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BIG BABY LIKELY, OB having doubts....

post #1 of 39
Thread Starter 
Does anyone have experience having birthed a big baby (9 lbs.+) with a VBAC? I am small, my husband is big, 1st baby was 9 lb. 1 oz. and was delivered by c-section. I am likely to have as big, if not bigger, baby this time (due in July). I feel like my c-section was attributable to a lot of different issues, (labor stalled when we got to hospital, epidural didn't work/given too early, awful midwife, being made to lie flat on my back, etc). They also said my son was not descending because he was presenting with his head and shoulder vs. his head......Anyway, I want to have a VBAC, I have found a supportive OB, my husband is on board etc., but the OB seems concerned that if the baby is over 8 lbs. I am less likely to be successful. The midwife had a similar response when she found out my first baby was 9 lbs. This is really getting me down, because I KNOW the baby is going to be at least 9 lbs. My son wasn't heavy--he was long and lean---he was just very big....Okay, I am rambling. Any thoughts/help would be MUCH appreciated?
post #2 of 39
My babies were 9 lbs 5 oz (23"), 9 lbs 4 oz (22"), and 9 lbs 2 oz (21"). #1 was an emergency C, and #2 and #3 were VBACs. #3 had the biggest head and was the easiest birth. You won't necessarily have a *bigger* baby, and even if you do, the baby won't have a 9 lb head (the head is all that really matters--the rest of the baby is squishy). And little women can birth big babies (my mom is 5'4" and I was 10 lbs 2 oz, for example ).

I don't know why people get all up in arms about the size of the baby. My ob never said a WORD about how big she thought the baby would be (and so obviously, she wasn't concerned about size).

Two things to think about... (1) do you think your ob is the best option for a VBAC? (Do you know if there's anyone else who'd be more supportive?) (2) Have you thought about a doula? (This really helped me a lot with my VBACs.)

Good luck!
post #3 of 39
Quote:
Originally Posted by jen6
They also said my son was not descending because he was presenting with his head and shoulder vs. his head......Anyway, I want to have a VBAC, I have found a supportive OB, my husband is on board etc., but the OB seems concerned that if the baby is over 8 lbs. I am less likely to be successful. The midwife had a similar response when she found out my first baby was 9 lbs. This is really getting me down, because I KNOW the baby is going to be at least 9 lbs. My son wasn't heavy--he was long and lean---he was just very big....Okay, I am rambling. Any thoughts/help would be MUCH appreciated?
I question whether the OB is truly supportive. Other than restricting calories and nutrition, how are you supposed to grow a smaller baby? And I'd worry about any growth ultrasounds the OB may pressure you into. I often think OBs say ominous stuff about size to plant a seed of doubt (perhaps not even intentionally.) But like you said, your little guy was malpresenting. If you try to pull a tight sweater over your arm and shoulder at the same time, it's not gonna work well. But if you pull it over your head, your head should come out, even if you have a big head!

Is this a lay midwife, CNM or what?

I would worry that any medpro with a size hang-up is going to encourage you to do unhealthy stuff, whether it's dieting in pregnancy, a potentially dangerous pharmaceutical induction, or "natural" induction methods before the baby is ripe.

I don't have experience VBACing a big baby but a lot of the ICAN women have had nice big VBAC babies 10, 11, or more pounds!
post #4 of 39
We only grow babies to the right size for our bodies to push out. Surgeons are apparently unaware of this though. If you can choose another CP do so immediately. You don't need a surgeon's skillset to push a baby out your vagina There's a great thread in the CPs' forum on MDC with lots of tiny women pushing out massive babies, no problems. Your body works just as beautifully as theirs. I'm always reminded when this comes up of a friend of mine who was told she had CPD (baby too big) with her 8lb baby and then HBACed a 13lber over an intact perineum. Clearly that surgeon was an idiot!

http://www.midwiferytoday.com/articles/pelvis.asp
post #5 of 39
Thread Starter 
Thank you for your input and encouragement. It really helped lift my mood last night. I don't know if it is what the OB said that is so critical or I am just hitting a point of self-doubt. I keep telling myself that women have babies that are 9 and 10 lbs. all the time, but I find myself coming and going in confidence. As far as I know there is nothing "unusual" about my pelvis that would make it unlikely that I should be able to do it. My mom had 8 children, although only her last was over 9 lbs. Two sisters had c-sections, and one delivered a 9 1/2 pound baby vaginally.

