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Discussion Starter · #1 ·
Okay, maybe a silly question, but... My c/s was unnecessary and was for macrosomia (big baby). They thought she was over 10lbs. She was 8.13lbs. Now, I know that's not big. However, big babes run in the family (9-11lbs.). <i><span>Should I worry about that in planning a VBAC? Is that something you can work to prevent, like by what you eat?</span></i> My mom had three c/s and that is why they thought I would need one too. Hers were not for a big baby. Me, the first, was for fetal distress after they gave her pitocin for failure to progress after 7 hours of labor. The other two was because she had had a previous c/s. My tiny grandmother 4'11" birthed my dad at 9lbs. naturally. I'm 5'8", but my GYN says I have a narrow pelvis and she understands why my former OB/GYN gave me a c/s. I became angry and won't go back to her, but I'm wondering if I should put any stock in that. I want to HBAC and have found a midwife, but she doesn't see you until after you become pregnant, or I would have her check for "narrow pelvis". I have a large frame - big boned. I wear a size 10 shoe and my hands are the size of my father's, so that "narrow pelvis" is hard to believe.
 

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i don't have any real advice for you, but wanted to let you know i birthed my boy vbac and he was 9lb (my daughter was just over 7lb)! when i went to the hospital (homebirth transfer), they did an ultrasound and estimated him between 8.5 and 9 lb. they said they usually gave vbac women about 60% odds, but gave me 40-50% chance because he was "so big!" <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue">
 

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Larger babies aren't necessarily more difficult. My first was a c/sec. She was not flexing her head to move down, and with the beached whale syndrome I was in (I'd never had any frame of reference of powerful pain before labor), and the epidural they talked me into, nothing helped. So, into the OR we went. She was 8 lbs 11 oz.<br><br>
My next was a hospital VBAC (when VBACs were actively being pushed by ACOG and drs). The CNM broke the amniotic bag and the waters rushed out so fast that my son's heartrate dropped dramatically and stayed low for awhile. They were whispering in the corner about another c/sec when he recovered. Achieved a VBAC with a huge episiotomy that I didn't want. He was 9 lbs 5 oz.<br><br>
Third was a hospital VBAC with a different CNM. She allowed us more movement, and even put off breaking the waters for a few hours to "allow us to try laboring" and being active. Birthing stool was really effective, even though I hated the feel of it. Successful VBAC. My son was 8 lbs 15 oz.<br><br>
Fourth was also in the hospital. My CNMs were fired by the OBs 2 weeks before I went into labor. I switched to a family practice doc, who promptly went on vacation. The doc on call didn't come in until I was already crowning. She was a bit put out that I wouldn't turn around and sit down... I was kneeling over the top of the bed. Hubby missed this one because he had gone out to check the other kids, and ended up showing the ER staff the Hale-Bopp comet in the sky. My daughter was 7 lbs 3 oz.<br><br>
Fifth was our first homebirth. Since we almost did it ourselves the last time, hubby finally decided he was okay with it. He caught our daughter in a fast, uneventful labor. She was 7 lbs 13 oz.<br><br>
Sixth was another homebirth in a different state. Changed midwives halfway through... went from one who was VERY medically oriented to one that was a little less so. Successful VBAC with a nuchal hand... he weighed 9 lbs 10 oz.<br><br>
Seventh was another homebirth. Again baby had a nuchal hand up there... this time he wedged his little elbow under my pubic bone. Did not feel good as the midwife reached in to dislodge it. Successful VBAC... son was 10 lbs 11oz.<br><br>
I'm not a large person... only 5'3", with a small frame. The thing to remember with larger babies is they are more adequately prepared for life outside the womb... they have more brown fat to help them with their body temperature. And fat squishes. So baby may be larger, but once the head is out, the rest usually follows easily. My next child is due this winter. I am expecting an uneventful labor and birth. Don't know what the size will be this time, but I'm not too worried about it. I am wrapping my belly to keep baby in the proper position... my stomach muscles are nowhere near what they used to be. LOL
 

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I was suckered into a c-section for fetal macrosomia too (they thought 9lb10oz, she was 9lb8.5oz). I think the reason she got "so big" was in part due to reactive hypoglycemia (I ate too much sugar and I react to it by producing too much insulin) but also due to genetics (I had a couple of cousins who were nine and ten pounders). I am only 5ft2, but big boned, I can carry an extra 20-30 lbs and still look thin.<br>
ACOG guidelines do not suggest a c-section for suspected fetal macrosomia. So, these doctors are going against the guidelines of their organization and it is all about lawsuits (if they don't do a c and something goes wrong, you can sue them, if something goes wrong during a c, it usually gets tossed out of court).<br>
Eat healthy and you will grow a baby that is the right size for your body to give birth to. Work on positioning, keep active during labor. You can do it!<br>
I also worry about potential for increased UR due to a "big baby". The research pretty much shows this isn't true, big babies due tend to make doctors want to induce, and that leads to increased risk of UR.
 

