Love this First Time Mom Birth Story

July 9, 2012 in Birth, Birth Stories

Viola’s Beautiful Birth

 

Fast, easy and mom trusts her body!  Nothing better than that.

 

Oh wait, nice size baby, over 9 pounds and she pushes really quickly and easily too!

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Mom handed the "Big Baby" Card

September 6, 2010 in Birth, Cesarean

I’m militantly anti-induction after having been induced 2 times before.
So today perinatologist says:
  • the baby is almost 10 pounds
  • The placenta and amniotic fluid are fine
  • but you need to have this baby by 40 weeks or sooner because the possiblity of shoulder dystocia is real.
  • He said he “won’t” let me go past 40 weeks anyway b/c of my age and the probability of placental failure at that point.
I’d still like to use Hypnobabies-but if I end up with pitocin for 12 hours trying to deliver a 10 pound baby with a c-section happy OB-I’m not sure I can visualize the outcome I desire.   But I guess he was saying there is a medical reason to induce but the “big baby” reason is a red flag with me.

I’ve had 3 babies

  • the largest was 7lbs 3 oz.
  • I don’t have gestational diabetes
  • and although I’ve measured large this entire pregnancy, I find it hard to believe I’m carrying a whale (although admittedly I look like it).

So my natural inclination is to still resist scheduling an induction and see if I can get things going naturally.  Also, I know ultrasounds can be wrong and since I’ve had 3 kids already-can’t this one just shoot out my VJJ like the other ones did even if she is huge?

I’m just worried if my OB sees:

  • AMA (advanced maternal age)
  • baby measuring over 9 pounds at 39 week visit
  • my health insurance card
  • long induction
  • he will automatically slip into C-section mode.

My inductions took 4ever and I don’t see an OB waiting around.  In contrast, my 1 natural labor was 4 hrs.  A better way to go if possible.

Friends say I’m being stupid and risking a still born.  These same friends love c-sections and inductions.  I need an opinion from a different crowd.  What do you guys think?  (I’ll probably go into labor just walking to whole foods today in 95 degree weather from work to pick up some red rasberry leaf tea at lunch today.)  I don’t own the baby come out track-unless it is on the birthing day CD that I haven’t listened to yet but was supposed to (I know).  Plus my doula is out of town this Saturday-so I’d prefer not to get things started unless I know she can come.

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Your Baby is TOO Big!

August 6, 2010 in Pregnancy

Thing 1 was 4 pounds 3 ounces (born 6 weeks early, via emergency cesarean.)

I had set a goal to double Thing 1’s weight with Thing 2, so I was thinking he would be 8 pound 6 ounces.  I guess I am an overachiever, because he weighed 9 pound 4 ounce.  I birthed him vaginally without any problems.

My OB said to me, “If I had known he was going to be this big, I wouldn’t have let you had a VBAC (vaginal birth after cesarean).”

I said, “Thank goodness you didn’t know!”

How wrong would it be if my OB had discouraged my attempt at a vaginal birth because of her fear of big babies?

Mad about the Big Baby Bull!

9 years later I am a childbirth educator and doula who is saddened/angered by the “big baby bull” care providers feed to their patients every day.

Some start it even as early as the 20 week ultrasound, with little remarks like,  “This baby is a pretty good size.”

Now many moms are getting a routine late term ultrasound, which leads to many babies who are suspected to be big

why do I say “suspected”?

Let’s be honest, the only way to KNOW how big a baby is,

  • is to weigh him after he is born!
  • Ultrasounds are notoriously wrong - up to 2 pounds either way of the “estimate”.

Using Scare Tactics to Sell Agenda

Care providers then use that “suspected big baby” to sell their agenda. Whether it be a cesarean or an induction.  This fear of big babies is causing a lot of interventions to happen to low risk moms.

I attended a birth of a mom was induced at 38 weeks because her baby was “going to be at least 8.5 pounds”.

Some simple facts:

  • this mom had vaginally birthed a 8.5 pound baby easily a few years before.
  • ACOG defines macrosomia as bigger than 8 pounds 13 ounces, so technically – 8.5 pounds is NOT big!
  • the baby was 7 pounds.
  • The OB commented after “All baby’s should be small, much less trauma to the mom.”
  • Did I forget to mention, the OB was heading out of town the next day?

