TABLE 2.
State-specific prevalence of inadequate, appropriate, and excessive gestational weight gain by prepregnancy body mass index category* – 46 States, New York City, and District of Columbia, 2012 and 2013†
| Underweight (n = 116,287) | Normal weight (n = 1,460,476) | Overweight (n = 793,191) | Obese (n = 727,628) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| State | Inadequate No. (%) |
Appropriate No. (%) |
Excessive No. (%) |
Inadequate No. (%) |
Appropriate No. (%) |
Excessive No. (%) |
Inadequate No. (%) |
Appropriate No. (%) |
Excessive No. (%) |
Inadequate No. (%) |
Appropriate No. (%) |
Excessive No. (%) |
| Alaska | 58 (24.4) | 113 (47.5) | 67 (28.2) | 758 (17.9) | 1,427 (33.7) | 2,048 (48.4) | 364 (15.6) | 436 (18.7) | 1,533 (65.7) | 590 (26.5) | 393 (17.6) | 1,248 (55.9) |
| Arkansas§ | ¶ | ¶ | ¶ | 3,013 (23.2) | 5,759 (44.4) | 4,199 (32.4) | ¶ | 2,209 (29.5) | 4,761 (63.6) | ¶ | 2,480 (32.7) | 3,688 (48.6) |
| California | 5,350 (33.8) | 7,155 (45.3) | 3,308 (20.9) | 51,251 (25.6) | 80,041 (39.9) | 69,182 (34.5) | 14,395 (13.1) | 32,108 (29.3) | 63,039 (57.6) | 18,030 (19.8) | 23,624 (26.0) | 49,381 (54.2) |
| Colorado | 771 (37.1) | 902 (43.4) | 407 (19.6) | 7,537 (26.3) | 11,517 (40.2) | 9,599 (33.5) | 2,146 (14.9) | 3,965 (27.5) | 8,300 (57.6) | 2,350 (21.0) | 2,907 (26.0) | 5,924 (53.0) |
| Delaware | 94 (30.5) | 135 (43.8) | 79 (25.7) | 872 (21.0) | 1,500 (36.2) | 1,775 (42.8) | 316 (12.7) | 562 (22.6) | 1,612 (64.7) | 518 (21.3) | 525 (21.6) | 1,384 (57.0) |
| District of Columbia | 89 (29.6) | 142 (47.2) | 70 (23.3) | 841 (21.2) | 1,722 (43.4) | 1,407 (35.4) | 161 (9.8) | 396 (24.1) | 1,088 (66.1) | 225 (15.1) | 340 (22.8) | 926 (62.1) |
| Florida | 2,465 (30.8) | 3,394 (42.3) | 2,157 (26.9) | 20,336 (23.8) | 31,173 (36.5) | 33,837 (39.7) | 5,944 (13.0) | 11,826 (25.8) | 28,037 (61.2) | 7,463 (19.2) | 9,308 (24.0) | 22,011 (56.8) |
| Georgia | 1,155 (32.5) | 1,581 (44.5) | 818 (23.0) | 10,012 (25.5) | 14,394 (36.7) | 14,855 (37.8) | 4,861 (20.2) | 5,722 (23.7) | 13,547 (56.1) | 7,543 (29.8) | 5,748 (22.7) | 12,067 (47.6) |
| Hawaii§ | ¶ | ¶ | ¶ | 2,557 (27.3) | 4,049 (43.2) | 2,771 (29.6) | ¶ | 860 (29.0) | 1,875 (63.2) | ¶ | 682 (26.8) | 1,508 (59.3) |
| Idaho | 201 (30.6) | 306 (46.7) | 149 (22.7) | 1,906 (19.6) | 3,925 (40.3) | 3,915 (40.2) | 511 (10.1) | 1,249 (24.8) | 3,281 (65.1) | 840 (19.2) | 1,106 (25.3) | 2,423 (55.5) |
| Illinois | 1,440 (33.6) | 1,921 (44.8) | 928 (21.6) | 14,834 (25.0) | 23,260 (39.1) | 21,338 (35.9) | 4,480 (12.6) | 9,722 (27.4) | 21,257 (60.0) | 6,694 (20.5) | 7,946 (24.4) | 17,968 (55.1) |
| Indiana | 796 (30.1) | 1,176 (44.5) | 672 (25.4) | 7,319 (23.1) | 11,745 (37.1) | 12,602 (39.8) | 2,082 (11.1) | 4,771 (25.4) | 11,959 (63.6) | 3,670 (18.9) | 4,532 (23.4) | 11,177 (57.7) |
