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Are you having a BIG BABY?

Posted by on Mar. 2, 2011 at 2:40 PM
  • 20 Replies

Big Baby Bull

 

(this is not meant as medical advice, this is to remind moms everywhere that you have rights.... choose to use them!  Trust your body!  Choose care givers who trust your body!  Make educated decisions.  Care providers give you information... you have to decipher it and choose how to use it, ask questions, get answers you are satisfied with, if you aren't satisfied remember it is never to late to change to a new care provider or you can choose to just say NO!.)

Automatic Cesarean because of suspected Big Baby?

 There seems to be a trend of scaring moms about the size of their babies.  I have had friends who have had elective cesareans because their OB said their baby was too big to deliver vaginally.  No "trial of labor" instead straight to the OR, which puts them and their baby more at risk.  The ACOG says that macrosomia (suspected big baby) is not a good reason for Induction or Cesarean.  So if an OB or Midwife recommend this, question it, ask what does ACOG recommend with macrosomia?   Then whip this out of your purse.  ACOG Guidelines of Fetal Macrosomia - They have removed this statement (maybe too many moms were bringing it into their OBs) so here is a statement by the American Family Physician on macrosomia.

I even know a mom who had a previous vaginal birth, so a "proven pelvis", the OB said, baby will be TOO big and scheduled a cesarean.  I suggested she could choose to get a second opinion, she didn't (was tired of being pregnant, big and uncomfortable) and the baby was born by cesarean and was smaller than her first vaginally born baby.   A very unnecessary operation, with a long recovery (LOTS of discomfort) for a mom with a toddler and newborn to take care of.  

I understand that OBs are trying to cover their butts, I understand that it is more convenient to schedule and induction or even more convenient and they make more money with cesareans.  But is it ethical to give only partial information to these moms?  Do they say, your ultrasound makes it seem like the baby is possibly going to be 10 pounds, but they can be off by up to 2 pounds, so it is possible your baby is only 8 pounds.  Do they say, I would like to induce you, but your bishops score is only 3 and you are most likely going to end up with a cesarean.  Do they say elective cesareans are actually more risky than vaginal births for both mom and baby?   

What about Inducing for suspected Big Baby?

The probably more common approach is for OBs to suggest moms be induced because their babies are getting too big.  Many moms at the end of their pregnancy are feeling uncomfortable and are looking for a way to get this baby out, the sooner the better.  They are not told the risks of induction, not told their Bishops Score, nor told they are possibly setting themselves up for a cesarean. 

Let us also remember that the American College of Obstetricians and Gynecologists do not recommend induction for a big baby, let alone cesarean. Big babies are also known as macrosomia. They have recently found that in addition to it being really difficult to tell the big babies from the regular sized babies via ultrasound, that when you induce a woman who is suspected to have a large baby, she is more likely to have a cesarean section.  So it is better to just let nature take its course and all will be well.  Especially if the mom is able to move around and push in more upright positions. 

Definition of a Big Baby

Lets think of a few things....  what is considered a BIG baby?  I had 2 babies around 9 pounds, one exactly 9 pounds and 1 a bit bigger.  Everyone seemed very impressed that I had pushed these HUGE babies out of me.   Well, did they forget that is exactly what my body is supposed to do?  My vagina is meant to stretch, my pelvis is meant to open, my body will grow the perfect size baby for me. 

Statistically and medically a 9 pound baby is in the average range. 

"Babies weighing more than 9 pounds and 15 ounces (4,500 grams) are considered much larger than average. (Average newborn weight is 7 pounds and 8 ounces.) It's very difficult to determine whether a baby is truly macrosomic (literally "of large body") while she's still in the womb — only a post-birth weigh-in confirms it."

ACOG recommends intervention only if baby is over 5000 grams which is 11 pounds.  Keep in mind they admit there is NO WAY to know how much a baby will weigh until after the baby is born.  So if they think by ultrasound a baby will be 11 pounds... the baby could actually only be 9 pounds, well within normal. 

Mental Games

What about the simple fact that just saying your baby is getting to big, what does that do to a moms thought process?  We are suggestible, especially at times when a person who has "authority" says something.  How many moms are psyched out of birthing their babies the way their body knows how to, but that seed of doubt is planted by their care provider. 

You can counteract this by saying affirmations to yourself. 

My body grows the perfect size baby for ME!

Baby Fat smushes... allowing my baby to easily be born.

My body can easily birth this baby. 

Let us remember our bodies will not grow what it can not birth.  Which makes me think of a favorite article I read called, Pelvises I have known and loved. 

I think hypnosis can help to reprogram your mind and trust in your body.  Also the Bubble of Peace you get in Hypnobabies can help bounce negative ideas away from you too.  :)

But the ultrasound/OB said....

