© Springer-Verlag London 2014. The alarming disparities in obesity and related conditions for African-Americans compared to Whites have prompted the investigation of social and cultural influences of the obesogenic environment as potential contributors. One such cultural influence may be body image, which encompasses one’s perception of body size and the emotional attitude toward that perception. While studies show that body image is significantly associated with weight, studies during pregnancy have been few, particularly among minority populations. The concept of body image and its influence on weight control should be considered in various phases of a woman’s life, including pregnancy.