IS anyone pretty sure they're gonna end up with a C'section? - Mothering Forums

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Old 07-26-2006, 05:19 PM - Thread Starter
 
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Im 35 weeks and baby measures 41 weeks and my uterus measures 40 weeks...

Doc says she'll allow me to try Vag birth up till around 38 weeks( at this point baby weighs around 8 lbs, and at 38 she suspects he'll be around 10) but after that she is STRONGLY suggesting a c'section.. Im fine with the decision, whatever is needed for a healthy birth. I dont want to run the risk of shoulder distortion or clavical breakage, etc etc.

My question is how bad are they to recoupe from? my mom said with my sis( who is now 6 yrs old) that she just took tylenol and was completely fine pain wise... others are telling me that I wont be able to BF b/c of the pain meds necessary to even tolerate the pain...
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Old 07-26-2006, 05:27 PM
 
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Well, regarding the bfing with meds part...they can give you breastfeeding safe meds. Insist on it and research which ones are safe and effective.

A broken clavicle isn't a very rare occurence, and I've heard OB's just dismiss it out of hand as a 'normal' birth event. So don't freak out about that or let the OB freak you out.

And MANY women ALL THE TIME birth large babies just fine.

Ultrasounds and external exams are notoriously unreliable at determining the size of the baby.

How sure of dates are you? You know for a fact that you're 35 weeks?

I'd like to hear from a midwife or other knowledgeable professional about the incidence of shoulder dystocia and relationship to the size of the baby. I've read that it's not really related, but I'm no expert.

I guess what I'm telling you is to question whether or not you really need a c-section for a large baby. IMO, and in the opinion of most women here, that is a bogus reason.
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Old 07-26-2006, 05:43 PM
 
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Hi. I am not in your DDC. I am in July and had my baby July 3 but just wanted to post to your thread.
I was measuring about 3 weeks ahead, baby was large, I have a pelvic contracture so I was scheduled for a C-section. I had the same attitude where I was fine with whatever was needed to get the baby out and to be healthy-both of us.
Everything went well. Baby weighed heavier than the U/S indicated. She was 9 lbs 6 ounces. I felt great the next day and was up and moving around. They had given me duramorph in my spinal. I had thrown up once the night of my surgery but I attribute that to the 3 bowls of orange jello I ate for dinner.
I felt a little more pain and gassiness the third day (2 days after the surgery). I was fine with the pain meds and was breastfeeding just fine.
I came home the fourth day and things were just fine here at home. They say to keep stairs to a minimum but I really didn't have a problem with them. I tried to keep them to a minimum though.
My husband was a great help with changing the baby, helping me, bringing me things, etc. I am 3 weeks out and my incision has completely healed and I took the steri strips off to reveal a thin, straight scar that will probably be covered by my pubic hair when it grows back.
All in all, I had a great experience with my section. Good luck with yours if you have one and PM me if you have any questions.
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Old 07-26-2006, 05:43 PM
 
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For me I'd be waiting it out. You don't know just by U/S if the size is accurate or if you can birth a large baby. Most women do it just fine because it is position that is the issue not size. Start chanting "Fat is squishy". Personally my recovery from my 10+ lb baby was much easier than my 7lb 14 oz baby. They were both vaginal. I do have to say at the time when I had my U/S where they predicted a 10.5 lb baby my midwife had to talk me off a cliff and she was right! My body did it just fine. From what I've seen here and read the risk of shoulder distortion is much more associated with position of the mom (flat on back) vs the size of the baby. Some thing to reasearch at least!