But the ultrasound says ______ fill in the blank.  "A study comparing fetal weight estimates of clinicians, multiparous patients and ultrasonography found that ultrasound was the least accurate of the three methods.13 Limitations in the sensitivity and specificity of ultrasound have been observed in other studies.15 Despite these limitations, clinicians continue to incorrectly believe that ultrasound is an accurate way of predicting macrosomia.17 "  link from  http://www.aafp.org/afp/20010115/302.html

You decide what YOU want.  Do your research and follow your gut.  Do you trust your body to grow the right size baby for you?  I know when Carson was born (my first VBAC 9lbs 4oz) my OB said, "If I had known he was that big I wouldn't have let you try for a VBAC."   My response was, "Thank goodness you didn't know, because I obviously could do it."    Would I have been strong enough to fight for my VBAC if she had doubted in me?  I would like to think yes... I know for sure when I was getting huge with Bryson, I knew there would be nothing stopping me from delivering vaginally as long as I was ok and baby ok... size was irrelevant!

That really is a shame, many OBs do see birth as a medical problem instead of a natural event.  They are also used to most of their moms having epidurals, which can make pushing any size baby out a bit more challenging at times. 

Some good questions to ask are.... "Is Mom OK?  Is Baby OK?"  If the answer to those are yes, then it isn't medically necessary. 

 

written by, Sheridan Ripley – Proud VBAC mom, Lactivist, Hypnobabies Instructor, Positive Birth Story Collector, Doula and mom of 3 busy boys.  

Her OC Hypnobabies Website is www.enjoybirth.com
Positive Birth Stories and birth video www.pregnancybirthandbabies.com 

Please visit this great post about Big Babies at the Nurturing Hearts Birth Services Blog!

http://www.pregnancybirthandbabies.com/Big_baby.htm


by on Mar. 2, 2011 at 2:40 PM
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Replies (1-10):
kcangel63
by Freebirther on Mar. 2, 2011 at 2:44 PM

Thank you.  :)

My babies all range from (so far) 7lb 12 oz to 9 lb 1 oz.  I have a friend who has had 7 (I think) and all of them were between 10 and 12 lbs.  It can be done. 

sugarbunny23193
by on Mar. 2, 2011 at 2:46 PM

wow i wonder if my baby is going to be big.

abra
by on Mar. 2, 2011 at 2:48 PM

Yup, I was told my first was 8lbs at 40 weeks. She was born at 43 weeks, 7lbs 10oz.

Most women are able to birth fairly big babies vaginally. My brothers were 10 pounders and my mom is petite (5' 3"). All natural home births. It's pretty rare you'll find someone who literally can't fit the baby though. My dr during my routine prenatal exam said my hips were the right shape for bearing big babies if I had too! lol!

mrssmitley1210
by on Mar. 2, 2011 at 2:50 PM

My friend was told her baby is supposed to be 9 pounds based on her and her husbands birth weights. She refuses to accept any clothing that wont fit a minimum of a 9 pound baby. My heaviest was 8 pounds and I was a 10 pound baby

mrssmitley1210
by on Mar. 2, 2011 at 2:52 PM

My doc told me if I have much over an 8 pound baby I probably wont be able to do it. My heaviest baby was 7 pounds 15.2 oucnes. at 38 weeks. We pretty much concider him to have been 8 pounds. whats just over half an ounce when it comes to that big of a baby?

Quoting abra:

Yup, I was told my first was 8lbs at 40 weeks. She was born at 43 weeks, 7lbs 10oz.

Most women are able to birth fairly big babies vaginally. My brothers were 10 pounders and my mom is petite (5' 3"). All natural home births. It's pretty rare you'll find someone who literally can't fit the baby though. My dr during my routine prenatal exam said my hips were the right shape for bearing big babies if I had too! lol!


abra
by on Mar. 2, 2011 at 2:58 PM
Yes! My son was the biggest of all weighing in at 8lbs 11oz. He was my only home birth, but I didn't tear or anything (I did with the two others). So weird!

Quoting mrssmitley1210:

My doc told me if I have much over an 8 pound baby I probably wont be able to do it. My heaviest baby was 7 pounds 15.2 oucnes. at 38 weeks. We pretty much concider him to have been 8 pounds. whats just over half an ounce when it comes to that big of a baby?


Quoting abra:

Yup, I was told my first was 8lbs at 40 weeks. She was born at 43 weeks, 7lbs 10oz.


Most women are able to birth fairly big babies vaginally. My brothers were 10 pounders and my mom is petite (5' 3"). All natural home births. It's pretty rare you'll find someone who literally can't fit the baby though. My dr during my routine prenatal exam said my hips were the right shape for bearing big babies if I had too! lol!


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Danotoyou2
by on Mar. 2, 2011 at 3:01 PM
My boys were 9 lb 6 oz... piece of cake. :)
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doublejay38
by on Mar. 2, 2011 at 3:03 PM
I don't know what to expect this time. I feel like she may be a big baby. I weighed 7lb15oz at birth and her daddy weighed over 11lbs and was breech.
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mem82
by on Mar. 2, 2011 at 3:03 PM

My kids have all been 8 1/2 pounds. 8-4, 8-7, 8-8. My doctor says he can guess what my next one will weigh! LOL

C8Baxter
by on Mar. 2, 2011 at 3:03 PM

I was told today that, at 31w4d (they pushed back my due date, apparently, lol), that he weighs "well over six pounds." And that at my 28 week ultrasound, he weighed 4.3lbs. Whatever. Bring on the scare tactics!

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