I think it does greatly depend on your care givers and how they react. I am currently 150kg and 38 weeks with my second bub, I had GP shared care until 36 weeks. Yes he weighed me and did my BP every visit but never mentioned my weight and my BP has always been normal or slightly low through out the pregnancy. It wasn't until I started going to the hospital antenatal clinic that I felt it was a big issue. I had my last baby at KEMH in perth and it wasn't made a big deal of, here I had to go have a pre-aneasthetic clinic visit in case I want an epidural. They even asked me if I thought I would need one, I mean jeez I don't know, I am not in labour yet. I did get the faintest of hints that if I was seeing them throughout I might have been transferred somewhere else but know it is to late. Yes it might mean you can't birth where you want but it doesn't mean you can't have the birth you want and don't let anyone tell you otherwise.