37w+ 3d- second child. First time with gestational diabetes. My first weighed 7lbs 9ozs. During labor he got stuck(shoulder dystocia.) after 2 hours an different ways of pushing he finally came out.. Now with baby 2 they said he already weighs that much if not bigger... At first she was wanting to do a CS. But last appt she said I can try to do natural.. I'm scared of him getting stuck like my 1st. Anyone been thru something like this??
Re: Opinions please!!
goodness...with a history of actual shoulder dystocia - I'd probably opt for a c/s.
How do you know this baby is bigger? Have you had a level 2 ultrasound at an MFM/peri office?
I vaginally delivered an 11 pounder in the OR as a precaution b/c we knew he was that big - but I had a "proven pelvis" in delivering a 9 pounder with no issues.
Our "rules" for attempting the 11 pound vaginal was that I would only be allowed to push in the OR, I had to have an epi in place in case of emergency c/s needs, and there would be no forceps or vacuum - if baby didn't drop on his own we would switch to c/s.
I also labored down for an hour after reaching 10cm, so the team could see if he would fully drop into the birth canal without being forced to.
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DD 7/2010, DS 3/2012, #3 due 4/24/2015
I did...knowingly and willingly.
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DD 7/2010, DS 3/2012, #3 due 4/24/2015
well if you had shoulder dystocia with an 8 pounder - trying an 11 pounder would be reckless. The only reason they let me try was because my 9 pounder was "easy" and the 11 pounder's head measurement on u/s (with an MFM clinic) was not much smaller than the belly (head was 15.5" around, belly was 16 or so). They figured that if I could get the head out, the rest would follow - and it did. (The belly measurement is the only way they can gauge shoulder width on u/s - so they compare head to belly...if the belly is a lot bigger than the head, then the likelihood of shoulder dystocia is much greater.)
If the head comes out and shoulders get stuck...I think the options include pushing the head back in to do a c/s - OR other maneuvers that may result in breaking the collar bone to get baby out vaginally.
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DD 7/2010, DS 3/2012, #3 due 4/24/2015
I do know a few that have had 11 pounders just fine. I guess its just a chance you take.. Myself personally, would choose to be sliced open and battle scar tissue than have my babies collar bone be potentially be broken. Its your desicion in the end tho, not us strangers. But u asked opinion!