| Iowa | 297 (28.6) | 487 (46.9) | 254 (24.5) | 2,802 (17.8) | 5,933 (37.7) | 6,991 (44.5) | 750 (8.4) | 1,837 (20.5) | 6,366 (71.1) | 1,766 (20.0) | 1,802 (20.4) | 5,260 (59.6) |
| Kansas | 375 (33.0) | 495 (43.5) | 267 (23.5) | 3,563 (22.4) | 6,416 (40.4) | 5,920 (37.2) | 997 (11.3) | 2,221 (25.3) | 5,571 (63.4) | 1,662 (19.4) | 2,019 (23.5) | 4,905 (57.1) |
| Kentucky | 621 (29.7) | 937 (44.8) | 532 (25.5) | 4,541 (22.3) | 7,321 (36.0) | 8,471 (41.7) | 1,640 (13.6) | 2,808 (23.4) | 7,579 (63.0) | 3,046 (23.1) | 2,960 (22.4) | 7,185 (54.5) |
| Louisiana | 730 (34.2) | 911 (42.7) | 493 (23.1) | 5,740 (25.2) | 8,281 (36.3) | 8,791 (38.5) | 1,815 (13.9) | 3,115 (23.9) | 8,118 (62.2) | 3,189 (22.6) | 3,262 (23.1) | 7,673 (54.3) |
| Maine§ | ¶ | ¶ | ¶ | 1,459 (27.3) | 2,075 (38.8) | 1,810 (33.9) | ¶ | 853 (28.7) | 1,740 (58.5) | ¶ | ¶ | 1,394 (54.8) |
| Maryland | 632 (32.6) | 855 (44.1) | 453 (23.4) | 6,071 (22.0) | 10,424 (37.7) | 11,148 (40.3) | 2,579 (16.6) | 3,220 (20.8) | 9,718 (62.6) | 3,827 (27.0) | 2,573 (18.2) | 7,754 (54.8) |
| Massachusetts | 624 (29.6) | 950 (45.1) | 533 (25.3) | 5,878 (19.4) | 12,831 (42.4) | 11,557 (38.2) | 1,518 (10.6) | 3,167 (22.1) | 9,640 (67.3) | 1,936 (18.1) | 2,180 (20.4) | 6,575 (61.5) |
| Michigan | 952 (31.3) | 1,333 (43.8) | 760 (25.0) | 9,841 (23.1) | 15,837 (37.2) | 16,844 (39.6) | 2,757 (11.2) | 6,200 (25.1) | 15,766 (63.8) | 4,768 (18.8) | 5,895 (23.2) | 14,722 (58.0) |
| Minnesota | 506 (37.0) | 624 (45.6) | 238 (17.4) | 6,907 (25.0) | 11,340 (41.0) | 9,396 (34.0) | 2,129 (13.0) | 4,397 (26.9) | 9,817 (60.1) | 3,082 (20.6) | 3,799 (25.4) | 8,100 (54.1) |
| Mississippi | 468 (31.4) | 653 (43.8) | 369 (24.8) | 3,408 (26.2) | 4,459 (34.3) | 5,144 (39.5) | 1,116 (13.9) | 1,984 (24.7) | 4,942 (61.5) | 1,966 (19.9) | 2,423 (24.5) | 5,497 (55.6) |
| Missouri | 664 (26.2) | 1,099 (43.4) | 772 (30.5) | 5,397 (18.3) | 10,537 (35.6) | 13,635 (46.1) | 1,524 (10.0) | 3,080 (20.1) | 10,716 (70.0) | 3,314 (21.4) | 2,898 (18.7) | 9,255 (59.8) |
| Montana | 116 (31.5) | 174 (47.3) | 78 (21.2) | 1,116 (21.5) | 1,985 (38.3) | 2,083 (40.2) | 292 (10.8) | 643 (23.8) | 1,771 (65.5) | 486 (21.1) | 541 (23.5) | 1,279 (55.5) |
| Nebraska | 224 (31.3) | 306 (42.8) | 185 (25.9) | 2,126 (19.7) | 4,041 (37.4) | 4,641 (42.9) | 639 (10.9) | 1,236 (21.0) | 3,999 (68.1) | 1,151 (21.7) | 1,106 (20.8) | 3,060 (57.6) |
| Nevada | 345 (26.3) | 615 (47.0) | 350 (26.7) | 2,949 (20.4) | 5,314 (36.7) | 6,226 (43.0) | 968 (12.7) | 1,780 (23.3) | 4,899 (64.1) | 1,333 (20.1) | 1,386 (20.9) | 3,903 (58.9) |
