Colorado Department of Public Health and Environment
Healthy Baby Campaign provides medical professionals and patients with resources for before, during, and after pregnancy.
- Healthy Baby Handout about how to prevent gaining weight too quickly.
- Calculate your BMI with Interactive Body Mass Index Tool.
- Provider charts for tracking weight gain:
- Women who are underweight.
- Women who are normal weight.
- Women who are overweight.
- Women who are obese.
- 5A's and Tips for Practice
5A's Application for Providers
Ask (1 Minute)
- How much weight does the patient expect to gain with this pregnancy?
- How much weight has the patient gained in previous pregnancies?
- Has the patients had any problems with weight in the past (obesity, eating disorders, etc...)?
- How does the patient feel about gaining weight during her pregnancy?
Assess (1 minute)
- Assess BMI based on pre-pregnancy weight and height to determine recommended weight gain range.
- Plot and track weight gain on Prenatal Weight Gain grid at each appointment.
- Determine if lack of food or poverty is contributing to poor nutrition.
- Does the patient suffer from severe nausea, vomiting, heartburn or constipation?
- Does the patient suffer from depression or have other high stress in her life?
Advise (1 minute)
- Provide clear, strong, personalized weight gain information based on the woman's BMI category.
- Discuss the appropriate rate of weight gain to optimize the chances of a healthy pregnancy, healthy delivery, and healthy baby.
- Provide personalized information linking behavior change to positive and negative birth outcomes.
- Document current stage in patient's chart.
Assist (3 minutes +)
- Discuss and use problem solving methods for coping with nausea and other gastrointestinal concerns.
- Provide appropriate information on nutrition and reassure the patient that weight gain is related to the baby's growth and development.
Arrange (1 minute +)
- Refer patients to WIC, Food Stamps, and food pantries if needed.
- Refer patients to the social worker and/or dietitian for assistance with stress and more intense nutritional counseling.
- Refer to a mental health professional and dietitian if an eating disorder is suspected.
- Refer to Nurse Family Partnership or Prenatal Plus if the patient is on Medicaid or low income.
Phone: (303) 692-2487
Email: Healthy Baby Campaign
Healthy Baby Campaign
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Weight-control Information Network
Provides information about physical activity and nutrition topics.
- Fit for Two Resource Guide for healthy eating and physical activity.
Toll-free number: +1 877-946-4627
Phone: (202) 828-1025
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
NIH Publication No. 02–5130
Institute of Medicine
- March of Dimes. Overweight and obesity during pregnancy; [cited April 2013].
- March of Dimes. Weight gain during pregnancy. 2009.
- Institute of Medicine. Report Brief May 2009, Weight Gain during Pregnancy: Reexamining the Guidelines. 2009.
- American Congress of Obstetricians and Gynecologists. Pregnancy Weight Gain: American Pregnancy Association.