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Healthy Weight for Healthy Birth and Beyond

NUPA-Healthy-Weight  

A birthing parent’s weight before, during and after pregnancy affects the health of both the birthing parent and the baby. Birthing parents who are overweight or obese before becoming pregnant and/or gain excessive weight during pregnancy have increased risk for numerous adverse health conditions such as preeclampsia, gestational diabetes, cesarean delivery and hypertension. Gaining a healthy amount of weight during pregnancy is important to support a child's health and adult health in the next generation.

The Maternal, Child and Adolescent Division is working to increase the percent of birthing parents with recommended weight gain during pregnancy by employing the following strategies:

  1. Conduct surveillance of maternal preconception weight status and weight gain during pregnancy, including measurement of trends and disparities.
  2. Improve capacity for nutrition and physical activity for potential birthing parents including optimum prenatal weight gain through collaboration and technical assistance, especially by sharing evidence-based resource.

Birthing Parents’ Weight on the Rise

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Data Brief
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Healthy Weight for Healthy Birth and Beyond: A data brief addressing the rising percent of individuals going into pregnancy obese or overweight and an increasing percent of individuals gaining excess weight during pregnancy.

In 2018, more than half (53%) of individuals who experienced a live birth were overweight or obese prior to pregnancy. Gaining an appropriate amount of weight during pregnancy is the first step in supporting and nurturing a child’s health throughout their lifespan and into the next generation.

As excess weight of a birthing parent before and during her pregnancy increases the risk for gestational diabetes, please see California Diabetes, Pregnancy, and Postpartum Care for more information and gestational diabetes in pregnancy trend maps.

For information on Multiple Factors Affect Birthing Parents’ Weight and resources on supporting healthy weight before and during pregnancy, click on links below.

MCAH Resources

  • MCAH Data Dashboard: Prepregnancy Weight: California prepregnancy weight dashboard for 2007–2022 based on state- and county-level data. Here you can see data at a glance, obtain more details for indicator subcategories, as well as download data for your own analyses.
  • Comprehensive Perinatal Services Program (CPSP): Access weight gain grids, nutrition assessments, and handouts.
  • CPSP Prenatal Weight Gain Grids: Pre-Pregnancy Underweight Range (PDF) | Pre-Pregnancy Normal Weight Range (PDF) | Pre-Pregnancy Overweight Range (PDF) | Pre-Pregnancy Obese Weight Range (PDF) | Pre-Pregnancy Normal Weight-Twins Range (PDF) | Pre-Pregnancy Overweight-Twins Range (PDF) | Pre-Pregnancy Obese-Twins Range (PDF)
  • Online Skills-Based Training on graphing prenatal weight : This module focuses on how to properly select, plot and analyze the Prenatal Weight Gain Grid. Gaining too little or too much weight in pregnancy is related with poor birth outcomes.
  • CPSP Steps to Take Manual (updated 2017) (PDF) :
    See the Nutrition section, or page 210 of the document, for guidelines on Weight Gain During Pregnancy.
  • CPSP Nutrition Handouts (updated 2017):
    Tips To Gain Weight (PDF)  and Spanish: Consejos para Aumentar de Peso (PDF) 
    Tips To Slow Weight Gain (PDF)  and Spanish: Consejos para reducir el aumento de peso 
  • Maternal and Infant Health Assessment (MIHA):
  • MIHA is a population based survey of women with a recent live birth that has been conducted annually since 1999. MIHA collects self-reported information about maternal weight status prior to pregnancy and total weight gained during pregnancy. Statewide, regional, and county MIHA data snapshots are available for download.
  • MyPlate Resources: 
    California MyPlate handouts are tailored for preconception, pregnant and new parents, and those with gestational diabetes. Spanish versions available as well. 
  • Systems and Environmental Changes offers information on systems and environmental changes that help to make healthy choices practical and accessible to all community members. Implement Policy, Systems and Environmental (PSE) changes to address obesity with an equity lens to eliminate overt and subtle injustices.
    • Lyn R, Aytur S, Davis TA, et al. Policy, systems, and environmental approaches for obesity prevention: a framework to inform local and state action. J Public Health Manag Pract.2013;19 (3 Suppl 1):S23–S33. doi:10.1097/ PHH.0b013e3182841709.
    • Kumanyika, S. K. A Framework for Increasing Equity Impact in Obesity Prevention. American Journal of Public Health. 2019; 109​

Other Resources

  • Weight Gain During Pregnancy: Reexamining the Guidelines (May 2009) 
  • The Current Understanding of Pre-Pregnancy Weight, Gestational Weight Gain, and the Impacts on Maternal and Child Health Among Women with Obesity: A Virtual Workshop (Recorded Webinar-June 2018)  A 1-hour webinar focusing on women with class II and III obesity and new evidence since 2009 when the Institute of Medicine and the National Research Council published Weight Gain During Pregnancy: Reexamining the Guidelines. The webinar explored new evidence on trends and associated health outcomes; discussed promising interventions, including patient-centered counseling; and highlighted limitations of the current evidence and research gaps.
  • BMI (Body Mass Index) Calculator :
    Learn about the BMI and use the BMI calculators for adults or for teens and children.
  • Women, Infants and Children Program:
    WIC provides eligible women and their families with nutrition education, vouchers for healthy foods, and more.           
  • Leah's Pantry : This website provides trauma informed nutrition education, programs and curricula.
  • Centers for Disease Control and Prevention (CDC): CDC provides strategies to address obesity, increase physical activity and promote breastfeeding.
    • Recommended community strategies and measurements to prevent obesity in the United States 

    • The CDC Guide (PDF) to Strategies to Increase Physical Activity in the Community

    • The CDC Guide (PDF) to Strategies to Support Breastfeeding Mothers and Babies

    • Weight Gain During Pregnancy : This CDC web page includes pregnancy weight gain recommendations and steps you can take to meet your pregnancy weight gain goal.

Page Last Updated : June 10, 2024
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