committee opinion appears in Obstetrics & Gynecology.
In brief:
Those with a pre-pregnancy BMI under 18.5 should gain 28–40 pounds.
Normal-weight women (BMI, 18.5–24.9) should aim for 25–35.
Overweight women (BMI, 25–29.9) should aim for 15–25.
Obese women (BMI, 30 or more) should gain only 11–20.
ACOG has also issued a separate committee opinion on obesity in pregnancy. That document, noting that more than half of pregnant women in the U.S. are overweight or obese, offers recommendations including anesthesiology consultation early in labor and possible thromboprophylaxis for those undergoing cesarean section.
Comment
LINK(S):
Obstetrics & Gynecology article on weight gain during pregnancy (Free)
Obstetrics & Gynecology article on obesity in pregnancy (Free)
Background: Physician's First Watch coverage of IOM recommendations (Free)