Jump to content

Induction...
For larger baby?


13 replies to this topic

#1 chickychook

Posted 17 April 2012 - 11:50 AM

I am currently pregnant with my second baby. DS born at 4kg, 38w5d, vaginally.  I did have a large PPH immediately following this birth, which really wiped me out for some time (borderline blood infusion, I ended up on iron tablets).  

Ever since finding out my first was 4kg at birth (public system first time around) my ob has been saying things like 'oh that is a very hefty baby for your first, considering he was born at 38 weeks' and 'I don't think we would like you to go over 38 weeks with this one either, as it's likely to be large'. I believe her concern lies around having another PPH.  

I am quite disappointed in her attitude, as so far my scans have indicated average size for dates and I've been cleared of GD so there is really no reason for this baby to end up ginormous at term.  I am quite comfortable with the idea of pushing out another 4kg baby.  

Of course at my next appointment I am going to get her to explain the risks of birthing another large baby naturally vs the risks of induction.  

Has anybody else out there been pressured by your ob and induced for a perceived 'large' baby?  What are your experiences?

#2 follies

Posted 17 April 2012 - 11:56 AM

No personal experience, however never let a doctor do anything you are not comfortable with. You are employing them.

#3 Jenflea

Posted 17 April 2012 - 12:00 PM

I'm not 100% certain, but I don't think the size of the baby has any bearing on having a PPH. I had one after my first and she was only 3.05kg.
If you feel comfortable pushing out another POSSIBLY large baby, then go for it!

#4 rld_dg

Posted 17 April 2012 - 12:05 PM

Can't speak to your experiences but I think you are right to be concerned. 4kg is not off the charts and 38 weeks is full term. I had an induction and it's not ideal. Could be worth making an appointment with another OB just to see.

Edited by rld_dg, 17 April 2012 - 12:06 PM.


#5 Bunsen the feral

Posted 17 April 2012 - 12:07 PM

My first was 4.75kg at 42 weeks and I had a 600ml PPH. Second time around I was again in the public system and did not have any of the pressure you have experienced - I had extra testing for GD (didn't have it either pregnancy) and had a growth scan at 36 weeks which estimated a 4kg baby. The OB I saw for my final appointments was happy for me to go over again as I had a spontaneous labour first time - he wasn't concerned about size. I also had to have a drip put in while I was in labour in case of another PPH - every doctor I saw told me this and wrote it on my notes at each meeting, one even giving me the whole lecture because he thought my asking questions meant I was going to refuse it. It was never mentioned that I would need induction because of a big first baby or PPH.

DS2 arrived at 40+9, 4.1kg and no PPH.



#6 EmmaBlue

Posted 17 April 2012 - 12:14 PM

QUOTE (follies @ 17/04/2012, 11:56 AM) <{POST_SNAPBACK}>
No personal experience, however never let a doctor do anything you are not comfortable with. You are employing them.



I agree with the above post... find out everything you can so you feel comfortable making the decision.

#7 MummyHILI

Posted 17 April 2012 - 12:18 PM

QUOTE (Jenflea @ 17/04/2012, 12:00 PM) <{POST_SNAPBACK}>
I'm not 100% certain, but I don't think the size of the baby has any bearing on having a PPH. I had one after my first and she was only 3.05kg.
If you feel comfortable pushing out another POSSIBLY large baby, then go for it!


I would have to agree with the above post, I had my twins at 23 weeks sad.gif , they weighed just 560grams and 620grams and I had a major PPH, 2 blood transfusions were required, I then had a secondary PPH 7 weeks later (due to a large amount of retained placenta), so nothing to do with size here (more trauma I think).

#8 MickeyBoo

Posted 18 April 2012 - 09:17 AM

My second baby was 5kg at 6 days over and there was a huge range of complications with birthing a baby that large and I would much prefer to be induced than have to do that again. For me the risks of birthing a big baby far outweigh the risks of an induction. BUT if you are making an informed decision to go to term knowing that you may have a larger baby and you are happy with that choice and comfortable in your abilities to birth a big baby, then there is nothing wrong with that. They can't 'force' you to have an induction, you can always say no. The most they will do is write up that they had advised an induction and you had declined, they still owe you a duty of care and need to provide adequate attention for the duration of your pregnancy.

Edited by MickeyBoo, 18 April 2012 - 09:17 AM.


