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<p>So we went to the doctor this morning and had an ultrasound (at our appt 2 weeks ago my fundal height was measuring two weeks ahead so the doctor scheduled an ultrasound for this appt to check things out.).  The baby's head, belly, and weight are all measuring over 38 wks (his femur is actually right on at 36wks).  My doctor said that because the baby is 8 pounds and has a large head and belly he has to talk to me about birth routes and that nothing is set in stone but he wants to give me a heads up that this conversation is coming so I need to be thinking about it.  I really like and trust my doctor and he knows I don't want a c-section or induction.  He said that for him it is about putting stress on the baby and with this being my first child, and the fact that he hasn't dropped he is worried about having to dislocate the baby's shoulder or break a clavicle to get him out.  Next week he is going to check me and see if there have been any cervical changes and we will revisit the issue then.  Ugh.  I don't want a superfulous c-section but I also know there are real reasons to have them.  I would have to go into labor and end up with an emergency c-section anyway.  My doctor did say that he knows their ultrasounds can be as much as a half pound off but he also said that my high fluid level actually makes my ultrasounds more accurate that most.  I mean dear lord my baby is 8 pounds with 4 weeks left to go!</p>
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<p>Anyway I am stressed even though he told me not to stress.  Blah.  </p>
 

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<p>DDCC...but your post sounds oh so familiar!</p>
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<p>I had an ultrasound at 41 weeks with my DD as my medwife was concerned about the babies size. The ultrasound estimated her to be over 10 pounds. I was scheduled to be induced the very next day due to the ultrasound findings, but I went into labour on my own that night. None of my wishes in my birth plan were respected and I ended up having the whole cascade of intervention (monitoring, AROM, constant internal monitoring, no labouring in water, lying on back, narcotics, epidural, pitocin etc). DD was born via c-section. She was 9 pounds and I was told she was too big for me to push out which is why she never dropped until labour. (it doesnt matter that she didnt drop until labour, she still dropped!)</p>
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<p>In October I birthed my 10 pound son at home after 5 hours of active labour. I laboured in the birth pool in positions my body told me to, and I pushed him out semi squatting in the pool (one leg on knee, other leg up) the way my body told me to.</p>
 

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<p>It doesn't seem like your doctor has a lot of experience with shoulder dystocia if his standard methods of getting the baby out include clavicle fracturing and shoulder dislocation.  You might want to google it or head to birth and beyond for natural ways midwives use in helping babes whose shoulders do get stuck.  I birthed a 10#er (my second) who had some sticky shoulders, and a position change with the right midwife was all I needed.  Also, his head was 15.5 and literally shot out of me so I wouldn't worry about big heads.  I have faith I might be able to birth a small calf if I'm in the right position.  It's really hard to push out a baby of any size laying flat on your back....I birthed my son's giant head on my hands and knees and I don't recall even having a ring of fire or anything.  I don't even remember pain.</p>
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<p>I'm not a believer in the ultrasound for weights.  They were off by close to 2# with my first son, he was a peanut in comparison to the giant baby they kept telling me I'd have.  I wonder if doctors push inductions due to weight because the CS rate is higher and therefore they get more fees?</p>
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<p>Hang in there and do what feels right for you.  Don't let anyone pressure you into induction.  My OB was all about putting the fear of God into me, which is why I changed to a midwife with #2.  My new midwife with this baby (#3) at my last appt, after I measured 5 weeks ahead, asked me how I felt about having an 11#er.  We shall see.  I'm more worried I'm going to have a little 5#er after gaining 60 pounds.... LOL...I'd be so embarrassed. </p>
 

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<p>Ultrasounds are notoriously off for how big a baby is this late in the game. When I had a u/s w/ DS at 42wks, he originally measured less then 39wks. Five minutes later measured over 40wks, a difference of around 10 days total if I remember correctly. That basically ended my trust in late term u/s for sizing!</p>
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<p>During the u/s I had w/ DD at 41wks (which resulted in an induction later that day), she measured a full pound over what she actually was. I have also realized that since we were able to get facial pics of her during the u/s, she was not engaged at all. But the induction went about how most inductions go and I ended up with a vaginal birth about 42hrs after that u/s. So whether or not the head is engaged esp at this point doesn't really mean anything, at least in my expirence. There's four wks left for the head to engage!</p>
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<p>Stick with your guns, mama, don't let them force you into anything you dno't want to do! Try not to stress. I know that's easier said than done, but take a nice bath and relax.</p>
 

