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I didn't gain a lot for my second and my baby was fine! My Dr was never concerned.

I only gained about 5-7 by 20 weeks. Some people are still on a deficit at that point so I think 4lbs is right on track

My midwife said that maternal weight was one of the worst indicators of healthy baby growth... I have been a slow gainer in my pregnancy and growth scan at 36 weeks showed a 6lb-er already!

I lost 15 or so lbs the first trimester and didn't even catch back up to my pre-pregnancy weight until well into the third trimester, and then only put on 4lbs over that. I had no appetite at all, was constantly nauseous, and struggled to eat. I had a very healthy almost 9 lb baby. My midwife told me I was a textbook example of a baby taking exactly what they need from the mother, even when the mother doesn't put on a lot of weight.

As long as you're eating a solid, healthy diet (and factoring in the extra calories you burn through nursing), I wouldn't worry about it. I hadn't gained anything at 20 weeks and still went on to gain about 40 lbs!

I'm 31 weeks and only up about 11 lbs from my pre-pregnancy weight, and I lost about 6 lbs before I started gaining anything, which wasn't until after 20 weeks-ish. My doctor hasn't said a single word about my weight despite weigh-ins at every appointment, though she originally told me I should gain 20-25 lbs total. As long as baby's growth looks good, I'm not worrying (though I was def nervous when I was still losing!)

If you're concerned I would bring it up to your OB. I gained just under 30 lbs with my first and 20lbs with my second and both boys were born well over 7 lbs. My second was almost 8 lbs! I never asked my OB but he never brought it up so I figured I was okay. Plus, I had extra ultrasounds with my second due to a potential issues that was a non-issue in the end. He was growing on target so all was good. And I ate like crazy too! And not the most healthiest food either. And I'm pretty average for my height and weight to begin with.

@jedeve: I wouldn't worry about it. I didn't gain a single pound until I was about 21weeks. I did pop out a belly at about 15-17w, but no weight gain. I did end up gaining a total of 30lbs. And, I carried small too. I went 3 days overdue, and when I walked around that week of my due date, people would be like, "oh, you still got a month or two?" and i'd say, "nope, I was actually due yesterday!!" And I ended up with a 7 and a half pounder

@Bao: Oh my! Is it weird, I hope that I can not gain weight next pregnancy?! lol!

@jedeve: I wouldn't worry unless your OB is concerned. I didn't gain much before 20 weeks, and gained 19 lbs by the end.