Suspected Big Baby is such a recurring theme

I hear about it from pregnant moms so much, I have created a whole page about it. 

Big Baby Bull Page.  Visit there for tons of information about suspected big babies.

I recently added these links.

Why are care providers afraid?

Shoulder Dystocia is their main fear.

Well here is a great post about Can Shoulder Dystocia be predicted by size of baby?

In it she quotes ACOGs statement regarding shoulder dystocia.

1.   Most cases of shoulder dystocia cannot be predicted or prevented because there are no accurate methods to identify which fetuses will develop this complication.

2.  Ultrasonic measurement to estimate macrosomia has limited accuracy

3.  Planned cesarean section based on suspected macrosomia is not a reasonable strategy

In Birth Sense’s follow up post she asks the question:

Is it possible to prevent shoulder dystocia?

The Brachial Plexus Injury Prevention Program (BPIPP) has made a strong statement about prevention of shoulder dystocia.

According to BPIPP, the singular action that obstetric providers could take to prevent shoulder dystocia is to

  • keep the mother off her back during delivery.

They also list three additional factors that can increase risk of shoulder dystocia and brachial plexus injury:

  • Epidural anesthesia for vaginal birth
  • “Tools” such as vacuum or forceps used to aid delivery
  • Labor Induction

The scary thing is, care providers actively RECOMMEND and support many interventions that LEAD to shoulder dystocia.

So maybe we should just do cesareans for all suspected big babies?

Do all OBs think suspected big baby, should be handled with cesareans and inductions?  Jill at the Unneccesarean shares a great article from Contemporary OB/GYN discussing how macrosomia is not a good indication of doing a cesarean.

Cesareans have risks as well.  Is it right to scare a mom with a possible risk to known risks?

Remember there is NO way to know how big your baby will be.   I know a few moms who have had cesareans for suspected big baby and have had small babies.  A major surgery for NO GOOD REASON!!!!

Some moms worry a big baby may cause tearing.

But this is not necessarily related!

Here is a great birth story including amazing pictures (graphic) of a mom who birthed her 11 pound 5 ounce baby vaginally with no tears!!!

There are many, many stories like this.

To recap:

  • There is no way to know how big a baby is until after he is born!
  • Suspected Big Baby does not predict shoulder dystocia.
  • Inducing will not prevent this potential problem and may even lead to it!
  • Having an elective cesarean is not the ideal answer.
  • Your body will grow the perfect size baby for you!
  • Make choices based on information and intuition instead of fear!

What do YOU think?

  • If you are a doula, CBE or nurse, have you noticed a trend of “big baby bull”?
  • If you are a mom, have you had any experience with this?
  • Do you think it is OK for a care provider to force a cesarean or induction because of a big baby?
  • Please share your experiences!
  • Edited to add a great big baby story just posted on Unnecesarean

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(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!.)

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2 new positive “big baby” birth stories

May 10, 2010 in Birth, Birth Care Provider, Choose Wisely

I just added these 2 stories to my Big Baby Bull Page.

BOP warning for my Hypnobabies moms. These moms didn’t use Hypnobabies and did have pain during their births, so read only if you want to.

This is a wonderful story of an empowered mom who didn’t let the “threat of a big baby” change her plans for a vaginal birth.

She vaginally birthed an 11 pound 10 ounce baby with no tears. Amazing!

Click to Birthing Beautiful Ideas Blog to read.

Then another Vaginal birth of 12 pound 1 ounce baby!

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Did the Singing Mom in labor, use Hypnobabies?

May 3, 2010 in Birth, Birth Stories, Hypnobabies, Pregnancy

How many moms have seen and been inspired by this birth video?

Over 1,400,000 people have watched it!

Some wonder if she was using Hypnobabies.

YES, she was.  Here is what her doula said.

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Doula Micky’s view point

Yes, I am in the video – sitting on the floor in the red shirt beside her. Temple is a close friend of mine and I was her doula for this birth. She did the Hypnobabies home study as this was before I became an instructor. I told her about Hypnobabies and encouraged her to do it. She gave birth to a HUGE baby, at home, shortly after the singing you see in the video.

