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Once you get pregnant, being overweight increases your risk for high blood pressure and diabetes (gestational diabetes), as well as the risk for miscarriage, preterm birth and even some birth defects. You may also have a higher risk of complications during labor.
Just as it's now recommended to start taking supplemental nutrients such as folic acid before getting pregnant, talk to your primary care doctor or your ob-gyn about steps you can take to lose weight. Those steps can include improving your diet and getting more exercise as part of a multi-prong way to shed pounds well before you try to conceive. Also work with your healthcare provider to get any medical conditions, such as high blood pressure, under good control.
But if you're overweight, with a body mass index between 25 and 29.9, you should gain only 15 to 25 pounds. And if you're obese, with a body mass index of 30 or higher, the recommendation is for a pregnancy weight gain of between 11 to 20 pounds.
It's very hard to get through pregnancy without gaining more weight than you planned. But if you can start out close to your ideal weight, you'll have fewer pounds to lose to regain your shape after baby comes.
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