Over half of pregnant women gain more than the recommended weight in pregnancy with overweight and obese women being more likely to exceed the recommendations put forth by the American College of Obstetricians and Gynecologists (ACOG) and the Institute of Medicine (IOM). Overweight and obese pregnant women are at increased risk for multiple pregnancy related complications including a higher rate of birth defects, spontaneous abortion, gestational hypertension, preeclampsia, gestational diabetes, fetal macrosomia, cesarean delivery, shoulder dystocia, postpartum hemorrhage, wound infection and endometritis. While many complex factors are involved in obesity and weight gain in pregnancy, attitudes and perceptions regarding body weight may have a strong correlation to nutritional habits, activity level and subsequently, weight gain. The purpose of this research project is to identify perceptions of psychological factors that may have an effect on weight gain during pregnancy in obese women.