My favorite “Hypnobabies moment” was when she came downstairs after laying down on the bed for a while, listening to the cds. She looked like she was asleep but was really listening to the cds. She came downstairs and said she wasn’t sure if the hypnosis was working because she wasn’t feeling anything. She was concerned that her labor had stopped. This was her third birth and she was used to pain! I of course, told her that I was pretty sure that meant it was working. :)

Had I been more knowledgeable about hypnosis at the time, I would have helped her stay in hypnosis and helped her go back to the cds but that is when she did the singing. Then she went through transformation and got in the tub and had her sweet baby boy. So, as Kerry says, moms have the births they need to have. Had she not done her singing, we wouldn’t be having this conversation and she wouldn’t have impacted so many people (thousands) with their video and song on youtube and itunes.

You can read Temple’s Birth story here. Her baby was 10 pounds!  Another inspirational “big baby” story.

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Is it possible to have a 12 pound baby born vaginally?

October 14, 2009 in Birth

Why yes it is!  I got this e-mail from a reader.  (A google search found the biggest baby born vaginally was 15 pounds!)

I ran across your web site while looking for articles on the worlds biggest baby & i was wondering about the largest to ever be delivered vaginally.

My mom is 5 feet tall & had all 4 of her big babies vaginally. I was the smallest at 9lbs even, induced 1 week early b/c i was “too big” my little brother was the largest at 10lbs.

So I expected to have large babies. i’m 5′ 7″ and rather large framed. My 1st son I, 10lbs 3oz & 21.5 inches long, was born vaginally after 23 hours of labor. I was induced 11 days overdue, & in fact was induced with all 3 of my kids.

With my 2nd I was only 8 days overdue & the ultrasound tech speculated that this baby was 9-10 lbs. I was induced at 8 am & James was born just after 11 pm. He was 12 lbs 3 oz & 23.5 inches long with a 16.5 inch head circumference! A male nurse shouted out “he’s a monster!” when they had him on the scale, then started apologizing, but it was ok i knew what he meant..i bet the guy likes to fish on his off time! i am blessed with quite a sense of humor. The doctor apologized to me for allowing me to give birth vaginally to James! If they had only known they would have done a c-section. Well thank God they didn’t!  I was up walking around within the hour!

My 3rd son was born about 14 months after james. Gabriel was my littlest itty bitty baby at 9lbs 14oz & 19 inches. That was really amusing to the nurses & docs, but he really did seem tiny after giant James. I’m including a photo of James about 12 hours old.

12 pound baby born vaginally!

You can post this if you want. Thanks! Becky
Thank YOU Becky!  What a great example that big babies CAN be born vaginally!

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T's Feelings about her meeting

July 19, 2009 in Birth, Birth Care Provider, Cesarean, Choose Wisely, Pregnancy

Not surprisingly T. wasn’t very satisfied with this conversation.  She didn’t feel heard or respected.  Rather she felt that she had been lectured to.  She wanted to have a genuine conversation with him about some important topics regarding her birth.  He felt like she was questioning his authority and just wanted her to trust him.

 

This stressed T. out as she is in her third trimester and it had been hard to find an OB who would accept a late transfer.  She had called a whole list of OBs and he was the first who was willing to take her, so she felt stuck.  She knew she didn’t want her old OB, and this new OB was at a better hospital.    

 

She asked me, “Does it really matter who my OB is?  Aren’t they just there to catch?” Well often during the birth they do show up just to catch, but it IS important for a number of reasons. 

 

1.  Induction Happy OB – If you have an induction happy OB, you are on the path to an intervention filled birth before you may even get close to your birthing time.  Some OBs like to induce all their moms at 38-39 weeks, some 40 weeks.  Seeing as on AVERAGE a first time mom won’t birth her baby until after 41 weeks, that is a lot of moms getting induced before their bodies and babies are ready.  There are a lot of issues and questions regarding inductions.  

 

Also it is important to ask NOW to any OB (even if you are 10 weeks pregnant) does your OB use Cytotec/Misoprotrol/Miso, to ripen the cervix.  If the answer is yes, that is a huge red flag.  A letter from the makers of the drug issued a letter years ago advising not to use it to induce saying:

Serious adverse events reported following off-label use of Cytotec in pregnant women include maternal or fetal death; uterine hyperstimulation, rupture or perforation requiring uterine surgical repair, hysterectomy or salpingo-oophorectomy, amniotic fluid embolism, severe vaginal bleeding, retained placenta, shock, fetal bradycardia and pelvic pain.

