I had my first baby at 200 lbs, my second at 210, my third at 215. So, yes I was obese. I ended up with gestational diabetes (yes, I know my current risk factors now for having had it 3 times. Thats why I'm on iP!) which cleared after each pregnancy. Being on the GD diet I actually lost weight pregnant. 15 lbs in each pregnancy. I ended the pregnancies around the same level I started each one. She's at high risk for a lot of things. Tell her to go to a high risk doctor.