PA Medical News about Weight Gain; Pregnancy

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IOM Updates Guidelines for Weight Gain in Pregnancy - Physicians Urged to Offer More Counseling on Diet, Exercise
American Family Physician, 06/04/09

Mitchell D - The Institute of Medicine's guidelines for weight gain during pregnancy have been updated for the first time in nearly 20 years. The new guidelines differ from the 1990 guidelines in a few areas. First, the ranges for weight gain are based on body mass index, or BMI, measures, rather than on the Metropolitan Life Insurance tables used previously. The new guidelines also include a specific, narrow range of recommended weight gain for obese women. Obese women previously were advised to gain at least 15 pounds with no maximum limit. The new guidelines call for a total range of 11-20 pounds for obese women expecting a single infant. Unlike the 1990 recommendations, the new guidelines say there is no evidence for further modifying the weight-gain ranges for women who are short, members of a minority group or teenagers. Separate guidance applies to women pregnant with twins. Those with a normal BMI should gain 37-54 pounds, overweight women should gain 31-50 pounds, and obese women should gain 25-42 pounds. Counseling all pregnant women on diet and exercise could be expected to provide those benefits, as well as reduce postpartum weight retention and reduce childhood obesity. And pospartum counseling could help women conceive subsequent children at a healthy weight and improve long-term health.

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