Colorado Department of Public Health and Environment

Healthy Baby Campaign provides medical professionals and patients with resources for before, during, and after pregnancy.

5A's Application for Providers

  1. 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?
  2. 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?
  3. 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.
  4. 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.
  5. 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

Mailing Address:
Healthy Baby Campaign
4300 Cherry Creek Drive South
Denver, CO 80246-1530

Weight-control Information Network

Provides information about physical activity and nutrition topics.

Toll-free number: +1 877-946-4627
Phone: (202) 828-1025

Mailing Address:
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.