Wv Wic Prenatal Weight Gain Chart

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WV WIC PRENATAL WEIGHT GAIN CHART
Pre-Pregnancy Normal Weight
BMI 18.5–24.9
Last Name
Fir st Name
Weight Gain Recommendations (singleton):
♦  2.2–6.6 lb. gain 1
trimester
st
♦  1 lb. gain per week 2
and 3
trimesters
nd
rd
P articipant WIC I.D.
♦  25–35 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-61

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