The problem is MANY care providers still use cytotec.  I have had 2 Hypnobabies students who were told they needed to be induced that day and then found out the hospital/careproviders only had cytotec to help ripen the cervix.  No other option was available.  This is NOT something I would want to find out if I was being pressured to induce that day.  

So ask this NOW!  If they usually use cytotec, are there other options available if you refuse (for instance cervidil or a foley bulb?)  There was one OB who made a comment, “Oh, you must have been reading scary things on the internet.”  Is it foolish for a mom to do research?  Should she just submit to using a drug KNOWN to cause death in moms and babies.  She may not have a choice unless she asks early in her pregnancy, to be sure there are other options available. 

 

2.  Scared of Big Baby OB – This could lead to pressure to induce or have a cesarean.  It is impossible to know how big a baby is before he is born.  A big baby doesn’t need to be a big problem.   Some OBs like to play the big baby card, just to convince a mom to induce or have a cesarean, because it is easier for them! 

 

3.  Cesarean Happy OB – There really ARE OBs out there, who will come up with a reason to perform a cesarean, so they can go home for dinner.  I would say most are NOT like this.  But if you never ask your OB their cesarean rate, how would you have any idea?  What if they don’t know their statistics or vaguely respond.  Well that would be a red flag for me.  Low intervention OBs will be proud of their statistics and want to share them!  Ask them specific questions about their cesarean guidelines.  (It is also important to find out the cesarean rate of the hospital you are at, that can make a big difference too) 

 

4.  Informed Consent –  Why use scare tactics when talking to moms?  You need an IV or we won’t be able to find a vein in case you hemorrhage.  Don’t eat a cheeseburger on the way to the hospital, you may die!   If she has questions, answer them, don’t lecture her and make her feel bad for asking.  Why not have a normal conversation explaining the pros and cons and let the mom decide.   Isn’t that what informed consent is?   

 

T’s OB said “ if he’s going to be our doctor, then we have to trust him; lots of people are giving lots of advice that have never been in his shoes and don’t have his liability.”

 

ALL patients have the RIGHT to informed consent.  I don’t understand why OB’s think they are above giving moms informed consent.  If a mom can’t even have a simple conversation on equal levels, gathering information from their OB about pros and cons of different interventions before their birth, then how are they supposed to “trust them” to provide informed consent during their birthing time

 

 

5.  Birthing Time/Pitocin Happy OB – Did you know some OBs put every mom on pitocin.  Even if she comes in and is having consistent and strong birthing waves, automatically she gets put on pitocin.  Why?  Who the heck knows?  It makes no sense.  Maybe because they have a routine and they like to have something to do?  So on the pitocin goes.  Ask your OB, What percentage of your patients get pitocin?  In what circumstances do you usually use pitocin? 

 

6.  Actually Catching the Baby – Even if the OB isn’t really involved before the birth and is just there for catching, they can have a huge effect!   Here is a story which demonstrates the difference an OBs attitude towards birth can have on a birth.   

 

Also what about episiotomy’s?  This is a huge thing to think about.  Some OB’s really think all first time moms need an episiotomy.  If your OB thinks that what are the odds of you getting an episiotomy?  I would say 99% chance.  This is another area where asking ahead of time is important.  If they are real vague and say, “Let me decide if it is necessary.”  I would really press for their statistics or at least ask, “When do you feel it is necessary?”    

 

So yes, it does really matter who your OB is, even though they may only be there to catch the baby. 

 

So what can T do?

She had called so many OB’s on her list and he was the first that was even willing to take her.  Could she find anyone else who would be willing?   What if they were no better than this OB was?  She was stressed out and really just wanted to be done with this process and have an OB.

 

Find out what happens in the next installment.

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Big Baby Bull

June 29, 2009 in Birth, Birth Care Provider, Birth Stories, Cesarean, Choose Wisely

(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!)