As far as the OB, he comes highly recommended both from a person I know and trust and also his name kept popping up as a natural birth friendly OB in positive places, like the Active Birth Centre (I am in London right now.) I went with a midwife the last time and it was a DISASTER. She was awful. Her basic contribution was to come in and tell me how dilated I was. Seriously, that was it. My current OB did mention that some people restrict calories, but he didn't seem in favor of it. Also, he is supposedly a great doula, in that he is heavily involved in the actual labor-encouraging time on the birth ball, etc., and not just the catching the baby part. My osteopath said he helped her give birth to a 10 lb. baby vaginally and said if she had been with anyone else she feels she would have been pressured into a c-section. I have thought about a doula, but my husband, my mom, a hospital midwife and the OB are all supposed to be present. I am worried it might become a circus, but honestly I just don't know. I have also thought of having the doula come to the house and playing it by ear and waiting to decide if she comes to the hospital. When do people usually decide to get a doula? Are there any suggestions/resources people have found useful for maximizing the size of your pelvis during labor? ( I am learning some in yoga, but would love to hear what worked for people). Okay, I rambled again...: ). Thanks.
post #6 of 39
Just a note to inspire you, my last baby was 10lbs8oz.

I had her vaganially without an episotomy. No tearing, no bruising, 10's for her apgars.

Try to get vertical and you will likely be able to have a big baby.
post #7 of 39
I think that some babies will just grow big, but I have heard that using a diabetic diet will help ensure that the baby's size is the baby's size, not inflated by sugar. I used a no sugar diet with my second dd, though, and, in her case, it did not work.
post #8 of 39
It's completely normal for you to feel self-doubt, especially if your OB is already telling you you can't do it. Try doing some visualizations to remind yourself that you CAN do it. Try to surround yourself with positive people. I switched midwives because my original one told me I couldn't birth a baby over 7 pounds, and I wanted someone to support me who had faith in my body.

I will recommend some things that definitely helped me. www.spinningbabies.org, Optimal Foetal Positioning, and The Pink Kit. The Pink Kit has you rehearse various positions for when the baby is in an odd position and to help maximize your pelvis, and I found myself automatically doing some of those positions when my little guy turned posterior during labor. With the help of my positioning and my midwife he got turned right again and all went well.

Good luck!!!
post #9 of 39
My baby's estimated weight was two pounds too high, if I remember correctly.
post #10 of 39
I have not had a c-section, but can help a bit with big babies. #1 was 8/12, babe #2 was 8/8 babe #3 was 9/2. As you can see, my 3rd was bigger than his sisters. However, he came out VERY quickly and easily.

Babe #4 was a full pound bigger than his big brother. He weighed 10pounds 2 ounces. I had to work really hard, pushed for over 2 hours. But he came out. He needed a little help getting out from our MW, but he came. I would NEVER hadve thought i could birth a 10 pound babe, but I did it. And so can you.
post #11 of 39
I am also planning a VBAC this time around. DD3 was my c/s baby weighing in at 9lb 10oz & the only reason for the c/s was her size. I was uninformed & my OB convinced me that I could not birth her naturally since I had some trouble with DD2 & shoulder dystocia & she was only 7lb 13oz. ICAN has really opened my eyes since then. I am convinced that the epidural & being on my back caused my problems with DD2 & I can have a successful VBAC as long as I stay away from meds & try different positioning. I would say definitely find yourself a midwife or at the very least a doula if you are planning on staying with your OB. It may sound funny, but midwives have a lot more knowledge than OB's when it comes to different labor positions, squatting, hands & knees etc. that help to deliver larger babies. Definitely stay away from pain meds as they also make it harder to get out of bed & move around which is a must. I am hoping to have a large baby just so I can prove to everyone that yes, I can do it & my c/s was unnecessary. You can do it too. Just surround yourself with people who believe in you. That is a must. Definitely check out ICAN also!
post #12 of 39
I haven't read all the responses yet, but let me share what I did......I had a c/s w/ a 9lbs10oz baby--got to 10 cm on my own and pushed for 2 1/2 hours. Almost every doctor I interviewed gave me no hope....and my binlaw is a neonatologist and he really thinks (after attending thousands of c/s and births w/ vacuums etc.) that ob's are just afraid of big babies!!! One doctor was rec'd to me by bradley teachers and when he told me, "You're not a good candidate". I was devestated.
So this is what I did.....I read hundreds of vbac stories---I joined the ICAN list and trust me, there are dozens, if not hundreds of moms who birthed babies bigger than their c/s! And big ones too. My favorite is one mom who called her 10 lb baby her "cpd buster". Then read Gloria LeMay's "Pelvises I have known and loved." google it or pm me if you can't find it. THe pelvis is amazing.
Whatever you do, please don't go in for an induction.....you'll set yourself up. The one doc I had was ok until he kept telling me he was going to strip my membranes at 37 weeks in order to "give me a chance to get my baby out." No way! So I switched (at 30 weeks) to a doc who told me the truth----something like 60% of moms vbac babies bigger than their c/s...don't worry about size, you can't control it anyways, eat healthy and exercise.
So that's what I did. My vbac baby was smaller 8lbs 4oz, but she came out posterior, which means her head was presenting the toughest way---taking up the most room. SO my pelvis that couldn't do it the first time, did it the secondtime. You can do it!
post #13 of 39
my first was a section 7 lbs ...
my next 3 were homebirths ...
8lbs 9 oz
9lbs 5 oz
9 lbs 4 oz

