Wv Wic Prenatal Weight Gain Chart - Pre-Pregnancy Overweightbmi 25.0-29.9

WV WIC PRENATAL WEIGHT GAIN CHART

Pre-Pregnancy Overweight

BMI 25.0–29.9

Last Name

Fir st Name

Weight Gain Recommendations (singleton):

♦  2.2–6.6 lb. gain 1

trimester

st

♦  0.6 lb. gain per week 2

and 3

trimesters

nd

rd

P articipant WIC I.D.

♦  15–25 lb. total weight gain

45

EDC ______________________________

Ht. (without shoes) __________________

Pre-Pregnancy Wt. ___________________

Pre-Pregnancy BMI __________________

40

Weeks

Date

Gestation

Weight

Notes

35

30

25

20

15

10

5

baseline

-5

0

4

8

12

16

20

24

28

32

36

40

Weeks of Gestation

DHHS 2388 (Revised 06/10)

Women’s and Children’s Health Section (Review 06/13)

Source: Institute of Medicine, 2009. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington, DC. National Academies Press; Committee to Reexamine IOM Pregnancy Guidelines.

Created by N.C. Department of Health and Human Services

Women’s and Children’s Health Section

WIC-62