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The Pregnancy Calculator can estimate a pregnancy schedule based on the provided due date, last period date, ultrasound date, conception date, or IVF transfer date.
Pregnancy Term & Due Date
Pregnancy is a term used to describe a woman’s state over a time period (~9 months) during which one or more offspring develops inside of a woman. Childbirth usually occurs approximately 38 weeks after conception, or about 40 weeks after the last menstrual period. The World Health Organization defines a normal pregnancy term to last between 37 and 42 weeks. During a person’s first OB-GYN visit, the doctor will usually provide an estimated date (based on a sonogram) at which the child will be born, or due date. Alternatively, the due date can also be estimated based on a person’s last menstrual period.
While the due date can be estimated, the actual length of pregnancy depends on various factors, including age, length of previous pregnancies, and weight of the mother at birth.1 However, there are still more factors affecting natural variation in pregnancy terms that are not well understood. Studies have shown that fewer than 4% of births occur on the exact due date, 60% occur within a week of the due date, and almost 90% occur within two weeks of the due date.2 As such, while it is possible to be fairly confident that a person’s child will be born within about two weeks of the due date, it is currently not possible to predict the exact day of birth with certainty.
Pregnancy Detection
Pregnancy can be detected either by using pregnancy tests or by the woman herself noticing a number of symptoms, including a missed menstrual period, increased basal body temperature, fatigue, nausea, and increased frequency of urination.
Pregnancy tests involve the detection of hormones that serve as biomarkers for pregnancy and include clinical blood or urine tests that can detect pregnancy from six to eight days after fertilization. While clinical blood tests are more accurate, and can detect exact amounts of the hormone hCG (which is only present during pregnancy) earlier and in smaller quantities, they take more time to evaluate and are more expensive than home pregnancy urine tests. It is also possible to get a clinical urine test, but these are not necessarily more accurate than a home pregnancy test, and can potentially be more costly.
Pregnancy Management
There are a number of factors that need to be considered during pregnancy, many of which are highly dependent on the individual’s situation, such as medication, weight gain, exercise, and nutrition.
Medication:
Taking certain medications during pregnancy can have lasting effects on the fetus. In the U.S., drugs are classified into categories A, B, C, D, and X by the Food and Drug Administration (FDA) based on potential benefits vs. fetal risks. Drugs that have positive benefits for the mother with low risk to the fetus are classified as category A, while drugs with proven, significant fetal risks that outweigh potential benefits to the mother are classified as category X. A person that is pregnant should consult their doctor regarding any medications they plan to use during their pregnancy.
Weight gain:
Weight gain is a largely inevitable and necessary aspect of pregnancy that varies between people. It affects many aspects of fetal development, such as the weight of the baby, the placenta, extra circulatory fluid, and its fat and protein stores. Weight management merits consideration because insufficient or excessive weight gain can have negative effects for both mother and fetus, including the need for cesarean section (C-section) and gestational hypertension. While the values vary between women, the Institute of Medicine recommends an overall pregnancy weight gain of 25-35 pounds for women who are considered “normal” weight (BMI 18.5-24.9), 28-40 pounds for those considered underweight (BMI < 18.5), 15-25 pounds for those considered overweight (BMI 25-29.9), and 11-20 pounds for those considered obese (BMI > 30).3 Our Pregnancy Weight Gain Calculator is based on the Institute of Medicine recommendations.
Exercise:
Studies indicate that aerobic exercise during pregnancy helps to improve or maintain physical fitness as well as possibly decreasing the risk of C-sections. Although it varies between women, regular aerobic and strength-conditioning exercise are often recommended for pregnant women, and women who exercised regularly before pregnancy, who have uncomplicated pregnancies, should be able to continue high-intensity exercise programs.4 The American College of Obstetricians and Gynecologists suggests that given an uncomplicated pregnancy, fetal injuries are unlikely to occur as a result of exercise. Nevertheless, caution is advised, and a pregnant woman should consult their doctor if any of the following symptoms present: vaginal bleeding, shortness of breath, dizziness, headache, calf pain or swelling, amniotic fluid leakage, decreased fetal movement, preterm labor, muscle weakness, or chest pain.5
Nutrition:
Nutrition during pregnancy is particularly important for the health of the mother and baby. Pregnancy requires different nutritional considerations than a person would have in a non-pregnant state due to increased energy and specific micronutrient requirements.6
Certain vitamins such as Vitamin B9, also known as folic acid, can help decrease the risk of certain defects, while other nutrients such as DHA omega-3 that is necessary for proper brain and retinal development cannot be produced efficiently by infants, and can only be obtained through the placenta during pregnancy, or in breast milk after birth. There are many other micronutrients that aid proper fetal development, and there exist myriad sources of information on what pregnant women should or shouldn’t eat or do. All of the information can be different to sift through and can vary from person to person. Pregnant women should consult their doctors and/or dietitian to help determine the best course of action for their own specific needs.