Deb
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Old 07-26-2006, 05:52 PM
 
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hmmm... a few things come to mind when reading this...

first of all, are you a larger woman? if so, measuring big could just be the extra padding you have and not necessarily be all baby.

shoulder dystocia is scary, yes, but from the reading and info i have, is just as common with babies who are average weight and size. and breaking the clavicle is a very invasive procedure for extreme emergencies. i would check into your care provider's experience with managing shoulder dystocia: does she know the gaskin maneuver? has she ever had to break a baby's clavicle?

it really sends red flags up to me that your care provider said she'll "let you try vaginal birth" until about 38 weeks. if you are a first time mom, average length of pregnancy is 41 weeks and 1 day and only slightly less for a second time mom. at 38 weeks, your baby may very well be ready to be born, but it may not be the optimal time for your baby's birth.

another thing that comes to mind is wondering if your dates are absolutely correct. how did your care provider determine your estimated due date? by last menstrual period? (if so, early ovulation can be a reason for measuring bigger.) by dating ultrasound at less than 10 weeks pregnant? (mostly accurate) by dating ultrasound at more than 15 weeks pregnant? (can be noticeably inaccurate for size estimation and dating purposes) some other way?

also, i assume they are using ultrasound to estimate size of your baby, and ultrasound used for this purpose can be + or - one to two pounds, meaning that a baby who is estimated to be 7 pounds could actually be close to 9 pounds or as small as 5 pounds or anywhere in between. a woman's uterus can be closer to the skin's surface in some women (fat and muscle thickness) and baby's position within the uterus can be closer to the front at some times and further at others, hence the huge variation.

in addition, the pelvic bones are not a continuous circular bone of a set size, but a set of three bones connected by cartilage and ligaments that allows for movement and separation and change in inlet and outlet size depending on the position you put your body in. i have personally known women who have vaginally birthed 11+ lb babies safely and other women who have vaginally birthed just over 6 lb babies safely, and these women themselves have been of all different shapes and sizes: larger or smaller, taller or shorter, rounder or slimmer.

i guess what i'm trying to point out is that a baby's estimated size in utero is not a good enough reason for me (and maybe for anyone) to consider having a surgical birth, especially considering the risks for a mama and for a baby during and after a surgical birth are still slightly higher than the risks for a mama and baby during and after a vaginal birth.

~claudia
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Old 07-26-2006, 05:55 PM
 
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Not in your group, but had to respond. Women have 10 and 11 lb babies every day! My dd was 8lbs 12oz and I didn't need so much as a stitch! I would never NEVER have a c-section just because they THINK the baby is going to be big. That's outragous.

-Angela
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Old 07-26-2006, 06:04 PM
 
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: TurboClaudia!!

I also wanted to add that my best friend deliverred an 11lb 11oz 23in baby girl completely naturally. Our bodies are made to deliver the babies that we grow, no matter how big or small they are!

Sarah loving wife to Scot...joyous mama to...
Emilee and Elaina and our newest addition Elliot Bell 9/15/10
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Old 07-26-2006, 06:07 PM
 
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Quote:
Originally Posted by alegna
Not in your group, but had to respond. Women have 10 and 11 lb babies every day! My dd was 8lbs 12oz and I didn't need so much as a stitch! I would never NEVER have a c-section just because they THINK the baby is going to be big. That's outragous.

-Angela
: My last baby was 10 pounds and I'm expecting this one to be bigger. I just grow big babies and they come when they're ready-all past 40 weeks. I would run like heck from a doctor that said something so idiotic to me.

Remember, that just b/c your doctor says something like that, you absolutely do NOT have to go along with it. Do your research and be ready to fight.

Paige, mama to three girls, (10), (8) and (3)
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Old 07-26-2006, 06:08 PM
 
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Please trust that your body will NOT grow a baby it cannot birth and find a new supportive dr. ASAP.
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Old 07-26-2006, 06:20 PM
 
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My aunt is 5'3 and vaginally birthed 11#, 12# and 14# babies. Fat squishes! It's the head size you need to be concerned with, not the weight. There's usually not much difference in head size between an 8# and a 10# baby.
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Old 07-26-2006, 06:27 PM
 
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Originally Posted by HomeBirthMommy
Remember, that just b/c your doctor says something like that, you absolutely do NOT have to go along with it. Do your research and be ready to fight.
No one wants to do something that might put their baby's health at risk, but I would be very concerned about a dr that tells you things like that. You do have choices & options as long as you know what those choices & options are. My suggestion would be to do your research & do what feels best in your heart, not just what your dr suggests you do. There are risks with everything, it is just a matter of you educating yourself & weighing the risks for yourself.

