I am starting to get scared about the size of my baby. My last baby was 8.12. Induced on my due date. Do you think I could talk her into an earlier induction to avoid a huge baby? I would love to deliver at 38 or 39 weeks and have a smaller baby. Obviously I realize he would only be 1 lb or several oz different, but that would be nice...right????
As far as I know Cali has no induction laws or anything. Anyone else able to talk the dr. into induction before the due date?
I fear that Ryan is going to be a big baby as well. I really hope he isn't. Just something inside me of makes me think this. I am carrying him so low and he feels so heavy if that makes sense. I never had this feeling with Brynna. I have ony gained 7 lbs thus far and all of it is in my belly because it's HUGE. Makes me worried that he is going to be at least in the upper range of 8 lbs. Brynna was 7 lbs 5 ozs and I had some trouble pushing her out.
I don't know if they will do an induction or not just for fear of a big baby. Maybe if an ultrasound close to your due date showed the baby was large then they would go ahead and do it. Defintely something to discuss with your doctor and hear what they have to say.
My son was 8 lbs 13 ounces at 38 weeks 4 days. My daughter was 8 lbs 9 ounces at 39 weeks 5 days. So, my second was smaller than my first.
My dr wouldn't induce to keep me from having a 9 lb baby. She would only do that if there were actual risks to my health or babies health.
I actually think 8-9 lb babies are pretty normal now.
Big babies run in my family. My brother was close to 9 lbs, I was well over 9 lbs, and some of my aunts/uncles and both my parents were all 8-9 lb's I think. There's a few 10 lb babies in there as well. I'm not buying a single piece of newborn clothing because I doubt this baby will fit into any of it I'm just going to approach this thinking she will be a chunky monkey and if she comes out 7 lbs I will be pleasantly surprised, lol!!!
I know sometimes here they will induce if they feel the baby is "too big for you to push out", but then they also say that ultrasounds can be off by more than a pound either way when they're done so late, so it's not without the risk that they induce a 7 lb baby who's not ready yet. I am sort of a believer in that your body won't make one bigger than you can handle (unless there is a medical issue like untreated GD or something going on, of course). But if you are concerned you should definitely talk to your doc about it!
Honestly I would much rather have a big baby than an induction. 8.12 isn't that big. Barring certain medical reasons such as GD, that's probably just the normal size baby that your body grows. There are very few occasions when a woman will grow a baby who is too big for her to push out. Doesn't matter how big or small the woman is. I know the tiniest woman who pushed out 10 and 11 pound babies. That was just normal for her.
There are definite risks to inductions, and they are even more pronounced for babies who are not ready to be born, and for a cervix that is not ready to dilate yet. Since your last baby was induced, you don't really know how long your body needs to finish gestating a pregnancy. Maybe you are one of those women who needs to go to 40-41 weeks for your babies to be finished. Trying to force a baby out at 38 weeks could end up being a big nightmare for everyone involved.
Definitely look up the risks of inductions before you decide. I know there are a lot of doctors who will only induce for medical reasons, and the "big baby" reason alone is not a medical one.
I had no success talking my doc into it. My doc did decide to talk about Csection at 39 weeks b/c baby(Jacob) was HUGE We had a growth u/s done at 36 weeks exactly and they estimated him to be 4 kilos already(nearly 9lbs). Jacob was born 3 days later weighing exactly 8 lbs. So u/s was wrong but Jacob was big anyway.
No, I dont like that doctor and i refused to schedule any later appts with him. Early appts are okay though. I think he's scared to be sued. Probably has been sued before.
With Ethan, he was measuring big also but they wouldn't even talk about induction until the end was there, finally at 38 week appt doc scheduled induction the following wed (i think that would have been 39 weeks exact) but i went in on sunday in labor. He was 9 days early weighing 8.9
Then Eli, they wouldn't say anything about induction even at my 39 week appt. Told me to wait one more week and see whats going on. he was measuring big on u/s too but he came one day late and weighed 7.7
So who knows!
I guess my babies come when they are good and ready. So as much as i try to convince docs i'm miserable and cant go on, it didn't work for me. I'm not very convincing. My husband is much better at that.
