Given the link between obesity-related com- plications to maternal/child health outcomes, policies to support healthy weight throughout the childbearing continuum warrant exploration. Even though evidence is mounting to support maternal prepregnancy and gestational weight as a risk factor for perinatal complications and poor pregnancy outcomes, international guidelines are inconsistent. Of 66 countries, only 8% reported maternal weight guidelines that encouraged a healthy preconception weight, antenatal weigh- ing, gestational weight gain, and postpartum weight gain (Scott et al., 2014). In 2009, the Institute of Medicine (IOM) updated the guide- lines for weight gain in pregnancy in the United States based on current evidence regarding the relationship between maternal weight gain before, during, and after pregnancy and maternal-child health outcomes. The IOM (2009) maternal weight guidelines base gestational weight gain recommendations on prepregnancy BMI and rec- ommend assessment of prepregnancy BMI and weight gain throughout the pregnancy. Analysis of associations between gestational weight gain within the IOM-recommended categories con- firms the association between maternal weight gain on maternal outcomes such as primary