- Jukic, AM, Baird, DD, Weinberg, CR, et al. 2013. “Length of human pregnancy and contributors to its natural variation. Human Reproduction 28(10): 2848-55. PMC3777570.
- Moore, Keith. 2015. “How accurate are ‘due dates’?” BBC, February 3, 2015. www.bbc.com/news/magazine-31046144.
- Institute of Medicine. 2009. “Weight Gain During Pregnancy: Reexamining the Guidelines.” National Academies Press.
- Davies, GA, Wolfe, LA, Mottola, MF, et al. 2003. “Exercise in pregnancy and the postpartum period.” Journal of Obstetrics and Gynaecology Canada 25(6): 516-29.
- Artal, R., O’Toole, M. 2003. “Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period.” British Journal of Sports Medicine 37: 6-12. doi:10.1136/bjsm.37.1.6
- Lammi-Keefe, CJ, Couch, SC, Philipson, E. 2008. “Handbook of Nutrition and Pregnancy.” Humana Press.
BMI table for adults
This is the World Health Organization’s (WHO) recommended body weight based on BMI values for adults. It is used for both men and women, age 20 or older.
| Classification | BMI range – kg/m2 |
| Severe Thinness | < 16 |
| Moderate Thinness | 16 – 17 |
| Mild Thinness | 17 – 18.5 |
| Normal | 18.5 – 25 |
| Overweight | 25 – 30 |
| Obese Class I | 30 – 35 |
| Obese Class II | 35 – 40 |
| Obese Class III | > 40 |
BMI chart for adults
This is a graph of BMI categories based on the World Health Organization data. The dashed lines represent subdivisions within a major categorization.
BMI table for children and teens, age 2-20
The Centers for Disease Control and Prevention (CDC) recommends BMI categorization for children and teens between age 2 and 20.
| Category | Percentile Range |
| Underweight | <5% |
| Healthy weight | 5% – 85% |
| At risk of overweight | 85% – 95% |
| Overweight | >95% |
BMI chart for children and teens, age 2-20
The Centers for Disease Control and Prevention (CDC) BMI-for-age percentiles growth charts.
Risks associated with being overweight
Being overweight increases the risk of a number of serious diseases and health conditions. Below is a list of said risks, according to the Centers for Disease Control and Prevention (CDC):
- High blood pressure
- Higher levels of LDL cholesterol, which is widely considered “bad cholesterol,” lower levels of HDL cholesterol, considered to be good cholesterol in moderation, and high levels of triglycerides
- Type II diabetes
- Coronary heart disease
- Stroke
- Gallbladder disease
- Osteoarthritis, a type of joint disease caused by breakdown of joint cartilage
- Sleep apnea and breathing problems
- Certain cancers (endometrial, breast, colon, kidney, gallbladder, liver)
- Low quality of life
- Mental illnesses such as clinical depression, anxiety, and others
- Body pains and difficulty with certain physical functions
- Generally, an increased risk of mortality compared to those with a healthy BMI
As can be seen from the list above, there are numerous negative, in some cases fatal, outcomes that may result from being overweight. Generally, a person should try to maintain a BMI below 25 kg/m2, but ideally should consult their doctor to determine whether or not they need to make any changes to their lifestyle in order to be healthier.