ETA: I, like many others here, know several women that have had vaginal, non-med births with 10+ pound babies. In fact oddly enough it seems like the women I know with the bigger babies have had the easier births.

Cheryl, wife to an amazing man, homeschooling SAHM to Gavin 12/03, Rhys 09/06, and Ian Aug 11, 2010.

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Old 07-26-2006, 06:43 PM
 
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Loves2wearbaby04 -- Here are a couple of links that might be helpful:

http://www.childbirthconnection.org/...=10170&area=27

has info on the pros and cons of C-section, as well as suggestions for having the best C-section experience if that is the way you decide to go.

http://www.lamaze.org/lamazeforums/m...16&threadid=39

has information on birthing big babies vaginally.

http://www.mayoclinic.com/health/c-section/PR00078

discusses whether to do a C-section for a big baby.

The other posters are right, the odds that you will go into labor prior to 38 weeks are very, very slim, so it is not really an alternative that she is offering to "allow you to try Vag birth" til then. Maybe that's ok with you, but just be aware of it!

I have talked to women who thought their C-section was just the easiest thing ever, and women who had a hard time recovering from it and would have much preferred vaginal birth. Sometimes it's a blessing, but it is not minor surgery. I would suggest that you do a lot of research on C-section before you make your decision. Either way you will feel more informed and empowered! Good luck, mama.

Mimi :yawning: the happy mama of one DD & one DS ; married to my sweetie.
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Old 07-26-2006, 07:12 PM
 
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when will the baby be taken then? 38 weeks I assume? For this baby that may be a month premature.

If all you want is a healthy baby, then you may consider the following things:

1) a baby taken prior to being ready to be born is likely to be 1) premature 2) have breathing problems and at best 3) be not ready to enter the world on many levels.

2)there are MANY risks to the fetus during this major surgical procedure. Some of them are direct effects like fetal laceration, breathing problems, anesthesia effects, etc. Others are less direct like the risks run from not bonding right away, potential breastfeeding difficulties and the effects subsequently of that, you not being able to be a normal mother to the baby since you will be a post operative patient, etc.

3) if you are desiring future pregnancies than all of those babies will have higher risks in utero. There will be more placental abnormalities like greater incidence of previas and abruptions (which directly pose immediate risk to the fetus), there is an increased risk in rupture (even without the onset of labor) which if it happens threatens the baby's life. There will be an increased infertility rate, miscarriage rate, and also stillbirth rate. Obviously if a woman is concerned about a healthy baby, these increased risks threaten just that and should be strongly considered.

I am sorry for you and your baby which right now is probably growing just as it should be. Mothering is partly about allowing your child to do what it needs and allowing it to grow at the pace it needs without it being rushed or prodded or timed or measured. I hope you can begin that process now. A cesarean is major abdominal surgery which DOES pose very real and increased risks to both the mother and baby immediately and in the future. Look at those risks all combined versus the potential risks of a clavical breakage (which if you are left alone to labor and birth in the positions you want and at your own speed you will most likely avoid anyway). Do your own homework on distocia- it is not related to size of the baby. Know what you would need to do if there were stuck shoulders (mainly MOVE). Unless truly there are other reasons going on in your own belief system/fears/attitudes which make a cesarean attractive and you just find this "big baby" reason a good excuse to avoid labor and a vaginal delivery.

good luck to you and your healthy baby!

Jaya- unschooling mama to Ariah Rayheartbeat.gif1/02   Rukundo Pacifiquebuddamomimg1.png11/08  

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Old 07-26-2006, 07:44 PM
 
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Please listen to the people who have posted above. What you have listed do not sound like valid reasons for a c-section and I would be very cautious. I am about to have my third c-section but I would MUCH rather have a vaginal birth. At this time that is not possible for me but there is no reason it can't be if that is what you want! Please explore all your options.
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Old 07-26-2006, 08:05 PM
 
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i would do your research. of course you may find that your okay with a csec right now but think about the VBAC later (if you have more kids). right now its hard (sometimes) to do vbac's with OB's and some mw. more you have to fight for down the road. plus of course they are cutting your uterus and its not one large protective sack anymore it gets weaker with being cut and i have heard that sometimes thick scar tissue can go over the wound (on the inside) and make your uterus even weaker.

