Have you seen the latest weight gain recommendations from the IOM?  They are the same except an increase for the highest BMI levels. Low BMI gain 28-40 pounds; Normal BMI gain 25-35 pounds; High BMI gain 15-25 pounds and Obese BMI gain 11-20 pounds. I personally am a fan of increasing the weight gain for obese individuals.  I’ve always been frustrated that to ensure the recommended weight gain it meant an obese woman actually losing weight during pregnancy (when you adjust for the growth of the baby and the placenta). I prefer to focus on what a woman eats, and if her nutrition is appropriate thanRead More →