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My first son was born via c-section for 'failure to progress' after I had the c/s my OB told me my pelvis was just too small <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: He was 7lbs 5oz.<br><br>
When I got pregnant with DS2 I was determined to have him at home. I found a wonderful midwife and had a beautiful homebirth!! He was 9lbs 2oz!! So much for my pelvis being too small <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: Almost 2 pounds bigger!!!<br><br>
This babe will be my 2nd HBAC<br><br>
I'm 5'2 so def. not tall <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
You can do this mama!
 

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ds: c/s 7 lbs 3 oz, although my c/s was not for macrosemia<br>
dd1: unmedicated VBAC 8 lbs 8 oz<br>
dd2: HBAC 10 lbs 1 oz<br><br>
Weight is not as big a concern as head circumference. U/S can be off by 1-2 pounds when estimating weight. Gestational diabetes is thought to grow big babies. I did not have GD, I just grew a big baby. Some people do. It is very, very rare for a woman to grow a baby her body cannot birth. If big babies run in the family, then women in your family are simply built to birth big babies. You CAN do it! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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I posted on your other thread (UBAC? I think, dont' knwo where it went now, lol).<br><br>
DS was an unnecessary c/s. Reason given was suspected macrosomia (umm, that is, reason given in records - I was NOT told this at the time). Real reason? OB got tired of waiting.<br><br>
I knew before the c/s even happened that it was wrong, it wasn't necessary. But I was tired and beat down and just gave up - spirit broken, yk? DS was 12 lbs, which "proved" he was too big. :eyeroll:<br><br>
DD was a UBAC. AWESOME. She was 11 lbs 10 oz. Yeah, a bit smaller, but what does 6 oz really matter - especially when you're talking about 11 and 12 lbs, YK? I'm sure had I allowed u/s during that pregnancy, they would have tried to schedule the c/s that day, lol! Too big, my butt! I didn't even tear (woo-hoo!).<br><br><br>
For me, it came down to: do I trust my body, or do I trust the medical community who've already lied to me, birth-raped me, and are concerned with covering their butts? Combine that w/the fact that I could not find any supportive providers and I was skipping down the road to a UBAC. DD's UBAC was so very healing for me. With future kids I will be more open to a (supportive!) provider being present, out of respect for DH's wishes. But if there aren't supportive providers available, UC for me!<br><br><br>
Oh, and as far as u/s in predicting weight, ha!! HAHAHAHA!! DS, my 12-lber, was estimated to be "eight, eight and a half pounds, max". Just think if the error had been the OTHER way! That's a 3.5-4 lbs "oops", yk? And the midwives I spoke with wondered why I was uninterested in u/s for DD's pregnancy. lol<br><br>
K
 

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Oh, and a narrow pelvis isn't something you can check for. Barring major problems, your pelvis will change to accomodate your baby.<br><br>
I think I'm not wording this right.... Do a little bit of research on things like pushing position, IIRC your pelvis opens like 30% more pushing on hands and knees than it does pushing flat on your back.<br><br><br>
IIRC, there's just no way to say your pelvis is too small until you're laboring w/your baby. Barring things like, I dunno, rickets and broken bones, yk?<br><br><br>
Oh, and blueribbonbaby has some info on pregnancy diet - or look for the Brewer Diet (I think). I wouldn't be trying to limit baby's size AT ALL, I would be trying to make sure you and baby both get what you need for optimal nutrition - and avoiding GD (which I know is a debatable thing anyway - but it can't hurt to be careful about sugar, right?).<br><br>
K
 

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Discussion Starter · #9 ·
I am a sugar addict!!! I did really good though with dd, and I didn't eat sweets. I drank only water, and was vegetarian at the time. They estimated her at over 10lbs... she was 8.13lbs. They didn't even mention that the err could go the other way. I knew I felt like it was silly to think that my body would produce a baby it couldn't birth - though I know it happens on rare occasions. Thanks for the encouragement and advice.
 

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My DD1 was my 1st VBAC. 10 lbs 13 oz. Huge head - 25 ish hours of labor, 3 hours of pushing (totally worth it though!)<br><br>
with DD2 I avoided sugar & fruit juice (had it very occasionally - which was hard! I love sweets!) and she was 8 lbs 12 oz. That's a tiny baby for my family <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> less than an hour of hard labor (i think i was in painless labor for 6 hours that day, maybe). I didn't push- water broke while I was standing 7 WOW! I caught her right there.<br><br>
My DS -csec was 8 lb 14 oz. Csec was not due to size but the NST I had at 41.5 weeks was poor. Lots of other factors turned my HB to a Csec. He was wrapped in cord 5 ways. My Csec was necessary. The back up OB said he was going to be over 10 lbs. Not even close! US is totally inaccurate for predicting weight at that point, IMO.
 

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My first was a C-section for a "huge" baby that ultrasound estimated at 9.5+ pounds (I'm 5ft). She was 7lbs, 7oz. Pretty sure I could have gotten her out. The second was a repeat C-section because "the second baby is guaranteed to be AT LEAST as big as the first" (and what makes 7.5lbs BIG I ask?). He was 5lbs, 10oz! I'm POSITIVE I could have pushed that teeny guy out! So just because you have one relatively big baby is NOT a guarantee that the next one will be as big!
 

