I'm 34 yo, 5'9" & 250lbs, large framed woman. i would like to get pregnant but worry about weight gain & harming my baby. should i be worried?

Weight loss: It is a great time to work on weight loss prior to pregnancy. Schedule a visit with a doctor and put together a diet and exercise program to help you achieve your goals.

Learn to reduce risk: Your concerns are understandable since it is known that obesity (as well as increased maternal age, or pre-existing diabetes, hypertension, or hypothyroidism etc..)does increase obstetrical risks for a mother and her unborn baby. An obstetrical nutritionist and a materno-fetal-medicine specialist who cares specifically for obese pregnant women should be able to advise you + answer your questions.