just make sure they aren't telling you this stuff because the docs want to be able to "schedule" your birth and not be called out of bed......to bad for them they decided on this profession deal with it!!!!:

i have read a TON of ladies on here that are measuring ahead all of the sudden. they are everywhere. hmmmm.....just think about the fact that it happens to a lot of people and that not even a small percentage of them are getting the same lecture......
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Old 07-26-2006, 09:52 PM - Thread Starter
 
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aww, crud, I just typed a lengthy response, for it to get eaten in puter land..


anyways, in brief, I do feel like my OB is very short and doesnt "listen " to what I say, talks over me, brushes off my concerns, and all andall I just dont feel like its the best care... she checked on me once after DD was born.. is that normal in the hospital...

Im not a small woman, and I feel like I can birth a 10 lber... but everyone I talk to is interested in scaring me more than encouraging me. I get the HORROR stories of tearing from one hole to the other, and etc, with DD I tore, but Im sure that was due to my eagerness(10 hr labor, 15 minutes of pushing) and it being my first, she was only 8lbs 6 ozs....I didnt hurt from the delivery but rather a tail bone problem Ive dealt with all my life...
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Old 07-27-2006, 12:30 AM
 
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Oh no way! I've alrwady had 2 and I am doing everything I possibly can to aviod a third. No slicing of this belly thank you very much!

I think you should do your research and possibly speak to another caregiver?
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Old 07-27-2006, 12:45 AM
 
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Quote:
Originally Posted by Loves2wearbaby04
aww, crud, I just typed a lengthy response, for it to get eaten in puter land..


anyways, in brief, I do feel like my OB is very short and doesnt "listen " to what I say, talks over me, brushes off my concerns, and all andall I just dont feel like its the best care... she checked on me once after DD was born.. is that normal in the hospital...

Im not a small woman, and I feel like I can birth a 10 lber... but everyone I talk to is interested in scaring me more than encouraging me. I get the HORROR stories of tearing from one hole to the other, and etc, with DD I tore, but Im sure that was due to my eagerness(10 hr labor, 15 minutes of pushing) and it being my first, she was only 8lbs 6 ozs....I didnt hurt from the delivery but rather a tail bone problem Ive dealt with all my life...
Would you consider switching to a midwife?

-Angela
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Old 07-27-2006, 09:54 AM
 
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Here's my 2 cents...
As far as shoulder distocia is concerned, you are worried about fatty shoulders on a fatty baby, not a large baby. I have been talking with my MW's about this because we have been discussing gestational diabetes lately, and that is the danger-the baby gets fatty.
My first was 8lbs. 12oz. and I tore a little but it was no big deal. Big babies are fine, and they fold up anyway to come out. It really irks me that the medical community thinks it so dangerous to have a big baby If you aren't able to find a MW or a new OB, at least maybe you could find a doula to support you through labor. As far as her "letting" you have a vaginal birth up until 38 weeks, what is she going to do? come to your house at 40 weeks and physically put you into her car? It's your decision, not hers! Remember-our bodies work, you have just spent the past 8 months growing a human being!, your body should be aloud to finish the job it started!
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Old 07-27-2006, 11:49 AM
 
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NEVER trust an OB's weight guesstimate.

I am a smaller woman. I measure 3-4 weeks behind my ENTIRE pregnancy. I don't even start showing until after 20 weeks.

My OB ALWAYS is lowballing the baby weights on me.

My 1st was 7lb 8 oz and a c/s at not quite 38 weeks. The next two were (vbac) 8 lb 13oz, and 8 lb 10 oz. Both 3 days before my due date. Both times my OB estimated about 7 lbs. She was an ENTIRE lb off.

My 2nd ds was stuck at his shoulders. He was born with a broken clavicle. The hospital, ped, and OB treated it like it was no big deal. Matter of fact no one told me UNTIL THE DAY AFTER HE WAS BORN when the ped. came in and told me about it.

Birth your child the way YOU feel best. Don't let someone scare you into something you don't want or need.