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Okay, the things you know for certain at this point:<br>
* You don't have gestational diabetes.<br>
* His body has managed to take one sperm and one egg and form a complete human being with a heart, lungs, stomach, intestines, 3! sets of kidneys that move and shift and do what they do to form the urinary/filteration system, a brain that will help him to communicate with the world and get his needs met.<br>
*Your body has managed to keep him in this long, provide the nutrients and fluid he needs to do his work, and keep you alive and thriving all the while.<br><hr class="bbcode_rule">
Things that may or may not be true:<br>
* He may be a big baby. He may not be.<br>
* The ultrasound may or may not be correct (over a 3 day period I had a date range based on daily ultrasound measurements of 19w1d-22w4d! That's a big range. It isn't exact. Open a paint program on your computer and try to draw 3 lines that are exactly the same length. It's hard.) about his size (which again may be large or small).<br>
* His bones may or may not be ossifying. (In my *opinion* this is the far more meaningful thing if the bones are still able to squoosh and slide you can birth any size baby your body can grow! Really! 14 pounds! Honest! )
<hr class="bbcode_rule">
What you can control:<br>
* Your attitude. Write out some healthy, happy baby growing and birthing meditations: My body will grow my baby perfectly. My baby will be the perfect size for him...<br>
* Your research and knowledge about what procedures (or lack of procedures) you are willing to do and think are helpful.<br>
* Educating your birth partner about your desires and various scenarios that might arise and how you'd like him/her/them to respond.<br>
* Your water and calorie consumption. Eat well. Drink well. Be well!<br>
* The way you respond to doctors, nurses, and others. Make a plan now. If it is "trust them they are the expert"--Great! If it is "Thank you for your opinion, my birth partner(s) and I will discuss and let you know"--Great! It is about what you are comfortable with!!!
<hr class="bbcode_rule">
What you cannot control:<br>
* The way your doctor practices medicine and what his opinion is.<br>
* How big your baby is actually going to be.<br>
* How long your labor will last, how hard it will be, and to a large extent if there might be an emergency resulting in the need for a c-section.
<hr class="bbcode_rule">
Based on these things you have to decide where to place your trust and energy. You chose your doctor for a reason. Your body is doing something that no body on earth is able to do...grow *YOUR* son. Both are experts in their professions so to speak. If you don't want to risk labor...that's a choice. If you want to switch providers...that's a choice. If you want to bring your OB info on positioning during labor and discuss it with him...that's choice. You have power here and there is absolutely NOT a wrong answer. It is about what you want and think is best for you and your child. <img alt="smile.gif" class="bbcode_smiley" src="http://files.mothering.com/images/smilies/smile.gif"><br><br>
So...what do you want? How can we help? <img alt="orngbiggrin.gif" class="bbcode_smiley" src="http://files.mothering.com/images/smilies/orngbiggrin.gif"> No matter what I wish for you the peace of following what is right for *you*.<br><br>
Jenne
 

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Discussion Starter · #6 ·
<p>I really appreciate everyone's advice and support.  I jut want to be really clear that my doctor is not pushing anything on me, and has been very supportive of our birth plan since day 1.  Any advice he gives me is based on information he truly believes and is not related to making money.  He mostly deals with a lot of high risk and multiple births so I can see why he would jump to some interventions for safety sake but he also is wanting to work with us and take this week by week and moment by moment.  He is definately not a villain and very much in our corner.  In regard to the ultrasound measurements, I agree that they are notoriously wrong, there are just too many stories on this board and others for them to be 100%.  However, they are often close and this particular doctor does all of his sonograms on the same machine in his office and has a good idea of its accuracy, and he even said it could easily be half a pound off.  7 and a half pounds is still a big baby but I agree with all of you, certainly not impossible.  </p>
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<p>I think this whole issue caught me off guard this morning cause I wasn't expecting this kind of discussion this early.  Which made me realize that it isn't early anymore!  This baby is going to be here soon.  I am feeling much better now (in large part due to all of your kind advice and information).  Our goal is still a happy healthy baby and we believe at this time that the best way to reach that goal is through a vaginal birth.  I just need to make sure I am informed and flexible with my plan if need be.</p>
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<p>Thanks again ladies!!!!  I love this forum!!!!</p>
 

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<p>Well said, Jenne!</p>
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<p>I read in the Ina May Guide to Childbirth book that for shoulder issues, if they're stuck, and mama gets onto her hands and knees, the baby can come out easier.  There were also stories about reaching in, tucking a finger into baby's armpit and gently tugging one shoulder out, which then alllows the other to slide out easily, too, followed by the rest of the baby.  It was pretty fascinating stuff!</p>
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<p>And in my childbirth class, they spoke of how the contractions help squeeze fluid out of the babies' lungs and prep them for breathing once they're on the outside.  My instructor said that in cases where c-section does occur, the babies who were able to go through labor first have an easier time breathing than those who didn't experience any contractions.  So that made me want to labor first, but I would understand totally if others don't feel that way!  Everyone should do what feels right to them.</p>
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<p>But just for some extra inspiration too, not only is the u/s probably off, but my little mom who is 5'1", had an 10lb 13oz baby, and nothing was broken in the baby to get him out.  He was totally able to come out, because my mom's body just accomodated him.  So even if your baby IS that big, I have total faith that you can birth him! </p>
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<p>Hope that helps!  I know it's all a lot to think about when you're in these situations.  I hope everything goes really great for you!!</p>
 

