Health experts recommended obese women gain at least 15 pounds during pregnancy. The 2009 IOM guidelines now recommend a weight gain of 11 to 20 pounds. However, some health experts say the new recommendations may still allow for too much extra weight for obese pregnant women. Research shows obese women are more likely than normal-weight women to have pregnancy-related complications, like gestational diabetes, high blood pressure, preeclampsia, higher rates of C-section delivery and infant death. Research also shows babies born to obese moms are more likely to have excess body fat and insulin resistance. Thus, the cycle of obesity and health problems may be perpetuated into the next generation. Raul Artal, M.D., Obstetrician/Gynecologist with Saint Louis University says obese women who gain less than 10 pounds while pregnant are much less likely to develop pregnancy-related complications.