It's lonely being the only XX in a house of XYs.
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Old 07-27-2006, 12:39 PM
 
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Saw this under new posts and wanted to reply. I measured several weeks ahead with my dd, it wasn't that she was so big(8lb 2oz). But instead of staying in that nice little curled up fetal position she prefered too stretch out and be comfy! LOL
My last one was 9lb 2oz, I had no problems delivering.
Wish you the best!!

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Old 07-27-2006, 01:22 PM
 
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From here on out I will have to have C-Sections. My pelvic bone is an odd shape and it's heriditary, my mother had 3 C's. IMOP, I thought it was going to be a lot worse but it wasn't. I was comletely pain free within a week. And the meds my dr gave me were bf'ing safe My little guy had no side affects from what I was taking. Good luck to you, and don't worry if you have to have a C-section.....it's not that bad!
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Old 07-27-2006, 03:25 PM
 
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Quote:
Originally Posted by Loves2wearbaby04
anyways, in brief, I do feel like my OB is very short and doesnt "listen " to what I say, talks over me, brushes off my concerns, and all andall I just dont feel like its the best care... she checked on me once after DD was born.. is that normal in the hospital...
It is NEVER too late to switch care givers!!!! That is horrible that she makes you feel that way. Don't forget or let her forget that you are paying her to perform a service. You should be in control & she should be helping you to make decisions, not making them for you!:

Cheryl, wife to an amazing man, homeschooling SAHM to Gavin 12/03, Rhys 09/06, and Ian Aug 11, 2010.

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Old 07-27-2006, 04:04 PM - Thread Starter
 
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Quote:
Originally Posted by alegna
Would you consider switching to a midwife?

-Angela
I originally wanted a home birth/midwife type pregnancy/delievery....well between DH/insurance its just not possible for us..AT ALL..
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Old 07-27-2006, 04:20 PM
 
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Quote:
Originally Posted by Loves2wearbaby04
I originally wanted a home birth/midwife type pregnancy/delievery....well between DH/insurance its just not possible for us..AT ALL..
I'm sorry.

No way I'd let $$ or my husband make me birth in a hospital

-Angela
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Old 07-27-2006, 06:26 PM - Thread Starter
 
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Quote:
Originally Posted by alegna
I'm sorry.

No way I'd let $$
-Angela
Its more of the money thing, Its either DDs belly being full every night with lights on when it gets dark, or just try to do as little intervention with a OB at the hospital... Im not gonna get all tied up in what DIDNT happen or DID happen, Im just gonna try to focus on getting a GREAT start nursing with him as it didnt happen with DD as much as I tried, I was just ignorant and unprepared for the beginning challenges.
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Old 07-27-2006, 08:57 PM
 
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Originally Posted by danigrl
and don't worry if you have to have a C-section.....it's not that bad!

Peaceful mama to three blissfully-birthed and incredible small people: dd10, dd7 and ds5. Always awed and so thankful to be a midwife.
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Old 07-27-2006, 10:39 PM
 
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your insurance won't cover a hospital birth attended by a CNM?

*mama to c 2/2000, v 2/2004, p 9/2006, and h 12/2012*

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Old 07-30-2006, 09:58 PM
 
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I agree with what the PPs said about a large baby not being a valid reason to automatically do a c-section after 38 weeks. I have a friend who is small and she just grows big babies. That's just how her body works. She had 2 natural vaginal births of 10lb+ babies without incident. And check out the book Ina May's Guide to Childbirth--there is one story I read recently in particular about a woman who had a vaginal birth of an over 11lb baby after 2 c-sections.

At least, I would try and see if your insurance would cover a midwife at the hospital, or I'd switch doctors. Nothing is worse than a doctor who won't listen to what you're saying.
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Old 07-30-2006, 10:59 PM
 
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You know what the difference in skull size is between an 8lb baby and a 10lb baby?
Nothing!

You can do it! Fat squishes!!!

FTR, I'm also measuring five weeks ahead - and I'm having a VBAC. I WANT a big fat baby!! My last was 6lb 14oz and really long so she was all spindly and able to get herself in all sorts of weird positions. Oh how I wished she'd been a few pounds bigger with gravity on her side! An 8+lber would have been easier to birth: no wiggle room!

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