I had 2 emergency c sections, one of which was at a teaching hospital. Talking to a couple of nursing students, obese women who have to have those procedures end up with babies who have (at best) low apgar scores & (at worst) babies that end up in the nicu bc of fetal distress & lack of oxygen.  The nursing students were more forthcoming about answering questions (I'm nosy & with my morphine drip, zero filter). Couple times when I was walking the ward, we saw this goddess mommy (looked maybe 300#) doing the same laps, except she had a walker and a student to help her truffle shuffle.