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Normal weight gain for the first trimester
Pregnancy

Normal weight gain for the first trimester

2 min readWeek 13
Key takeaways
2 min
  • Expect to gain only 1-4.5 pounds during the first trimester, as weight gain is primarily from placenta formation and increased blood volume rather than fat storage.
  • Calculate your BMI early in pregnancy to determine your personalized weight gain targets, as lower BMI women need to gain more weight than higher BMI women.
  • Don't worry if you lose up to 2 pounds due to morning sickness and food aversions, as this is completely normal during early pregnancy.
  • Focus on gradual weight gain rather than sudden increases to ensure optimal baby development and reduce pregnancy complications.
  • Avoid consuming extra calories during the first trimester, as your growing baby doesn't require additional nutrition until the second trimester.

Normal first trimester weight gain ranges from 1 to 4.5 pounds total. This weight comes from placenta formation and increased blood volume. Many women lose up to 2 pounds due to morning sickness, which is completely normal.

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Normal weight gain for the first trimester

In most pregnancies, not much weight is gained during the first trimester. Gaining 1lb. to 4.5lbs. is considered average and is due to the formation of the placenta and increased volume of circulating blood, rather than increased fat [1].

Due to nausea, many expectant mothers experience decreased appetite and an aversion to food. For those affected by this, they may even lose weight — around two pounds — during the first trimester. For those unaffected, weight is likely to remain stable except due to changes in diet or physical activity.

During the first 12 weeks, the growing baby does not need the mother to consume additional calories. Your doctor will carefully monitor weight gain beginning in the second trimester. Individual experiences and needs vary, of course.

So how much weight gain is healthy?

American gynecologists recommend [2] measuring your body mass index (BMI) during your first checkup (around the 8th to 10th week of pregnancy). BMI is calculated by dividing weight by height. Those with a lower BMI will need to gain more weight during pregnancy than those with a higher BMI.

Here are some general guidelines for healthy pregnancy weight gain:

  • BMI < 18.5 - Gain 1lb. to 1.3lbs. per week;

  • 18.5 < BMI < 25 - Gain 0.8lb. to 1.1lbs. per week;

  • 25 < BMI < 30 - Gain 0.5lb. to 0.75lb. per week;

  • BMI > 30 - Gain 0.4lb. to 0.6lb. per week.

It is healthiest to gain weight gradually rather than suddenly to ensure the baby’s normal growth and to avoid any pregnancy complications. On average, it is recommended that you consume an extra 200 to 400 calories per day during your second trimester [1]. However, it’s best to take in these extra calories as healthy, whole foods rather than sweets or junk food.


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Frequently asked questions

Normal first trimester weight gain ranges from 1 to 4.5 pounds total. This weight comes from placenta development and increased blood volume, not fat storage.

Yes, losing up to 2 pounds during the first trimester is completely normal. Morning sickness, nausea, and food aversions commonly cause temporary weight loss in early pregnancy.

No, you don't need extra calories during the first trimester. Your growing baby doesn't require additional nutrition until the second trimester when you should add 200-400 healthy calories daily.

Women with lower BMI should gain more weight than those with higher BMI. Your doctor will calculate your BMI around 8-10 weeks to provide personalized weight gain guidelines.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated

This article is based on peer-reviewed research and trusted medical sources.

  1. Gestational weight gain. Expert Review AJOG, 2017.
  2. Guidelines for Perinatal Care. 8th Edition. ACOG & AAP, 2017.
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