Source: Adapted from Institute of Medicine. 2009. Weight Gain during Pregnancy: Re-examining the Guidelines. Report Brief. Washington, DC: Institute of Medicine. If pre-pregnancy BMI is not known Weight gain per month Nutritional status (kg) < 1 Moderately malnourished 1–2 Normal > 2 Overweight Note: These average values not apply to women who were obese before pregnancy. HANDOUT 5.2. Energy Needs of Pregnant and Lactating Women Increased Average energy Increased Total Extra food to energy requirements energy energy meet additional Group intake for pregnancy requirements intake energy (kcal) and lactation for HIV (kcal) (kcal) requirements (kcal) Pregnant 200–285 One nutritious HIV negative 2,140 (depends on N/A snack activity level) HIV positive, One nutritious 2,140 280 10% (210) 2,630 asymptomatic snack HIV positive, 20%–30% Two nutritious 2,140 280 symptomatic (428–642) snacks Lactating One small HIV negative 2,140 500 N/A 2,640 balanced meal One small HIV positive, 2,140 500 10% (210) 2,850 balanced meal asymptomatic and one snack
Source: Adapted from Institute of Medicine. 2009. Weight Gain during Pregnancy: Re-examining the Guidelines. Report Brief. Washington, DC: Institute of Medicine. If pre-pregnancy BMI is not known Weight gain per month (kg) Nutritional status < 1 Moderately malnourished 1–2 Normal > 2 Overweight Note: These average values not apply to women who were obese before pregnancy. HANDOUT 5.2. Energy Needs of Pregnant and Lactating Women Group Average energy intake (kcal) Increased energy requirements for pregnancy and lactation (kcal) Increased energy requirements for HIV (kcal) Total energy intake (kcal) Extra food to meet additional energy requirements Pregnant HIV negative 2,140 200–285 (depends on activity level) N/A One nutritious snack HIV positive, asymptomatic 2,140 280 10% (210) 2,630 One nutritious snack HIV positive, symptomatic 2,140 280 20%–30% (428–642) Two nutritious snacks Lactating HIV negative 2,140 500 N/A 2,640 One small balanced meal HIV positive, asymptomatic 2,140 500 10% (210) 2,850 One small balanced meal and one snack
Generic-NACS-Participant-Handouts-Dec2015.docx