you can do it!!
post #14 of 39
1st babe was a c/s because he was "just too big" - 2nd and 3rd babies were both VBAC - and each bigger than the 1st....go figure...The difference?? i was NOT induced and I stayed at home until 8cm then delivered with a midwife - I also agree - read A TON - I can is great, so is the new Ina Mae book (can't remeber the name) - and don't watch those trashy "birth" shows on discovery, TLC, etc.....Think about it - women, since forever, have given birth to big babies - somehow I can't imagine it is US who are suddenly fouling things up here......:
post #15 of 39
Thread Starter 
Hi Everyone-

Just to follow up, I am feeling a lot more confident after reading the posts here and looking at a bunch of resources this week. I have also met with an osteopath to maximize the positioning of my pelvis. The article "Pelvises I Have Known and Loved" was great too.

Thanks for all the support and understanding. It is nice not to be alone with my concerns.
post #16 of 39
I had a home VBAC and gave birth to a 9lbs 6oz healthy baby girl in 1 hour and 1 min from very first contraction to birth! I had not tears and recovered wonderfully. Also this was my first baby to pass through my perinium of being recontructed, and I have an illeostomy.
Good luck to you and believe in yourself, you baby and your body.
post #17 of 39
My c/s baby was 7lbs4oz and we knew that our second baby was going to be bigger - I asked my midwife if she might be able to guess the weight of the baby (just for fun) but she sort of skirted around the question.
When we got to the hospital, though, we beat her there and the L&D nurse said to me "So we're having a big baby, right?" ... so the midwife had mentioned it to her.. but it was never a concern.
She was 9lbs. and I pushed for about an hour. She was a little chunk muffin, but she was also 10 days past my EDD, so she had a little more time to bake
post #18 of 39
Quote:
Originally Posted by jen6
Anyway, I want to have a VBAC, I have found a supportive OB, my husband is on board etc., but the OB seems concerned that if the baby is over 8 lbs. I am less likely to be successful. The midwife had a similar response when she found out my first baby was 9 lbs. This is really getting me down, because I KNOW the baby is going to be at least 9 lbs. My son wasn't heavy--he was long and lean---he was just very big....Okay, I am rambling. Any thoughts/help would be MUCH appreciated?
My concern with either care provider is that although they seem like they are supportive, their doubts betray their true feelings on the matter. It's easy to say you are supportive of a VBAC, but often times it comes with strings attached. IE: mom can't be too big, too small, too short, too tall and baby can't be too small, too big, too late, etc.

As to the size of the baby correlating to the sucess rate for a VBAC. I'd say it's probably likely that mom's with bigger babies are less successful with VBACs, BUT (and this is a BIG BUT) I'd attribute that less to the mom's ability to birth the baby and more to the unrealistic labor expectations imposed on the mom. I'd say that most OBs get really nervous if the baby falls outside of their small window of "normal" and so are quick to section the mom any moment they fall outside that window.

You can do it! Your body won't grow a baby it can't birth. Start lining up your support team (doula, a close friend who's been there, etc) so you can GIP!
post #19 of 39
I tried a vbac and my baby died. He was only 8lbs 15oz but his shoulders got stuck. Make sure you look and all the possibilities of things that can go wrong. an u/s can be done to check the size of your pelvis and your baby. This wasn't done for me. my story is on here under "my son shouldn't have died" i'm not trying to scare you, but I wish someone would have warned me. Losing my baby 5 hours after he was born is the worst thing i have ever faced- don't let it happen to you.
post #20 of 39
Quote:
Originally Posted by mommyofanna,isaac
I tried a vbac and my baby died. He was only 8lbs 15oz but his shoulders got stuck. Make sure you look and all the possibilities of things that can go wrong. an u/s can be done to check the size of your pelvis and your baby. This wasn't done for me. my story is on here under "my son shouldn't have died" i'm not trying to scare you, but I wish someone would have warned me. Losing my baby 5 hours after he was born is the worst thing i have ever faced- don't let it happen to you.
I'm so sorry for your loss.
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