#9 discomonkey

Posted 26 April 2012 - 02:41 PM

I think it's odd to refer to a 4kg baby as being 'hefty'. It is on the larger side, yes, but not off the scales. I understand that, being born at 38w it would have grown larger if you had gone to 40w but I still don't think that's cause for concern.

I had a 4.5kg baby the first time, and then agreed with my ob to induce one week early when my second looked like being bigger than that. He was born at 4.4kg so would certainly have been bigger if let go. Both times, it was an event-free birth with no tearing and no issues. My ob left it up to me to choose the induction and I was happy to go with it. I am now expecting my third and will go with it again if heading down the same track.

I have no experience or knowledge of PPH so I won't pretend to offer advice there - it must have been very scary for you. If what others say is true, though, and PPH is unrelated to baby size, then I don't think inducing two weeks early is called for.

Good luck. original.gif

#10 Soontobegran

Posted 26 April 2012 - 09:55 PM

QUOTE (Jenflea @ 17/04/2012, 12:00 PM) <{POST_SNAPBACK}>
I'm not 100% certain, but I don't think the size of the baby has any bearing on having a PPH. I had one after my first and she was only 3.05kg.
If you feel comfortable pushing out another POSSIBLY large baby, then go for it!



Whilst I don't think there is any indication for the Obstetrician to be talking Induction for the OP just at the moment, having as baby over 4 kgs does double the risk of PPH.

An atonic uterus is the major cause of PPH so anything that has over extended the uterus is a risk factor plus large babies usually have a larger placenta and therefore a larger placental site.

Having said that lots of mums with smaller babies have PPH too.

#11 ubermum

Posted 26 April 2012 - 10:16 PM

STBG, you say that it doubles the risk of pph, but what is the actual rate at which pph occurs? I ask because I once made a choice when my risk of something doubled, it wasn't until after the event, I found out my actual risk had doubled.....from 1% to 2%. I don't think I would have chosen to go the way I did if I had of been informed of the actual rate of risk iykwim.

#12 IShallWearMidnight

Posted 26 April 2012 - 10:55 PM

I had a traumatic first labour, and will be induced at 4kg for this bub. Ill be having weekly ultrasounds from 36 weeks for sizing.
my PPH wasnt an issue (I actually was resuscitated and had 5 transfusions due to the blood loss) , but I had a complete uterine inversion, and have a 40% chance of it happening again (especially if its another long labour and large baby which gets stuck)

#13 Soontobegran

Posted 26 April 2012 - 11:07 PM

QUOTE (ubermum @ 26/04/2012, 10:16 PM) <{POST_SNAPBACK}>
STBG, you say that it doubles the risk of pph, but what is the actual rate at which pph occurs? I ask because I once made a choice when my risk of something doubled, it wasn't until after the event, I found out my actual risk had doubled.....from 1% to 2%. I don't think I would have chosen to go the way I did if I had of been informed of the actual rate of risk iykwim.


It is quite surprising but moderate PPH occurs in roughly 10% of all births, sometimes it is quoted as even higher.

I understand that in some cases just doubling a risk of complication will still not put it into a high risk category but with PPH I think that anything that can help reduce the risks is advisable. PPH and it's resultant complications remains the highest cause of maternal death.


Edited to add a link

http://www.pphprevention.org/pph.php

Edited by soontobegran, 26 April 2012 - 11:10 PM.


#14 chickychook

Posted 05 May 2012 - 10:10 AM

Thanks for your informative responses everyone. I had a growth and wellbeing scan on Thursday and turns out baby is completely average for dates and shouldn't be as big as her brother.

Too bad for my ob, I think she was hoping to schedule my induction between her golf and day appointments  wink.gif

Baby will be choosing her own birthday - hurrah!



Reply to this topic



  


0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

Exclusive Black Friday Sale!

Get over 40% off selected products, including prams, baby carriers, cloth nappies, sleeping bags and much more! 24 hours only, on May 6 - register now for your special code.

Kelly Clarkson shares first photos of son

Kelly Clarkson has shown off the first photos of her son, Remington Alexander Blackstock.

5 childbirth myths that need to be busted

Birth is an unpredictable, mysterious process that intrigues us all, and there is a lot of misinformation out there.