♥ Amanda ♥
♥ Mom to: Jesse 16, Jacob 5, Ethan 3, Eli 2, & baby Andrew ♥
My best advice to you would be to get educated about inductions and the risks you are facing. There is a BIG difference between a baby born naturally at 38 weeks and one forced out at 38 weeks.
I copied this from nih.gov/pmc/articles/PMC1595289/u
I hope it helps you with your decision process!
Events during Pregnancy's Final Weeks
In the last weeks of pregnancy, maternal antibodies are passed to the baby—antibodies that will help fight infections in the first days and weeks of life. The baby gains weight and strength, stores iron, and develops more coordinated sucking and swallowing abilities. His lungs mature, and he stores brown fat that will help him maintain body temperature in the first days and weeks following birth. The maturing baby and the aging placenta trigger a prostaglandin increase that softens the cervix in readiness for effacement and dilatation. A rise in estrogen and a decrease in progesterone increase the uterine sensitivity to oxytocin. The baby moves down into the pelvis. Contractions in the last weeks may start the effacement and dilation of the cervix. A burst of energy helps pregnant women make final preparations, and insomnia prepares them for the start of round-the-clock parenting. The watchful waiting and the intense wanting of the big day to arrive are all part of nature's plan. When the baby, uterus, placenta, and hormones are ready, labor will start. Additionally, all that preparation sets the stage for an easier labor and a fully mature baby who is physiologically stable and able to breastfeed well right from the start. Waiting for Labor to Start Thinking of, and clinging to, the “due date” as “the day” makes it difficult for women to trust nature's beautiful plan for the end of pregnancy and the start of labor.
What women rarely know, and what people tend to forget, is that some variation exists in how long it takes for an individual baby to mature fully. Acknowledging that babies can safely come 2 weeks before or 2 weeks after the due date does not tell the whole story. Some babies are mature as early as 37 weeks (259 days), and others need 42 completed weeks (294 days) and sometimes a bit more to be fully ready. Size is not an indication of maturity, and the due date is only a guideline. My colleagues who are midwives talk about due dates in vague terms. “The baby will probably come towards the end of August. If Labor Day comes and goes, we'll watch carefully.” In the days before ultrasound, caregivers encouraged a woman to note carefully the day she first felt her baby move. Moving forward 22 weeks gave a nice approximation of the time she would go into labor. It still does. Waiting for labor to start spontaneously is almost always the best way to know that the baby is ready to be born and that a woman's body is ready for labor.
Risks of Induction
Induction of labor alters the process of labor and birth in significant ways. The cervix often needs to be softened before pitocin (synthetic oxytocin) will be effective. Pitocin causes contractions that both peak and become stronger more quickly than naturally occurring contractions. The result is a labor that is more difficult to manage. In addition, the uterine muscle never totally relaxes between contractions, increasing stress on both the uterus and the baby. Because of the increased potential risks for the uterus and the baby, continuous electronic fetal monitoring is indicated. The fetal monitor and intravenous line make movement more difficult. The hormonal orchestration of labor is disrupted. Pitocin does not cross the blood-brain barrier; therefore, endorphins are not released in response to the increasingly strong and painful uterine contractions. Laboring women do not experience the benefits of endorphins as they try to manage their contractions. Additionally, without the help of endorphins, they are likely to require an epidural. The epidural alters the course of labor, prolonging the length of both first-and second-stage labor and increasing the need for the use of instruments at birth. Without high levels of naturally occurring oxytocin and endorphins, catecholamine levels do not surge at the time of birth, and the mother and her baby are less alert and able to interact in the moments after birth.