| New Hampshire | 86 (27.6) | 137 (43.9) | 89 (28.5) | 990 (19.7) | 1,879 (37.4) | 2,158 (42.9) | 202 (7.9) | 584 (23.0) | 1,757 (69.1) | 434 (18.7) | 540 (23.3) | 1,346 (58.0) |
| New Jersey§ | ¶ | ¶ | ¶ | 12,379 (28.6) | 19,079 (44.0) | 11,872 (27.4) | ¶ | 6,114 (31.7) | 11,424 (59.3) | 2,360 (17.6) | ¶ | 6,458 (48.2) |
| New Mexico | 269 (30.9) | 380 (43.6) | 222 (25.5) | 2,274 (23.0) | 3,746 (37.8) | 3,882 (39.2) | 668 (11.4) | 1,565 (26.8) | 3,613 (61.8) | 893 (16.3) | 1,440 (26.4) | 3,132 (57.3) |
| New York | 1,083 (35.2) | 1,340 (43.5) | 657 (21.3) | 11,693 (25.2) | 18,339 (39.6) | 16,333 (35.2) | 3,143 (11.8) | 7,439 (28.0) | 15,983 (60.2) | 4,563 (19.0) | 5,892 (24.5) | 13,554 (56.5) |
| New York City | 1,899 (34.7) | 2,549 (46.5) | 1,031 (18.8) | 14,910 (27.2) | 22,447 (41.0) | 17,443 (31.8) | 3,142 (12.6) | 7,775 (31.0) | 14,128 (56.4) | 2,378 (14.0) | 4,289 (25.2) | 10,343 (60.8) |
| North Carolina | 1,288 (32.0) | 1,731 (43.0) | 1,005 (25.0) | 10,740 (23.3) | 16,980 (36.8) | 18,481 (40.0) | 3,060 (11.8) | 6,396 (24.8) | 16,378 (63.4) | 5,138 (20.2) | 5,724 (22.5) | 14,591 (57.3) |
| North Dakota | 55 (26.8) | 99 (48.3) | 51 (24.9) | 930 (23.5) | 1,516 (38.4) | 1,507 (38.1) | 331 (13.2) | 600 (23.9) | 1,583 (63.0) | 568 (21.9) | 618 (23.8) | 1,408 (54.3) |
| Ohio | 1,251 (28.6) | 1,939 (44.4) | 1,179 (27.0) | 10,143 (19.5) | 18,762 (36.0) | 23,147 (44.5) | 3,097 (11.2) | 5,716 (20.7) | 18,858 (68.2) | 6,341 (22.9) | 5,451 (19.7) | 15,908 (57.4) |
| Oklahoma | 579 (29.8) | 795 (40.9) | 569 (29.3) | 4,516 (22.8) | 6,956 (35.2) | 8,305 (42.0) | 1,740 (15.3) | 2,611 (22.9) | 7,044 (61.8) | 2,796 (23.4) | 2,498 (20.9) | 6,646 (55.7) |
| Oregon | 339 (27.1) | 581 (46.5) | 330 (26.4) | 3,828 (20.2) | 7,341 (38.8) | 7,758 (41.0) | 990 (10.2) | 2,303 (23.8) | 6,395 (66.0) | 1,718 (19.0) | 2,118 (23.4) | 5,219 (57.6) |
| Pennsylvania | 1,146 (29.0) | 1,801 (45.5) | 1,010 (25.5) | 10,353 (20.1) | 19,394 (37.7) | 21,757 (42.2) | 3,013 (11.7) | 5,513 (21.5) | 17,173 (66.8) | 5,308 (22.2) | 4,651 (19.5) | 13,904 (58.3) |
| Rhode Island§ | ¶ | ¶ | ¶ | 632 (15.7) | 1,788 (44.5) | 1,595 (39.7) | ¶ | 433 (23.5) | 1,292 (70.1) | 110 (7.2) | ¶ | 981 (64.3) |
| South Carolina | 584 (31.7) | 808 (43.8) | 453 (24.6) | 4,925 (24.1) | 7,529 (36.8) | 8,008 (39.1) | 1,731 (14.3) | 2,955(24.4) | 7,411 (61.3) | 3,105 (22.7) | 3,177 (23.3) | 7,374 (54.0) |
| South Dakota | 87 (26.7) | 158 (48.5) | 81 (24.9) | 982 (19.5) | 1,869 (37.0) | 2,199 (43.5) | 303 (10.9) | 600 (21.6) | 1,872 (67.5) | 552 (21.7) | 515 (20.2) | 1,479 (58.1) |
| Tennessee | 824 (28.1) | 1,259 (42.9) | 850 (29.0) | 6,367 (20.7) | 11,164 (36.4) | 13,174 (42.9) | 1,846 (11.5) | 3,546 (22.0) | 10,715 (66.5) | 3,232 (19.8) | 3,211 (19.7) | 9,848 (60.5) |