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<p> </p>
<div class="quote-container"><span>Quote:</span>
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<div>not only is the u/s probably off,</div>
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<p>Oops, I meant to say *possibly*, not probably, sorry!</p>
 

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<p>I just wanted to say that my babies have ranged between 6lb 13oz (my first 3 weeks early) and 9lbs 7oz and I was able to deliver each one of them with no pain meds and fairly easily. I was induced with 2 of them because of size and everything turned out fine. However - my dh and I had to really advocate for ourselves to achieve the birth we wanted because the medical profession gets freaked out about "big" babies. Staying active in labor and using gravity as your best friend are a must! I actually switched at 24weeks this pregnancy to a new practice that is friendlier about delivering "big" babies. Try not to stress so much about it, easier to say than do I know. Just be prepared and know your options and never be afraid to ask for a little time to make a decision.</p>
 

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<p>My oldest was measured while I was in labor (they wanted to make sure she wasn't "to big") and i was told Id be lucky if she was over 6 lbs. She came out 8lbs 9ozs. I wouldn't trust ultrasound measurements when it comes to weight.</p>
 

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<p>I'm glad you updated, you do sound calmer. LOVED your post Jenne!</p>
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<p>With #2 my mw knew from palpating that baby was going to be large... she asked me to be sure to cut out excess fats from my diet the last couple of weeks (skim milk in lieu of whole etc) and I gave birth at home to a 9lb 12oz baby in just over two hours. Remember your body will grow the perfect baby for you!</p>
 

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<p>looks like you get the idea (lol) but i also had a mismeasured baby- with my first, they told me that she was measuring something like 26 weeks with 24 week sized legs- you should have seen those legs running away from me today when i picked her up at kindergarten....</p>
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<p>so, good luck with your decision- it is a wake up call to the nearness! oh my!</p>
 

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<p>I am a little worried about "big baby" too- but not so worried that I will try to avoid my VBAC.</p>
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<p>This birth story inspired me. It might have been posted on here before.... 12 lb, 4oz, big head, HBAC, NO TEARING!</p>
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<p><a href="http://www.theunnecesarean.com/blog/2010/12/12/sheris-really-big-hbac-story.html" target="_blank">http://www.theunnecesarean.com/blog/2010/12/12/sheris-really-big-hbac-story.html</a></p>
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<p>A comment on U/S- Yes, they can be wrong... but not always. My u/s was pretty much dead on and my OB said he thought it was wrong. The baby measured 9 lb 6oz when it was done, and the doc said he thought it was closer to 8lbs. The baby was born 9lbs 14 oz. Thinking about this, and the reality that this baby might be large too, has led me to realize that I need to accept the possibility of a big baby and embrace it. So much of this pregnancy I have been trying to tell myself that the baby won't be big- that ds was just a fluke and this baby will be smaller like dd. While that's possible, I started to understand that "big" baby isn't something to be terrified of and that I needed to get over my fear of a large baby instead of being in denial of it happening. Sorry if this isn't making sense... I'm having a hard time getting moving this morning :) Anyway, here's to big babies and vaginal births and no tearing <img alt="champagne.gif" src="http://files.mothering.com/images/smilies/champagne.gif"></p>
 

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Discussion Starter · #14 ·
<p>Corrie I am starting to feel the same way.  Instead of trying to deny that my baby is big (to be honest me and the baby have measured ahead this whole pregnancy) I need to embrace the possibility and move forward.  My mother is so cute, she kept saying "big babies are great, they eat and sleep better!" (all of her babies were between 8-10 pounds)</p>
 

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<p>I've only had one late ultrasound but the weight was right on.</p>
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<p>That said, I'd cut out the simple carbs and sugars until the end to keep the weight as low as possible.  I'm pretty sure I'm going to have another biggish baby (mine are all between 8.5 and 9.5 lbs). This time around, I've been going to the chiropractor every week to get my pelvis in the best shape to avoid shoulder dystocia/sticky shoulders (I've dealt with that for three of my babies, all handled successfully at home).  The only time there was no issue at all was with my hospital birth, ironically. I delivered in a side lying position (the only time) and I think something about that position was good for my pelvis and good for my baby. I'll probably try it again this time.</p>
 

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<p>And big is no guarantee of shoulder issues.  My bff's son was 11lbs 2oz and no problems with shoulders.  My son was 9lbs 5oz and same thing - he shot out without any trouble.</p>
 

