I had an 11 pounder. (My first was also a 9 pounder)
I was screened for GD 3x (though I did not have GD) and was seeing a MFM clinic for having high BP. The funny thing is that high BP should make for small babies.
You should be watched for GD and any other symptoms that can come with GD like excess amniotic fluid.
You should be seeing a MFM/Peri for Level 2 ultrasounds to get accurate baby size estimates.
I delivered both my kids vaginally (the 2nd was with pushing in the OR for safety b/c we knew he was HUGE - but everything was fine).
Some babies are just big. Some are big because of GD or other issues.
The head and belly measurement are the most critical...shoulder dystocia (getting stuck at the shoulders with the head delivered) is the scary thing that can happen in delivery. if the belly (b/c they don't really measure shoulder width...they use the belly circumference) measurement is much bigger than the head - things can get tricky for delivery.
If this is your first and a Level 2 u/s shows a 10+ pounder, your medical team may suggest a scheduled c/s. That is up to you to decide with your medical team.
I delivered my 9 pounder with no problems, and then when it came to the 11 pounder I worked with my medical team and our compromise was a vaginal attempt IN the operating room and no assistance (forceps or vacuum) was allowed. if baby didn't come out on his own, we'd move to c/s.
All 3 of my kids had excessive growth judging by what fundal height I had, therefore my dr would always do u/s to check more accurately for size. My last was induced at 39 weeks because they were concerned with size and she came out to be 10 lbs and I had no issues delivering her.
I know my little guy is a couple weeks ahead, or was as of the 20 week ultrasound. The doctor wasn't very concerned, but I am scheduled for a follow up ultrasound in a couple weeks to see where we are at. If he's measuring even bigger then we'll determine a course of action (change the due date, talk about C-section, etc.), but most likely, in my case at least, there's nothing to worry about or adjust.
Re: Excessive Fetal Growth
I had an 11 pounder. (My first was also a 9 pounder)
I was screened for GD 3x (though I did not have GD) and was seeing a MFM clinic for having high BP. The funny thing is that high BP should make for small babies.
You should be watched for GD and any other symptoms that can come with GD like excess amniotic fluid.
You should be seeing a MFM/Peri for Level 2 ultrasounds to get accurate baby size estimates.
I delivered both my kids vaginally (the 2nd was with pushing in the OR for safety b/c we knew he was HUGE - but everything was fine).
Some babies are just big. Some are big because of GD or other issues.
The head and belly measurement are the most critical...shoulder dystocia (getting stuck at the shoulders with the head delivered) is the scary thing that can happen in delivery. if the belly (b/c they don't really measure shoulder width...they use the belly circumference) measurement is much bigger than the head - things can get tricky for delivery.
If this is your first and a Level 2 u/s shows a 10+ pounder, your medical team may suggest a scheduled c/s. That is up to you to decide with your medical team.
I delivered my 9 pounder with no problems, and then when it came to the 11 pounder I worked with my medical team and our compromise was a vaginal attempt IN the operating room and no assistance (forceps or vacuum) was allowed. if baby didn't come out on his own, we'd move to c/s.
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DD 7/2010, DS 3/2012, #3 due 4/24/2015
Also...at 24-28w my kids were a little ahead of the curve. Things really took off after 28w.
I would hope you are on track for getting growth scans at 32ish and 36ish weeks.
Fundal height is NOT a good way to determine baby size - so if that is what they are doing...well, that's nuts to tell you "excessive fetal growth".
Also - I was never told "excessive fetal growth". it is called macrosomic fetus - but that isn't diagnosed really until you have a birth weight.
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DD 7/2010, DS 3/2012, #3 due 4/24/2015