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hugs<br>
My MW keeps telling me "you won't grow a baby you can't birth".. now I don't know how much of that is "true" and how much of that is for my benifit ( my first was 9lbs, my 2nd was 9 lbs 2 oz and both were c/s.. unplaned).. but I am holding onto that thought and really focusing on envisioning my ideal birth..<br>
I do know, that late term ultrasounds to estimate size are bogus... they are often really really off...<br><br>
My friend had a 9 lbs son.. and delivered a 6 lb daughter.. My other friend had 3 children over 8 1/2 lbs and her fourth was 6 1/2 lbs..<br><br>
you never know...<br><br>
eta: my family grows big babies.. my mom and uncle were 8lbs and 9 lbs and my grandmother is barely 110 lbs..My doula said that she saw my placenta at my last section (unplanned, failed vbac attempt that had nothing to do with baby's weight..) she said it was the biggest she had ever seen.. I guess I grow them big..
 

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I honestly believe that position is a lot more important than size. Mine were both right around 9 lbs, but one was posterior/transverse/acynclitic and the other was anterior. Their labors and deliveries were like night and day. No scalpels with the OA babe! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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HI!<br><br><i>I had a primary cesarean for a macrosomic infant that was 8.11</i><b>*Then a VBAC she weighed 9.2<br>
*Another VBAC she weighed 9.4<br>
*Yet another HBAC she weighed 11.12<br>
*And my last HBAC he was 9.4</b><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
You can never know the potential of your pelvis until it is in action during labor...<br><br>
Keep going you can do it!
 

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Oh I HATE it when I hear about providers doing c/s for suspected large babies!!! The pelvis is will change during labor, so there is NO way of predicting that your pelvis is too narrow beforehand (unless you've had something major like a pelvic fracture). As mentioned earlier, ultrasounds are KNOWN to be more inaccurate as far as estimating baby's weight the farther along you are.<br><br>
Based on your description, I really doubt you have a narrow pelvis. I myself wear a size 10 shoe and am large boned, but only 5 foot 7 inches. My first child was 8 lbs, 11 oz and had a nuchal hand. I birthed him vaginally with only a 2nd degree internal tear (which the midwife said was due to his hand, not his size). I had problems getting him past my pubic bone only because of his hand. But I had him just the same. My c/s was medically indicated because my son couldn't descend due to a short cord around his neck 3 times (and believe me, the OB and midwives tried everything else before doing the c/s) Never once has anyone mentioned to me that I'd ever have any problems having natural birth. So I don't see why they'd be mentioning it to you. I would find a provider for your next pregnancy that doesn't make a big deal of it.
 

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I had a c-section for my first and although he was only estimated to be 7.5 pounds, my induction failed and he was actually 10.5 pounds.<br><br>
Things I did differently the second time around...<br>
With my first, I had an OB who put me on bedrest for 5 weeks unnecessarily. I believe that contributed to his weight. Also, during those 5 weeks of laying on the couch, I ate far too many cookies and other sweets. So, this time around I stayed active (chasing a toddler!) and tried not to eat so much ice cream <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> This VBAC baby was 9lbs.<br><br>
I know I could have birthed my first vaginally if I had been given the right circumstances. I don't fear big babies anymore... I had to get over that fear in order to successfully VBAC with DS2. I'm sure it didn't hurt that he was a little smaller though.
 

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I had a c/s for my 3.5lb son, and then VBAC'd my 9-9.5lb son unassisted.<br><br>
I Actually do have a narrow pelvis, because I have pituitary dwarfism and my hips did not develop because I did not hit puberty on my own: it was induced. I remember being told that I could probably birth a 7-8lb baby "alright". My daughter (DC#1) was 6'14.<br><br>
You know what the difference is betwen a baby at 7lbs and a baby at 9.5lbs? Fat. And fat squishes! Their skeleton is going to be roughly the same size, and their head, the biggest part, is not going to grow two pounds bigger - it's a head! Heads have an average size and tend to stay in that range. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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Discussion Starter · #18 ·
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<div>Originally Posted by <strong>ndakkitten</strong> <a href="/community/forum/post/6530666"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">doing the c/s) Never once has anyone mentioned to me that I'd ever have any problems having natural birth. So I don't see why they'd be mentioning it to you. I would find a provider for your next pregnancy that doesn't make a big deal of it.</div>
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Consider yourself very lucky. Here in the 16th largest city in the US the OBs beat the national average in c/s, and I rarely hear of anyone not being told the things that I've been told. This is exactly why I've decided to go with a homebirth midwife. The birth culture definitely is not what it should be.
 

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my babies are all over 8 lbs. my mw did tell me to eliminate sugar and processed food in my last trimester if i was worried about a big baby but that is good healthy advice regardless of whether/not you are preggo, yk?<br><br>
big babies are NO reason for a c/s
 

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Your body is not trying to sabotage you and make a baby that you can't birth! You can do this! You can grow a healthy baby and give birth without interference.<br><br>
I would not worry about size at all unless you develop gestational diabetes.
 
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