H.P. asks from San Antonio, TX on January 15, 2009
Big Boy: 9Lbs Already with Three Weeks to Go!
I am very blessed to be pregnant with our first child: a boy due the first week of February. All has been healthy so far: no diabetes, no complications. I am very grateful to be so fortunate. Last week (at 36 wks) an ultrasound showed us that our "little guy" was 8.5 lbs. This lab and technician have always been accurate: within a half a pound! Babies gain about a half a pound a week in this last month, so we will be looking at a very big boy at birth! He has already exceeded the 97th percentile for size and weight. My fundal height measurements have consistently been 3 weeks ahead of schedule, and his head measurements are 3 wks ahead as well. I've taken the Bradley natural childbirth classes and have read all the books, but does anyone have any recommendations for me? My husband and I truly desire a natural childbirth as long as it's safe.
So What Happened?™
Well, my baby was born on his due date and weighed 10 lbs!! (the ultrasounds were right!) After 26 hours of labor and some serious lacerations, I was able to deliver him vaginally. I went 20 of the 26 hours naturally before accepting my midwife's recommendation for an epidural in order to have enough strength to push (for 2 hours!). I was really sad about getting the medicine, since it was our desire for a 100% natural delivery, but we made the best decision we could based on how long and intense the labor was. The baby will be 10 wks tomorrow, weighing 14 lbs, and is as healthy as he could be. We are grateful for such a healthy boy. It has taken me a while to recover from the birth, but I'm doing well. Thanks to everyone who responded earlier this year!
Featured Answers
T.V. answers from Houston on January 16, 2009
My best advice, I've had 2 vag births with a 9lbs11oz and 9lbs8oz, is to have a good midwife and stay away from the hospital as long as possible!
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H.P. answers from Corpus Christi on January 15, 2009
I would suggest using some mineral oil and doing a perineal massage. It's to help stretch the perinium some before the trauma it's going to see in childbirth.
A.D. answers from Austin on January 15, 2009
Sounds exactly like my son. They decided to induce me in fear that he was going to get too big. When i arrived at the hospital I was already contracting 3 minutes apart and had no idea! But anyways I had a healthy baby boy weighing 9lbs 3oz. I had only 1 small tear inside but his head also came out side ways. And just remember the weights shown on the ultrasound can be 2 pounds up or down of their estimate. Good luck and congrats!
More Answers
L.K. answers from Austin on January 15, 2009
I am a midwife. Ultrasounds can not tell you the size of your baby. It is only an estimate and it is completely false information if that lab is telling you they are very accurate with weights. Please do not think that it is accurate. And do not let anyone talk you into being induced because you might have a "big" baby. Your body will not grow a baby that is too big for you to deliver. I attended a birth a few weeks ago and the baby was 13 lbs 8oz. The mother was perfectly healthy and delivered the baby just fine. Natural childbirth is truly the safest way to go. And my advice to you is to not have any more ultrasounds. If you are healthy and you have a healthy pregnancy, which it sounds like you do, then there is no medical justification for an ultrasound and that actually goes aganist the FDA regulations.
Good luck,
L.
P.S. I saw some responsed about episiotomys. Do not let anyone cut you unless your baby is having trouble. It is much better to tear than to be cut. Also, changing positions while pushing can help. Try not to give birth laying on your back. The hospital loves this position but it is the worst position for the mother.
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H.B. answers from Houston on January 16, 2009
I would absolutely put the estimated weight out of your mind. While this tech may be "accurate" for others, that does not indicate that this will be an accurate reading for you. A friend had an u/s with an excellent tech, who suggested her baby would be 10lbs (she was ~41 weeks). Her child was born at almost 9lbs, but not over. Long? Yes. And the leg bone length can be used to estimate weight, which is very inaccurate.
Additionally, research has shown that babies do NOT follow the ".5lb/week" growth after 40wks, so don't be concerned if he's not born at 40wks on the dot. It doesn't mean you're in for a 15 pounder! In fact, babies may lose a bit of weight at later gestational ages.
Don't be frightened into consenting for things you don't want. You don't need an episiotomy (no one does!!!), an induction, or a c-section. You can do it! Continue with your plans for a natural birth (I have also used Bradley-style techniques), and remember that your body is designed for this! Stay active and keep your pelvis open so the baby can move down. Stay upright, and follow your bodies cues, above all. Your baby will squish and your body will stretch, and you WILL birth your baby naturally. http://www.spinningbabies.com/ can give you tips for helping get and keep him in an optimal position.
