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