Join Date: Feb 2008
Location: Nambe, NM
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Just because a baby weighs more, doesn't mean it's head is much bigger. They'll just have more healthy fat on them, and fat smooshes (very technical term, "smooshes"!)
I'm 5'3" and the baby I pushed out (first was cesarian and a bit smaller) weighted 9lbs. 2oz. I had a "stretch" but not really a tear and it was more due to positioning than baby size.
If you put your hand on the baby's head as you push it out, you might feel more in control. You can let the head ooze out slowly and be more likely to avoid any damage.
Also, a more upright position and supporting your perineum can help. Your midwife will most likely do this, she'll just hold a warm compress on your bottom while the baby's crowning. Talk to her about it ahead of time. Oh, and you can also lubricate with oilve oil or some other natural oil (almond, jojoba...).
You can absolutely do this! It will be so much nicer to know the baby's well developedand at home with you right away! Even if pushing takes a bit longer, it might be gentler on your body and it will help the baby's lungs get ready.
edit: I started typing that out before I saw your post, I'm glad you feel better! You're right, you need to address every little thing and get it out of your way so you can have a happy birth!