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A tool for health care providers to support women in having healthy
weights when planning a pregnancy, during pregnancy, and postpartum.
Women pregnant with twins:
Currently Health Canada does not have recommendations for women with a BMI less than
18.5 who are pregnant with twins.
Currently Health Canada does not have recommendations for gestations of three or more
babies. However, higher weight gain than with a twin pregnancy is expected.
Pre-Pregnancy BMI Weight Gain (kg) Weight Gain (lb) Monitoring
Less than 18.5 12.5 - 18.0 28 – 40 Use chart with
18.5 - 24.9 11.5 - 16.0 25 – 35 Use chart with
25.0 - 29.9 7.0 – 11.5 15 – 25 Use chart with
30 or greater* 5.0 - 9.0 11-20 Use chart with
* Women with a BMI of 35 or greater may have personalized weight gain recommendations
that are lower than this range. Health care providers are to determine individualized, healthy
weight patterns for women with a BMI of 35 or greater.
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