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<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>cagnew</strong> <a href="/community/forum/thread/1290582/big-baby#post_16177647"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>I am a little worried about "big baby" too- but not so worried that I will try to avoid my VBAC.</p>
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<p>This birth story inspired me. It might have been posted on here before.... 12 lb, 4oz, big head, HBAC, NO TEARING!</p>
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<p><a href="http://www.theunnecesarean.com/blog/2010/12/12/sheris-really-big-hbac-story.html" target="_blank">http://www.theunnecesarean.com/blog/2010/12/12/sheris-really-big-hbac-story.html</a></p>
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<p>A comment on U/S- Yes, they can be wrong... but not always. My u/s was pretty much dead on and my OB said he thought it was wrong. The baby measured 9 lb 6oz when it was done, and the doc said he thought it was closer to 8lbs. The baby was born 9lbs 14 oz. Thinking about this, and the reality that this baby might be large too, has led me to realize that I need to accept the possibility of a big baby and embrace it. So much of this pregnancy I have been trying to tell myself that the baby won't be big- that ds was just a fluke and this baby will be smaller like dd. While that's possible, I started to understand that "big" baby isn't something to be terrified of and that I needed to get over my fear of a large baby instead of being in denial of it happening. Sorry if this isn't making sense... I'm having a hard time getting moving this morning :) Anyway, here's to big babies and vaginal births and no tearing <img alt="champagne.gif" src="http://files.mothering.com/images/smilies/champagne.gif"></p>
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DDCC (again!) but Cheers Cagnew! I just had a 10lb HBAC baby in October with no tearing <img alt="champagne.gif" src="http://files.mothering.com/images/smilies/champagne.gif"> I've posted my birth story on MDC if you'd like to read it. </p>
 

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<p>I had to chime in on this post, I am 34 +5 with our fourth, each child successively getting larger, my last was born vaginally, no drugs, and weighed 10lbs 6 oz, no tearing.. this lil one has been measuring 3-4 weeks big since they started measuring, I am very blessed to have a midwife who just calmly reassures me that I have handled a ten lb baby with absolutely no complications, so this one will be just as easy.. trying to believe this as yesterday U/S to check position showed my lil girl at 8lbs 2 oz already! At 34 weeks! We are planning a home birth and I have to have faith in my body that it can handle the birth.. that, and start praying to go into labor as soon as I hit 37 weeks!</p>
 

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<p>I just want to second pretty much everything said. Regardless of his skills in reading ultrasounds, it can still be off by way more than the 1/2 pound he's saying (of course, he may usually be within a half pound, but 2 pounds off is still possible!). Also, their growth slows down...some more than others, so your baby won't keep packing on the pounds like crazy. I also want to second that he probably doesn't know much (if really anything) about properly helping sticky shoulders/shoulder dystocia...ditto on looking up the Gaskin maneuver. Also, the estimated size of a baby does not help at all in determining whether baby will end up with shoulder dystocia. What has a much larger impact on the incidence of shoulder dystocia are things like baby's position (proper positioning can encouraged prior to birth) and, more importantly, the position that mother births in. On your back is absolutely terrible. Is he supportive of you birthing on all fours or in a squatting position?</p>
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<p>Have you thought about getting a doula? A doula can suggest position changes to help baby descend better and can also suggest a change if shoulders get sticky or look like they might get sticky. There are lots of great doulas in our area. <img alt="orngbiggrin.gif" src="http://files.mothering.com/images/smilies/orngbiggrin.gif"></p>
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<p>Mama, your body made this baby. Your body can birth this baby! There's no need to induce or do a cesarean. It is VERY rare for a baby to truly be too big to come out. Most cases of baby being "too big" to be birthed vaginally or cases of shoulder dystocia are <em>caused</em> by poor positioning, unsupportive care providers (even if they mean well, if they don't know better it's still unsupportive in the end) and fear. You CAN and WILL birth your baby!!! My DS was 8lbs10oz at birth. I only tore because of the position I was in and because he came out so fast, and I didn't need stitches for it either. I had 5 1/2 hours active labour, about 10 minutes of pushing, and my midwife said he just shot out of me. That was my FIRST baby. I don't even consider a baby "big" until 10lbs, and that I don't consider to be too big. You can do this!!!!!!</p>
 

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<p>i'm expecting another big baby, ds was 8lb 10oz, dd1 was 9lbs 5oz...i wouldn't consider them 'big babies'...but the nurses that were there for ds acted like he was ginormous and he just wasn't! and dd1 was born at a birthing center and no one batted an eye lash at her size, although her shoulder got stuck but no damage was done. if it makes you feel any better my friend had a 10+lb baby a few months ago, she is much smaller than me and i was happy she got to avoid a c-section.</p>
 
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