The updated guidelines by the Institute of Medicine regarding gestational weight gain provide clinicians with a basis for practice. Health care providers who care for pregnant women should determine a woman’s body mass index at the initial prenatal visit and counsel her regarding the benefits of appropriate weight gain, nutrition and exercise, and, especially, the need to limit excessive weight gain to achieve best pregnancy outcomes. Individualized care and clinical judgment are necessary in the management of the overweight or obese woman who is gaining (or wishes to gain) less weight than recommended but has an appropriately growing fetus.

医学研究所更新的关于妊娠期体重增加的指南为临床医生提供了实践基础。照顾孕妇的卫生保健提供者应在初次产前检查时确定妇女的体重指数，并就适当的体重增加、营养和运动的益处向她提供咨询，特别是需要限制体重增加过多以达到最佳妊娠结局。对于体重增长（或希望增长）低于推荐体重但胎儿适当生长的超重或肥胖女性，有必要进行个体化护理和临床判断。