I highly recommend reading up as much as you can and being as informed as possible. I have recently read and HIGHLY recommend, "Pushed," by Jennifer Block, especially if you're planning a hospital birth. Should be available at the library or any bookstore. I got mine on Amazon and ordered 3 so I can share!
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U. answers from San Antonio on January 15, 2009
Hi Heather,
I commend you on your going natural. It is certainly the safest way to go! And I'm happy for you that you've had such a healthy pregnancy.
I would seriously consider the possibility that your ultrasound weight is incorrect. They are notoriously incorrect. I was told that my little girl was 8.5 lbs at 37 weeks, and I had your same fears. i was going to birth at home and the doctor was actually going to attend it. The dr. freaked after seeing the weight. I was a small person. I ended up with a totally unnecessary c-section and a 7 lb 2 oz baby at 41 weeks. I was also consistantly above the fundal growth curve.
Consider also that you might be off on the conception date by a week or two. Perhaps you ovulated later than you normally do and the baby is actually a little further along than you think.
I have tremendous doubts that that lab tech is following up with the clients after they've given birth (or their doctors, for that matter) to have any statistical information on the accuracy of his guess rate. Ask to see his data if you doubt my word on that one. I'd bet my house he wouldn't be able to produce it.
I have accompanied midwives in a third world country. I'm amazed at what our bodies are capable of doing, given the chance. I have complete faith in you and your baby to have a safe natural birth.
OH, by the way, my second baby was born at home, a VBAC. He was 8 lbs 6 ozs and he came out perfectly healthy. It was a much better recovery and a LOT more pleasant than the c-section with my first. Don't let anyone scare you! Your body is a bazillion times smarter than any man's (or woman's) brain, no matter how educated.
I wish you peace and, if it is still possible at this late date in your pregnancy, comfort.
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H.H. answers from Houston on January 16, 2009
First of all, congrats! And I think it's wonderful that you desire an all natural childbirth.
Now, ultrasounds, despite the track record of your particular tech, are notoriously off. My first was supposed to be 10 lbs when measured at 40 weeks according to u/s, yet was born 1 week later and was 8 lb 7 oz. They said my second was going to be 8.5 at my 40 week, and she ended up 1 week late and 6.5 lbs! U/s can be off by a pound or more. Please do not take their measurements as gospel. Chances are great that your little guy is not that big.
I also want to say that our bodies were MEANT to give birth to the babies we conceive. Though doctors will diagnose that a baby is "too big" for his mother's pelvis, in actuality this happens in only a small percentage of women. What's important to remember so that you can have your natural childbirth is to not go along with EVERYTHING the doctor says unless it's medically necessary. Don't induce early because they suspect a big baby. This is highly discouraged by ACOG (the American College of Obstetricians and Gynecologists) yet doctors do it all the time. Also, a big baby is not enough of a reason for a c-section, according to ACOG. Yet, we know that doctors do it all the time. So for having a natural birth, follow Bradley. Don't get induced. If your fluid levels are fine, keep going in your pregnancy, even with the fear of a big baby. Change positions often in labor and use the birth ball and squatting to really open your pelvis. Consider squatting or hands and knees when pushing baby. Do NOT lie on your back in stirrups, and try to avoid lying on the bed at all. That position is not favorable for birthing, it's only favorable for doctors to catch baby. Squatting positions help open the pelvis by about 30% more than not squatting. Really helpful for big babies. Also try doing a lot of lunging and squatting during contractions to help baby get into just the right position. Make sure you go to the bathroom every 15 minutes or so. And if you are allowed, make sure and stay hydrated and sustained with some water and light food (not all hospitals allow this). After all, you are running a marathon here!
A vaginal childbirth is almost always safer for mother and baby than a c-section. There is no medical need for pain meds and they can slow or stall your labor. Mother and baby also suffer from drops in blood pressure from epidurals. Induction by Pitocin can cause over strong, over long contractions and thus fetal distress, by reducing the amount of oxygen baby receives during contractions. If you've read Bradley, you probably know all of this, but just stuff to keep in mind when they want to induce you at 38 or 39 weeks for a big baby!!! Remember that big baby is not a medical need. Open that pelvis up and you should birth him just fine.
You have a little time yet, I would recommend reading The Thinking Woman's Guide to a Better Birth by Henci Goer. More facts but also good suggestions (like squatting) for labor and birth.