Risks associated with being underweight
Being underweight has its own associated risks, listed below:
- Malnutrition, vitamin deficiencies, anemia (lowered ability to carry blood vessels)
- Osteoporosis, a disease that causes bone weakness, increasing the risk of breaking a bone
- A decrease in immune function
- Growth and development issues, particularly in children and teenagers
- Possible reproductive issues for women due to hormonal imbalances that can disrupt the menstrual cycle. Underweight women also have a higher chance of miscarriage in the first trimester
- Potential complications as a result of surgery
- Generally, an increased risk of mortality compared to those with a healthy BMI
In some cases, being underweight can be a sign of some underlying condition or disease such as anorexia nervosa, which has its own risks. Consult your doctor if you think you or someone you know is underweight, particularly if the reason for being underweight does not seem obvious
Limitations of BMI
Although BMI is a widely used and useful indicator of healthy body weight, it does have its limitations. BMI is only an estimate that cannot take body composition into account. Due to a wide variety of body types as well as distribution of muscle, bone mass, and fat, BMI should be considered along with other measurements rather than being used as the sole method for determining a person’s healthy body weight.
In adults:
BMI cannot be fully accurate because it is a measure of excess body weight, rather than excess body fat. BMI is further influenced by factors such as age, sex, ethnicity, muscle mass, body fat, and activity level, among others. For example, an older person who is considered a healthy weight, but is completely inactive in their daily life may have significant amounts of excess body fat even though they are not heavy. This would be considered unhealthy, while a younger person with higher muscle composition of the same BMI would be considered healthy. In athletes, particularly bodybuilders who would be considered overweight due to muscle being heavier than fat, it is entirely possible that they are actually at a healthy weight for their body composition. Generally, according to the CDC:
- Older adults tend to have more body fat than younger adults with the same BMI.
- Women tend to have more body fat than men for an equivalent BMI.
- Muscular individuals and highly trained athletes may have higher BMIs due to large muscle mass.
In children and adolescents:
The same factors that limit the efficacy of BMI for adults can also apply to children and adolescents. Additionally, height and level of sexual maturation can influence BMI and body fat among children. BMI is a better indicator of excess body fat for obese children than it is for overweight children, whose BMI could be a result of increased levels of either fat or fat-free mass (all body components except for fat, which includes water, organs, muscle, etc.). In thin children, the difference in BMI can also be due to fat-free mass.
That being said, BMI is fairly indicative of body fat for 90-95% of the population, and can effectively be used along with other measures to help determine an individual’s healthy body weight.
BMI formula
Below are the equations used for calculating BMI in the International System of Units (SI) and the US customary system (USC) using a 5’10”, 160-pound individual as an example:
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BMI Prime
BMI prime is the ratio of a person’s measured BMI to the upper limit of BMI that is considered “normal,” by institutions such as the WHO and the CDC. Though it may differ in some countries, such as those in Asia, this upper limit, which will be referred to as BMIupper is 25 kg/m2.
The BMI prime formula is:
| BMI prime = |
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Since BMI prime is a ratio of two BMI values, BMI prime is a dimensionless value. A person who has a BMI prime less than 0.74 is classified as underweight; from 0.74 to 1 is classified as normal; greater than 1 is classified as overweight; and greater than 1.2 is classified as obese. The table below shows a person’s weight classification based on their BMI prime:
| Classification | BMI | BMI Prime |
| Severe Thinness | < 16 | < 0.64 |
| Moderate Thinness | 16 – 17 | 0.64 – 0.68 |
| Mild Thinness | 17 – 18.5 | 0.68 – 0.74 |
| Normal | 18.5 – 25 | 0.74 – 1 |
| Overweight | 25 – 30 | 1 – 1.2 |
| Obese Class I | 30 – 35 | 1.2- 1.4 |
| Obese Class II | 35 – 40 | 1.4 – 1.6 |
| Obese Class III | > 40 | > 1.6 |
BMI prime allows us to make a quick assessment of how much a person’s BMI differs from the upper limit of BMI that is considered normal. It also allows for comparisons between groups of people who have different upper BMI limits.
Ponderal Index
The Ponderal Index (PI) is similar to BMI in that it measures the leanness or corpulence of a person based on their height and weight. The main difference between the PI and BMI is the cubing rather than squaring of the height in the formula (provided below). While BMI can be a useful tool when considering large populations, it is not reliable for determining leanness or corpulence in individuals. Although the PI suffers from similar considerations, the PI is more reliable for use with very tall or short individuals, while BMI tends to record uncharacteristically high or low body fat levels for those on the extreme ends of the height and weight spectrum. Below is the equation for computing the PI of an individual using USC, again using a 5’10”, 160-pound individual as an example:
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