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Table 4 Gestational weight gain recommendations by country

From: No global consensus: a cross-sectional survey of maternal weight policies

Country

Recommendations by pre-pregnancy BMI category*

 

<18.5 kg/m^2

18.5-24.9 kg/m^2

25-29.9 kg/m^2

30-34.9 kg/m^2

35-39.9 kg/m^2

>40 kg/m^2

United States

12.5 - 18

11.5 - 16

7 - 11.5

5 - 9

5 - 9

5 - 9

Bulgaria

12 - 18

11 - 16

7 - 11

5 - 9

5 - 8

5 - 8

Ghana

12.5 - 18

11.5 - 16

7 - 11.5

5 - 10

5 - 10

5 - 10

Italy

12.5 - 18

11.5 - 16

7 - 11.5

5 - 9

5 - 9

5 - 9

Canada

12.5 - 18

11.5 - 16

7 - 11.5

5 - 9

5 - 9

5- 9

Nicaragua

12.7 - 18.1

11.3 - 15.9

6.8 - 11.3

5 - 9.1

None given

None given

Denmark

13 - 18

10 - 15

8 - 10

6 - 9

6 - 9

6 - 9

Poland

12.5 - 18

11.4 - 15.9

6.5 - 11.4

7 (upper limit)

7 (upper limit)

7 (upper limit)

Romania

12.5 - 18

11.5 - 16

7 - 11.5

7 - 11.5

7 - 11.5

7 - 11.5

Switzerland

12.5 - 18

11.5 - 16

7 - 11.5

7 (upper limit)

7 (upper limit)

7 (upper limit)

Brazil

12.5 - 18

11.5 - 16

7 - 11.5

7 (no range)

7 (no range)

7 (no range)

Paraguay

12.5 - 18

11.5 - 14

7 - 11.5

6 - 8

None given

None given

Iran

12 - 18

9 - 14

7 - 11.5

6 (no range)

6 (no range)

6 (no range)

China

14 - 15

12 (no range)

7 - 8

7 - 8

7 - 8

7 - 8

Croatia

14 (upper limit)

12 (upper limit)

10 (upper limit)

8 (lower limit)

6 (lower limit)

4 (lower limit)

Cuba

9.45 - 17

8.6 - 15.9

7.5 - 14

5.4 - 12.9

5.4 - 12.9

5.4 - 12.9

Japan

9 - 12

7 - 12

individual

individual

individual

individual

Portugal

6 - 12

5 - 10

5 - 7

5 - 7

5 - 7

5 (no range)

Russia

12 (no range)

12 (no range)

10 (no range)

10 (no range)

8 (no range)

8 (no range)

 

Recommendations by BMI at a specific gestational age chart

Argentina

Country-specific guideline chart

Bolivia

Rosso and Mardones†

Chile

Atalah, et al.§

Ecuador

Rosso and Mardones†

Guatemala

Atalah, et al.§

Honduras

Country-specific guideline chart

Peru

Rosso and Mardones†

Uruguay

Atalah, et al.§

 

Other recommendations not based on body size

Burma

1 kg per month from month 5 of gestation to term

France

Average gain around 12 kg

India

10 - 12 kg

Oman

Client materials recommend gaining 9–15 kg

Vietnam

9 - 12 kg

South Africa

Formal recommendation that women should not be given a guideline for weight gain in pregnancy

  1. *Bolded text indicates that a weight gain recommendation exactly matches the IOM recommendations. Italicized text indicates that a weight gain recommendation falls within 1 kg of either side of the U.S. IOM recommendations.
  2. †Mardones F, Rosso P. A weight gain chart for pregnant women designed in Chile. Matern Child Nutr. 2005.
  3. §Atalah E, Castillo C, Castro R, Aldea A. Proposal of a new standard for the nutritional assessment of pregnant women. Rev Med Chil. 1997.