Most of all, relax. In my three labors and deliveries, there were differences. Most of all, I would tense during contractions with my first, and didn't with my second and third. It is much more painful when you try and control it and tense against it. When you give over control to the contractions and imagine what they are doing inside your body, you remember that pain has a purpose and pain is progress (after all, when we feel the pain - especially the stretching of the perineum - it sends signals to the pain receptors in our brain, which in turn releases more oxytocin to progress labor and adrenaline to be able to cope!). By completely relaxing (toes, eyebrows, and all!!!) I was able to give over control to the contractions and allow my body to do what it needed. Remember that your body is a miracle that was designed to do this. Just don't fight against it, and don't stay in bed! That's the worst thing. Move around, go to the bathroom, squat, sit on the birth ball (absolutely wonderful for opening up pelvis and for pain management).
One other suggestion: consider hiring a doula, who can help you understand what is going on, help you relax, help your pain management, and help you understand if things are medically necessary when the doctors and nurses say something is needed. IF you do this, you'll want to find her now or as soon as you can.
I've had three natural births, two in the hospital and one water birth in a birthing center with a midwife. Good luck, and don't hesitate to messge me if you have any questions!!!!
2 moms found this helpful
A.C. answers from Houston on January 16, 2009
Hi,
I really hope for you that you do get the birth that you and your husband really want. But, I just wanted to encourage you in case you have tohave a c-section. I was diligent about wanting my first to be super natural too, and at the end the Dr. said he was too big and after being induced I ended up with a section.
I was a little dissapointed, for some reason (stupid) it felt like failing. But, healing takes a couple weeks, then life is fine again. You can still breastfeed and do all the other millions of things that moms have to do. So- try to cut yourself a break, and if your birth can not go exactly as you want it to, remember that the outcome is the same. Soon you will be holding your little boy in your arms and in all likely hood you will be a healthy mom with nothing torn or punctured too much down there. I will soon have to have my third c-section and though I still am not thrilled by the idea that they cut on me, I give it up to God, trust the Doctors and focus on the blessing of getting to conceive at all and raising my babies. Good luck!!! A.
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D.A. answers from Austin on January 16, 2009
My advice would be to advocate for what you want but know when it's time to focus on a healthy baby and not how it gets here. My second baby was 10 pounds 6 oz. I went into labor 6 hours before I was going to be induced (she was close to 2 weeks late). The ultrasound underestimated her weight. I had a doula and my labor only lasted 6 hours. I had a natural birth (no epidural or drugs). I actually tore more with my much smaller baby (also a natural birth). I will not lie - it was much harder to push that big baby out than the 7 pound 12 ouncer! She was such a beautiful Amazon baby! A real Queen of the nursery.
I stuck to my guns about not being induced (with my doula's reassurances). One of my doctor's partners tried to scare me into being induced. You really have to follow your heart without being stupid.
One more thing. They seem to have a protocol they want to follow if a baby is big once she/he is born. They wanted to give my daughter sugar water because they assumed she was hypoglycemic because she was big. My doula encouraged me to have them do a simple test. Sure enough she wasn't hypoglycemic and didn't need the sugar water. There might be other things as well (this was 10 years ago).
Hope this helps.
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C.C. answers from San Antonio on January 16, 2009
After 22 weeks gestation, weight estimates based on ultrasound examination are very unreliable.
So just be forwarned that you may indeed give birth to a 10lb baby.... but you may also have a 8 lb baby, or a 7.5lb baby.
With my first I was expecting a "9pounder.. at the very least thsi girl is going ot comeout 9lbs" -and I gave birth to a very sweet, but small 6'14oz girl. LOL.
With that asside - there is nothgin preventing you from birthign this child naturally. Remeber: this is what your body was made for! Unless we are talking about a 15lb baby due to gestational diabetes - you are perfectly capable of birthign this child on your own. You CAN do it mama!
a few tips:
1Don't let anyone make you push before you feel you are ready, or before you feel the urge to push.
2Stay up and moving around for as long as possible. If you are having a hospitol birht, they will try to keep you on the bed. Remember- YOU are in charge of your own birth. Keep moving, keep walking, take advantage of the shower in the birthing room. If they end of covering you with baby monitors and IV's. You can still stand next to your bed and do a little "two-step" dance with your husband, or sit and roll on a birthing ball. Work with Gravity :)
3.Push on your own scheduale. Work with your contractions, and push for as long and as hard as you feel you cna during each contraction. No matter what Bradly classes you have taken prior to the biorth, the nurse on duty will be schooled in the "hold your breath, now push for 10 1-2-3-.." school of push coaching. You dont; HAVE to do that. You are the only one giving birth, you are inside your own body, you are the one feeling the urge - the need - to push.
Congratulations mama!
2 moms found this helpful
T.V. answers from Houston on January 16, 2009
My best advice, I've had 2 vag births with a 9lbs11oz and 9lbs8oz, is to have a good midwife and stay away from the hospital as long as possible!
2 moms found this helpful
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