Background: A low weight for height of pregnant women at the start of
pregnancy and a low weight gain during pregnancy has a negative impact
of fetal growth. Aim: To report the design of a weight gain chart for
pregnant women that allows to classify mothers according to their nut
ritional status and to monitor weight gain during gestation. Material
and methods: Data from 1745 Chilean mothers who delivered their newbor
ns in 1983 and 1984 were used to build this chart. Results: The instru
ment could diagnose, from gestational week 10 onwards, mothers at risk
of delivering babies with birth weight under 3000 g and set weight ga
in goals for each individual mother based on here nutritional status.
Similarly, mothers at risk of delivering babies with birth weight over
3999 g could be early diagnosed during pregnancy and guided to have a
prudent weight gain. Conclusions: The chart can be easily used in pre
natal clinics of developing countries and its currently applied in sev
eral Latin American countries.