SO many moms today are being told they are having BIG babies.  Some are being told this from their 20 week ultrasound.  Some moms are getting routine late term ultrasound  and then told the baby is getting “too big”

This seems to be a tactic to convince moms to get induced or to schedule a cesarean.

What can you do if you are told you have a big baby?

1.  Do your Research (here are some links to get you started)

Big Baby Bull page – This page has links to more information, definition of big baby, accuracy of ultrasounds, cesarean or induction choices.  There are also a lot of stories from moms, L&D nurses and a video too.

There is a whole website on Big Babies.  I love this quote from the site.

I heard a great analogy from an obstetrician once, that likened trying to predict the size of a baby before birth, by ultrasound, to trying to guess the weight of a man, sitting in a bath full of water, in the room next door by measuring his waist and thigh bone. When you look at it like that it really does become apparent how ludicrous these gross measures we use are!

2.  Get a Second Opinion

Some OBs do a LOT of cesareans and inductions because of “big babies” but maybe this is just an excuse so they can plan births.

A Labor and Delivery nurse shares a story about a mom who has a cesarean because of a suspected big baby – “near 9 pounds” (which isn’t really even BIG) and the baby ends up being 7 pounds 9 ounces.   It turns out this is an OB who uses this “scare tactic” a lot!  The nurse covers really well the truth about the ability to determine the size of babies before birth.

Here is another story of a “big baby” who turned out to be small.

3.  Follow your Intuition

What do YOU think?  Before your care provider said you were having a big baby, before they said there may be issues…. How were you feeling?

How are you feeling now?  Don’t let FEAR be a factor in your choice.  It is hard to figure out what your intuition is saying when you are full of fear.  How can you let go of that fear?  Here are some ideas.

But what if the baby IS big?

Well, guess what – Fat smushes and lots of big babies are born vaginally!  2 of my babies were 9 pounds.  Here is a great positive vaginal birth story of an 11 pound 5 ounce baby.    Here is another one of a 12 pound 9 ounce baby born vaginally.   Here is another great one.  My wife had an 11+ pound baby at home!

Jill, who has the Unnecesarean Blog wrote about her experience and how she avoided an unnecesary cesarean by educating herself and fighting for her right to have a vaginal birth.  She refused to be scared by OB’s before or during her birth!

Here is a great video by moms who were told they were unable to birth big babies and went on to birth BIGGER babies vaginally.

[youtube=http://www.youtube.com/watch?v=roFVkDV45MM]

To inspire you more, here is a video of a mom singing during the birth of her 10 pound baby.

[youtube=http://www.youtube.com/watch?v=z3WA9iHz5ww]

Part of it is having a care provider who isn’t scared of birth.  Part of it is believing in your body and your baby.

Only YOU know what is the best choice for you.  For some it may be induction, for some it may be cesarean but for most it will be waiting until their baby decides it is time to be born.  That may take guts to say no, it may mean changing care providers, it may take sacrifice.  Remember, this is not meant as medical advice, it is to remind moms everywhere that you have rights…. choose to use them!  It is YOUR body and YOUR birth.

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New website on Big Babies

October 27, 2008 in Cesarean, Pregnancy

http://www.bigbaby.org.uk/

It looks like it has some great info for parents worried about having big babies. 

I LOVED this quote from the site

I heard a great analogy from an obstetrician once, that likened trying to predict the size of a baby before birth, by ultrasound, to trying to guess the weight of a man, sitting in a bath full of water, in the room next door by measuring his waist and thigh bone. When you look at it like that it really does become apparent how ludicrous these gross measures we use are!

I need to add this link to my Big Baby Bull page at PregnancyBirthandBabies.com  I have a lot of great info and stories on that page.  I created it because I had SO many moms from the Yahoo Group getting told their babies were SO big.

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Great Big Baby Birth Story

June 10, 2008 in Birth, Birth Stories

Great awesome Big Baby Vaginal Birth Story

The baby was 11 pounds 5 ounces, the mom was attended by a midwife in a hospital setting and everyone was nervous because of the baby’s size, the midwife talks about her fear of shoulder distocia, but the birth goes wonderfully,  everyone stayed calm and encouraging, which I think led a lot to a positive outcome. 

I am going to add this link to my Big Baby Bull Page.  To inspire moms who are scared by their care providers that their baby will be “too big” 

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