Elective induction increases the risk of giving birth to a baby that is near-term (born between 35 and 37 weeks, even when it seems the baby should be 38–40 or even 42 weeks by dates). In spite of their physical appearance, near-term infants are physiologically and developmentally significantly less mature than full-term infants and are at increased risk for mortality and morbidity in the newborn period (Wang, Dorer, Fleming, & Catlin, 2004). The near-term infant is at increased risk for temperature instability, hypoglycemia, respiratory distress, apnea and bradycardia, and clinical jaundice (Wang et al., 2004). The baby's difficulty in coordinating suck/swallow and breathing abilities contributes to problems with feeding; subsequently, poor feeding adds an increased risk of hyperbilirubinemia (Sarici et al., 2004). Near-term infants are 2.4 times more likely than full-term infants to develop significant hyperbilirubinemia (Sarici et al., 2004). Even “well” near-term infants who have a normal hospital stay are at increased risk for hospital readmittance, most frequently due to inadequate feeding and to jaundice (Bhutani et al., 2004; Escobar et al., 2005; Wang et al., 2004). The AWHONN Near-Term Infant Initiative: A Conceptual Framework for Optimizing Health for Near-Term Infants (Medoff-Cooper, Bakewell-Sachs, Burus-Frank, & Santa-Donato, 2005) is an excellent summary of the problem, the research, and practice implications. Women in your childbirth education classes should know that one way to reduce the number of near-term infants born is to reduce the number of elective inductions. Promoting Nature's Plan and Normal Birth Nature is not perfect. However, when it comes to babies and birth, unless there is a clear medical indication that induction of labor will do more good than harm, nature beats science hands down. For both mothers and babies, it is safe and wise to wait patiently until labor begins on its own. In our childbirth education classes, it would be wonderful if we could help women reframe the last days and weeks of pregnancy and begin to look on this time as important for their babies and for themselves. As each day passes—even if the days are well past the due date—what if pregnant women delighted in the steady maturing of their baby and appreciated the slow preparation of their body for labor? We can help women to think of this time as important psychologically and emotionally, as well as physically, providing an opportunity to rest, to think, and to complete the final preparations for the baby. At a time when we are most likely to meet women, we can also help them approach the end of pregnancy in wonder at the beauty and wisdom of nature's plan. Lamaze classes may be the only place where women hear the story of normal, natural birth, including the value of letting labor start on its own. Encourage the women in your childbirth education classes to spend time with The Official Lamaze Guide: Giving Birth with Confidence (Lothian & De Vries, 2005) and to read the Lamaze International care-practice position paper, Labor Begins on Its Own (Amis, 2003), in order to reinforce the importance of the last weeks of pregnancy, the risks of induction, and how to keep labor as normal as possible if induction is medically indicated. When the women in your classes develop their birth plans, make sure they make plans for what they will do to stay confident in the last weeks (even if the due date comes and goes), as they wait patiently, cherishing each day of pregnancy, for labor to start. Saying “no” to induction and to other interventions that are becoming routine takes courage and confidence, as well as the knowledge that women have the right to informed refusal. What women learn from you about nature's plan for labor and birth, including the beauty of waiting for labor to start on its own and the risks of interfering without clear medical indication, will insure that the women you teach will have the information they need to confidently say “no” to routine induction.
Last edited by Carolyn85; 09-11-2011 at 05:05 PM.
Baby #3 due July 6 2013
I don't think they induce due to the size of the baby, unless mom has GD and the baby is getting too large... and in that case it's considered a high risk delivery. I asked my OB to induce me at 39 weeks with DD, but only because I was in an immense amount of pain. When I would walk anywhere more than five minutes, the pressure "down there" made it feel like one long horrible contraction. This went on the entire last month of my pregnancy. She was reluctant, but every appt I had with her that month I kept telling her how much pain I was in, so she said that she would induce but I had to wait until I was exactly 39 weeks. I didn't need any help softening the cervix, and I was already dialated 2 CM. Really the only way to know for sure is to just ask, all they can do is tell you no!
Krystal & Donovan - 12/2/06
Reagan - 10/2/02
Maximus - 3/10/05
Liberty - 12/11/08
My angel in Heaven 1/7/13
I was induced at 39w2d with Nicholas. My dr. told me that they do not do elective inductions before 39 weeks. They checked my fluid levels before (very low) by ultrasound and also I had swelling but mostly it was because I begged them for it. I don't think the dr. would have done it if I wasn't already dilated to a 3 with 75% effacement.
At my last appt my doctor mentioned the fact that Nicholas' shoulder was stuck during birth last time (he was 7lbs15oz). He said they would monitor the size of Emily and if she was estimated very big they would think C-section I don't want that at all as I would rather try vaginal again but we will just have to wait and see.
Krystal & Donovan - 12/2/06
Reagan - 10/2/02
Maximus - 3/10/05
Liberty - 12/11/08
My angel in Heaven 1/7/13