Oy, big baby induction talk

fyrefairie · December 2013

I'm measuring 4 weeks ahead. Doc already through the I word out there. Give me your best articles arguing against induction for size please, I want to go to my next appt well armed. thank you kindly

rooftop · December 2013

https://evidencebasedbirth.com/evidence-for-induction-or-c-section-for-big-baby/

rooftop · December 2013

oh and this https://www.improvingbirth.org/2013/03/march-20-2013-news-from-acog-re-elective-procedures/ which is from ACOG an OB recognized organization

SharonB222 · December 2013

Mines a bit reversed situation; the articles likely do not apply to your situation, but maybe my experience will give you an idea or be encouraging. B/c my 1st was nearly LGA, I was given the induction heads up for my 2nd. I measured regular both pgs and DS was estimated as regular with 39w u/s, but as I mentioned DD was nearly LGA and come to find out DS was LGA; both spontaneous labor, delivered vag. In my case I believe it's Ethnicity and found articles to support more rapid fetal growth and shorter gestation in DH's ethnic group. Babe and body negotiated it the 1st time and I hoped they would again - they did. That said I was willing to consider induction for a valid medical concern - which was not presented and was moot as labor began prior to any scheduling. If I could measure regular and bear big babies, then obviously other women can deliver big (or regular) babies whether or not they measure big (or regular). Wishing your situation has clarity and goes smoothly.

sschwege · December 2013

I think simply stating that you are choosing to follow the ACOG guidelines for induction should be enough to stop the discussion dead in it's tracks.

For what it's worth with my first I was always measuring at least two weeks behind, sometimes as many as three. DD was born at 40w3d, 7lb15oz and 21 inches long. With DS I think I consistently measured a week behind, born at 40w3d, 8lb12oz and 20.5 inches long. It's so inaccurate, I seriously wouldn't give it a second though, unless you have other factors such as GD or something.

This seems like a red flag to me, are your confident this doctor will support your birth wishes?

sthomas1222 · December 2013

I Was measuring 3-4 weeks ahead until DD dropped. Then I was measuring behind. ACOG's guidelines: https://www.aafp.org/afp/2001/0701/p169.html. The link above to evidence based birth is amazing. But seriously just telling them that you prefer to follow ACOGs guidelines on the matter should shut them right up. If not, it's never too late to switch

boogerbearoriginal · December 2013

When you say measuring ahead do you mean fundal height or baby's estimated size via u/s?
ACOG doesn't recommend inducing unless baby is looking like 11lbs+, so that alone should be sufficient to stop the conversation barring other factors that are influencing the push towards inducing.

I'd also be nervous about what kind of sign this is for how truly intervention-free friendly this Dr actually is.

dmhrn13 · December 2013

ACOG never recommends inducing for a big baby. @booger+bear- why on earth would they try to force an 11 pound baby out of the vagina? If the estimated fetal weight is 10.5 pounds or larger at term (on your due date) then they offer a c-section. You can decline it. You best chance for a vaginal birth is going into labor on your own, regardless of size.

boogerbearoriginal · December 2013

dmhrn13 said:

ACOG never recommends inducing for a big baby. @booger+bear- why on earth would they try to force an 11 pound baby out of the vagina? If the estimated fetal weight is 10.5 pounds or larger at term (on your due date) then they offer a c-section. You can decline it. You best chance for a vaginal birth is going into labor on your own, regardless of size.

Sorry that was quick typing trying to bump at work on my end and my thoughts weren't clear except in my head lol. I meant to say it's not even until baby is looking 11+lbs that they recommend csect and never inducing for size. Apparently I need to type ALL the words I'm thinking.

Oy, big baby induction talk

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