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Twin Gestation Weight Gain Chart

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Twin Gestation Weight Gain Chart
Twin Gestation Weight Gain Chart
N.C. Department of Health and Human Services
Women’s and Children’s Health Section
PRENATAL WEIGHT GAIN CHART
Pre-Pregnancy Obese
BMI ≥ 30.0
Weight Gain Recommendations (twin gestation):
♦  3.2–5.4 lb. gain 1
st
trimester
♦  1 lb. gain per week 2
nd
and 3
rd
trimesters
♦  25–42 lb. total weight gain
1. Last Name  First Name  MI
2. Patient Number
3. Date of Birth
(MM/DD/YYYY)
Month Day Year
4. Race 
American Indian or Alaska Native  Asian
 Black/African American   Native Hawaiian/Other Pacic Islander
 Unknown  White
5. Ethnic Origin 
 Hispanic Cuban   Hispanic Mexican American
 Hispanic Other   Hispanic Puerto Rican
 Not Hispanic/Latino  Unreported
6. Gender 
 Female   Male
7. County of Residence
DHHS 2388G (Revised 05/11)
Women’s and Children’s Health Section (Review 05/14) 
Source: Institute of Medicine, 2009. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington, DC. National Academies Press; Committee to Reexamine IOM Pregnancy Guidelines.
-5
5
10
15
20
25
30
35
40
45
0 4 8 12 16 20 24 28 32 36 40
Weeks of Gestation
Weight Gain (Pounds)
baseline
EDC  ______________________________
Ht. (without shoes)  __________________
Pre-Pregnancy Wt. ___________________
Pre-Pregnancy BMI  __________________
Date
Weeks
Gestation Weight Notes
Twin Gestation Weight Gain Chart