| Texas | 4,251 (32.9) | 5,641 (43.6) | 3,043 (23.5) | 39,514 (25.1) | 62,032 (39.4) | 55,859 (35.5) | 10,784 (12.3) | 24,372 (27.8) | 52,461 (59.9) | 14,507 (18.0) | 19,913 (24.7) | 46,215 (57.3) |
| Utah | 614 (31.3) | 963 (49.1) | 385 (19.6) | 4,731 (19.5) | 10,348 (42.6) | 9,201 (37.9) | 1,029 (10.0) | 2,530 (24.7) | 6,688 (65.3) | 1,713 (20.8) | 1,970 (23.9) | 4,564 (55.3) |
| Vermont | 58 (37.7) | 68 (44.2) | ¶ | 532 (20.9) | 1,061 (41.6) | 955 (37.5) | 143 (11.1) | 270 (21.0) | 872 (67.9) | 280 (21.8) | 280 (21.8) | 725 (56.4) |
| Virginia | 792 (31.8) | 1,135 (45.5) | 567 (22.7) | 6,688 (20.9) | 13,441 (42.0) | 11,911 (37.2) | 1,611 (9.7) | 4,281 (25.6) | 10,808 (64.7) | 2,487 (17.4) | 3,541 (24.7) | 8,283 (57.9) |
| Washington | 637 (30.1) | 954 (45.1) | 526 (24.9) | 7,774 (23.4) | 13,231 (39.8) | 12,272 (36.9) | 2,646 (13.9) | 4,946 (25.9) | 11,483 (60.2) | 4,294 (24.2) | 4,260 (24.0) | 9,222 (51.9) |
| Wisconsin | 447 (32.6) | 616 (44.9) | 310 (22.6) | 5,537 (22.2) | 9,453 (37.9) | 9,973 (40.0) | 3,101 (20.2) | 3,335 (21.7) | 8,946 (58.2) | 5,269 (32.9) | 3,208 (20.0) | 7,564 (47.2) |
| Wyoming | 74 (30.3) | 94 (38.5) | 76 (31.2) | 649 (19.3) | 1,279 (38.0) | 1,439 (42.7) | 130 (8.3) | 326 (20.7) | 1,118 (71.0) | 256 (18.0) | 305 (21.4) | 862 (60.6) |
| PRAMS jurisdictions§ |
2,068 (39.5) |
2,186 (41.7) |
984 (18.8) |
20,041 (26.7) |
32,750 (43.6) |
22,248 (29.6) |
2,987 (8.6) |
10,469 (30.3) |
21,092 (61.1) |
4,769 (17.3) |
8,811 (31.9) |
14,029 (50.8) |
| BC jurisdictions |
35,336 (31.8) |
49,312 (44.4) |
26,401 (23.8) |
324,081 (23.4) |
534,190 (38.6) |
527,167 (38.1) |
96,694 (12.7) |
194,108 (25.6) |
467,841 (61.7) |
145,281 (20.8) |
162,874 (23.3) |
391,864 (56.0) |
| All |
37,404 (32.2) |
51,498 (44.3) |
27,385 (23.5) |
344,122 (23.6) |
566,940 (38.8) |
549,415 (37.6) |
99,681 (12.6) |
204,577 (25.8) |
488,933 (61.6) |
150,050 (20.6) |
171,685 (23.6) |
405,893 (55.8) |
Abbreviations: BC = birth certificate; PRAMS = Pregnancy Risk Assessment Monitoring System.
*
Gestational weight gain below (inadequate) and above (excessive) Institute of Medicine recommendations, which are based on prepregnancy body mass index (BMI): 28–40 pounds for underweight women (BMI <18.5), 25–35 pounds for normal-weight women (BMI = 18.5–24.9), 15–25 pounds for overweight women (BMI = 25.0–29.9), and 11–20 pounds for obese women (BMI ≥30.0).
†
Based on data from the 2012 Pregnancy Risk Assessment Monitoring System for 5 states and 2013 birth certificate for 41 states, New York City, and District of Columbia.
§
Data are from Pregnancy Risk Assessment Monitoring System and are presented as weighted frequencies and percent.
¶
Data suppressed because of small (<30) sample size.