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Discussion Starter · #1 ·
I am 38 weeks and have Gestational Diabetes. I am 5'5" and weighed 127lbs at the start of my pregnancy and now weigh 187lbs. My measurements at 38 weeks were 42cm. My ultrasound revealed a 6lb baby at 34 weeks. MY OB is thinking I'll have a 8-10lb baby at 40 weeks. She wants to induce at 40 weeks. I don't want to induce but am afraid of a large shoulder baby getting stuck in the birth canal. Has anyone naturally delivered a GD baby they thought was large but had no problems? Thanks so much for any advice!<br><br>
Lora.
 

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The weight of your baby isn't as important as the size of it's head, and GD shouldn't really affect that. You may have a 9lb babe, but it should just be chubbbier, which shouldn't make any harder to get out. Fat is squishy. U/s are notorious for being off late in pregnancy, so it's very hard to get an accurate determination of the weight anyway.<br><br>
A lot of inductions fail (I think it's around 50%, but I could be wrong), so that really sets you up for a csec. I'm assuming that this is your first babe, and a primary csec really screws up your chances for ever having a uneventful delivery.<br><br>
Lots of petite women deliver large babies. You really can't tell whether a woman has an adequate pelvis until she has been in the pushing phase of labor for a really long time (with the ability to change position, move around, no drugs, well-positioned babe, etc).<br><br>
I'd be very wary of induction, if I were you. It can be difficult to stand up to a care provider. They seem to have a way of presenting info in the scariest way possible. I hope you have a fantastic birth experience. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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My daughter was 10 lbs 3 oz at 38 weeks (but, it was a csection, so no advice)
 

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I would highly recommend Henci Goer's "the thinking womans guide to a better birth". Seriously read it.<br><br>
Babies gain, on average, 1/4 lb a week in the last six weeks. If your GD is controlled, why would you grow a baby that is too big for your body to birth? Also, once babies reach their due date, the growth slows considerably.<br><br>
I've had many first-time moms birth 10-plus pound babies @ home. 50% of shoulder dystocias are babies inder 9lbs...it's more an issue of forced pushing, hurried providers pulling on heads, and moms birthing while on their tailbone.<br><br>
My honest opinion? If your doc is scared of you birthing when your body is ready, she'' create a million reasons why you "need" to be induced.<br><br>
I'd be wary of what you're being told already. The diagnosis of GD is highly controversial....and mostly inaccurate. There are some good resoiurces on the internet or here on GD...do a search for Henci Goer and GD.<br><br>
My main recommendation is to read that book. Then, think about talking to a homebirth midwife.
 

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Stick to your guns about avoiding induction. That's the only real advice I have as I had 2 surgical deliveries (planning a homebirth next time though!). In my first pregnancy, I too was diagnosed with GD (a bogus diagnosis imo), they said I measured 42 cm at 37 weeks and they told me the baby would be at least 10 pounds, as it turns out, he was 7 lbs 13 oz. With my second pregnancy, I measured big the whole way, don't know if I had gd as I refused all testing, and baby was 11lbs 1oz.<br><br>
Good luck and try to avoid the induction!
 

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As a mom who experienced a truly horrible shoulder dystocia, I will add that much more important than size is position. Many huge babies are born without a problem, and many smaller babies get stuck. A dangerous situation is extremely rare, doctors are worried, b/c s.d. is one of the main causes of lawsuits in the US, so inductions are encouraged by OB`s.
 

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fat squishes and as far as i know GD babies are fatter not "bigger all together". i have deliverd a 5#11oz baby (34 weeks), a 7lb4 oz (37 weeks) and a 9#8oz (42 weeks) and they all came out the same.<br><br>
also, if the weights your Dr. is saying are correct (they are off on average about 1-2 pounds) your baby isn't all that big.thats pretty standard around here. 8-10 pounds for full term. I measured realy big with my first. 48cm at 34 weeks. it obviously had little to do with her size (she was the 5 1/2 pounder <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">) and I measured slightly big with the 7 pounder and under with the 9 pounder.<br><br>
I shouldp oint out though that I was not delivering on my back with any of them. the smallest I was on my side and did not tear. the other two I was on my hands and knees and did not tear. and all three came very very fast (the last in under 7 minutes - that includes decending and all the way out the longest was 20 minutes.)
 

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I didn't have gestational diabetes but I had a 10 lb. 2 oz. baby at home in water. I pushed him out in 15 minutes and I am not a big woman. I am 4'10" and used to weigh 110 before kids.<br>
You CAN give birth to a baby that big.
 

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I am 5'0 and size 4. Both of my children were around 9 lbs. Both nice vaginal non-medicated births. Take it slow, talk to your baby during birth and work together, don't birth on your back - you will do wonderfully. Small women CAN have bigger babies just fine. As one of the pp said "fat squishes."<br><br>
Have a wonderful birth! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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Discussion Starter · #10 ·
<i>"...it's more an issue of forced pushing, hurried providers pulling on heads, and moms birthing while on their tailbone."</i><br><br>
What is birthing on your tailbone? Is that while you're sitting up? I plan to birth in the Alterantive Birth Care Center at the hospital and they have a few neat birthing chairs, etc. I don't plan in any way to be flat on my back. I also have a doula to help me with any position that'll help get the baby out.<br><br>
Having read the above messages, I feel more confident in waiting on being induced (especially since it's my first child and the rate of having a c-section is high). Plus, if he is big, as some of you have pointed out, it should mostly be fat which should be easier to squeeze out.<br><br>
Are ultrasounds accurate with bone size? Maybe I should have another ultrasound to see what his shoulder size is? Would that give me peace or just complicate things?<br><br>
Thanks!<br>
Lora.
 

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I am 5'2", normal weight about 130 lbs. When my 3rd baby was born I tipped the scales around 180. I did not have GD but I did have a lot of extra amniotic fluid and the baby was BIG. I was measuring about 46 weeks at term. Really the end of the pregnancy was the worst part, just carrying him around inside me was a challenge, to be so big and have a small frame... Anyway, the delivery was great! I was "talked to" by an OB who was afraid of dystocia, but I wisely declined the c sec. Baby was born in about 2.5 hours, just remain upright a la "Active Birth" by Janet Balaskas, great book. I was unmedicated, birth was quick and totally fine. You can do it!<br>
Did I mention my son weighed 10 lbs 2oz?
 

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Yeah, I would decline induction...so many things can be off about baby weight guesstimates.<br><br>
I did agree to induction with my second; I was dx'ed with GD, she was 9 lbs 10oz but just *flew* out, no problems whatsoever. With my third, I was having a homebirth and while my two random blood sugar tests were okay, I feel I likely had the same problem that time as I do this time (high fasting sugars, we never tested those) and he was 11lbs 8oz, again, came out just fine.<br><br>
In doing lots of reading, it turns out maternal weight is more a factor in macrosomia than blood sugars. I wouldn't worry, especially if you've controlled your sugars well. (and I agree about most "GD" diagnoses, Henci Goer is right!!)<br><br>
As far as SD, I remember reading at one site that this is the one thing that OB's break out in a cold sweat over. They just don't feel comfortable dealing with it, and they think big babies are just going to get stuck (when I agree with the above posters, positioning is more a factor) so they always push induction when a baby is going to be more than 8 lbs or so <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
Decline it, and try to do all you can to make sure baby is positioned well..and don't labor/push on your back! You can do it!!
 

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I am under 5' tall, very petite, had GD and gave birth (without induction or drugs) to a beautiful 8lb+ baby! YOU CAN DO IT!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"><br><br>
I pushed for 4.5 hours in many positions (DD didn't "drop") and finally ended up on my side for the delivery.<br><br>
Be sure to keep your blood sugars under control. I was pressured to induce, but decided to wait. DD was late too, but I am so glad we didn't give in and have the induction.<br><br>
Be sure to have a support team (I think I read you have a doula) and you will be fine!! Best of luck and enjoy it!!!
 

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<div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>LoraP</strong></div>
<div style="font-style:italic;"><i>"...it's more an issue of forced pushing, hurried providers pulling on heads, and moms birthing while on their tailbone."</i><br><br>
What is birthing on your tailbone? Is that while you're sitting up? I plan to birth in the Alterantive Birth Care Center at the hospital and they have a few neat birthing chairs, etc. I don't plan in any way to be flat on my back. I also have a doula to help me with any position that'll help get the baby out.<br><br>
Having read the above messages, I feel more confident in waiting on being induced (especially since it's my first child and the rate of having a c-section is high). Plus, if he is big, as some of you have pointed out, it should mostly be fat which should be easier to squeeze out.<br><br>
Are ultrasounds accurate with bone size? Maybe I should have another ultrasound to see what his shoulder size is? Would that give me peace or just complicate things?<br><br>
Thanks!<br>
Lora.</div>
</td>
</tr></table></div>
BIrthing on your tailbone means sitting on anything that puts pressure on your sacrum. Your sacrum naturally moves as baby comes down, so putting pressure on that by semi-sitting or sitting on something that decreases that ability causes issues.<br><br>
If we were to measure ten adults bone structure and attempt to guess their weight, we would be off quite a bit. ultrasounds in the third trimester are typically 1-3lbs off in weight. that's a HUGE difference, esp when someone is trying to freak you out.
 

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My MIL is 4'9", a truly tiny woman. All her 4 babies were over 9 1/2 pounds. I am not a tiny woman (5'8") but my first DD was 10 lbs, 14.5" head, posterior, and I birthed on my tailbone. Your body will NOT grow a baby too big for you to push out... positioning issues and fear in labor cause so many problems for woman and SD is truly rare. Palpation of the uterus by a professional trained in this is more effective at guessing weight than an ultrasound. I would avoid another one - it'll just scare you.<br><br>
Best of luck <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Only thing I'm mildly worried about with this is that your OB obviously doesn't know how to handle a birth with a large baby. You need to read about what is good to do on your own and consider hiring a doula. Wait, actually, you're birthing in a hospital? Get a doula.
 

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I'm 4'11" and gavebirth recently to an 8 lb 13 oz boy. His weight isn't as impressive as his head though: 14.5" head and chest. That is BIG. I didn't tear or anything. It can be done. Your body generally won't grow a baby it can't birth, fat quishes, ultrasounds are often very wrong, and YOU CAN DO IT. And remember, you can't be induced or sectioned if you don'tshow up. Best wishes!<br><br>
Namaste, Tara
 

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just wanted to add that I had a friend diagnosed w/ GD; at her 36 wk ultrasound they were telling her the baby was already between 8.5-9.5 lbs and they were talking about a csection already; after an amnio at 38-wks they determined the babys lungs were immature and let her go awhile longer but prepared her for a cytotec induction. To make a long story short, her water broke at 39 wks so she delivered w/o the induction and her baby weighed 7lbs 10oz. 3 weeks before he was probably only 6 lbs when they were saying 8.5+ ??!?!?!
 
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