Mum of three fatally shot by toddler while driving

A US mother has been shot by her toddler while driving on a highway in Wisconsin.

All you need is one minute to work out

The seven-minute-work out is old news. Research shows the effectiveness of going hell-for-leather for just one minute.

Pregnant women needed to join diabetes study

Pregnant woman in country Australia will help Adelaide researchers figure out why cases of type 1 diabetes have doubled over the past two decades.

Just announced: the Mountain Buggy Unirider

It's the perfect solution to combat those toddler meltdowns when they no longer want to be in a pram but can't walk long distances.

Authorities euthanise dog that fatally bit a newborn baby

A pit bull mix that fatally bit a 3-day-old infant last week has been euthanised, authorities said.

The push for Medicare to fund lactation consultants

While meeting with a lactation consultant can make an enormous difference to a new mother, it's not a service that is available through the public health system.

Why it's perfectly natural to dislike other people's children

Members of a popular forum are fiercely debating whether it is acceptable to dislike a friend's child.

Woman gives birth on plane, names baby after airline

A pregnant woman who unexpectedly gave birth on a flight has named her new baby after the airline, Jetstar.

Heartwarming photos show the joy of adoption after foster care

Children living in foster care can feel like their future is less than clear. But that uncertainty disappears the day they are adopted by their "forever family" 

'Oh my god, it's a baby!' Mum shocked to give birth

When the cramps started to kick in, Klara Dollan just assumed a painful period was starting.

Mum's Facebook plea: 'Help me find my daughter's father'

Kerryn has a unusual present planned for daughter Imi's 13th birthday celebrations - she hopes to be able to be able to give the soon-to-be the teenager her first ever photo of her dad.

Is it possible for your house to be too clean?

Our houses are cleaner than ever before. But how clean is too clean? Could a sterile home be putting your family's health at risk?

Millions of Monkeys: puzzles that grow with your toddler

Here's a puzzle that grows with them; the Puzzle Grow Pack by Millions of Monkeys.

Baby names from Britpop

If you grew up in the 90s you might want to look to the genre of Britpop music for baby name inspiration.

What to eat and drink when you have gastro

When you catch a bug that causes acute infectious gastroenteritis (gastro), your stomach and intestinal tract become inflamed, causing diarrhoea, nausea, vomiting, abdominal cramping and pain. The last thing you probably feel like doing is eating.

'To this day, I owe her my life'

Would I have survived if I hadn't crossed that street?

Why baby Sonny needs you to vaccinate your children

Caitlin is a firm believer in the importance of immunisation to protect children from harmful and deadly diseases.

Five-year-old's photo captures beauty of motherhood

There is no make-up or special outfits and hairdos, but the five-year-old boy who took this picture captured the essence of motherhood as well as any professional photographer.

Babies know whether you are naughty or nice

Studies have shown that infants in the first months of life try to avoid dealing with social wrongdoers - for example, sharing less with them and helping them less - and they expect others to, too.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

The babies who are one in 70 million

Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.

Exclusive Black Friday Sale!

Get over 40% off selected products, including prams, baby carriers, cloth nappies, sleeping bags and much more! 24 hours only, on May 6 - register now for your special code.

Cafe offers breastfeeding mums a free cup of tea

A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.

To snip or not to snip? When the decision is not clear cut

Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago

Doctors stunned by rare twins born almost six weeks apart

To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.

Baby book ideas for modern parents

Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

Mum tells how toddler 'nearly hung himself' in cot mishap

When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.

Babies are still switched at birth? Yes, it can happen

All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.

Doctors slammed for taking selfie with newborn

Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.

ergoPouch Twosie Sleepsuit for winter breastfeeding

Finally, there's a way to keep warm while breastfeeding through winter.

Health check: How long does sex 'normally' last?

What to do with this information? My advice would be to try not to think about it during the throes of passion.

When breastfeeding sucks: fixing common problems

From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.

10 things I've learnt in my first six months with twins

Six months on we're all still alive, and the more we get to know each other the easier the days become.

Mum's loving kiss leaves baby fighting for life

Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.

When doing chores is your new 'me time'

After children, 'me time' looks a little different.

Get going: 14 travel strollers for families on the move

A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.

10 ways toddlers are terrific

It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time

 

ENTER NOW

Do your kids love bananas?

This is the comp for you! We have $800 worth of Myer gift cards and boxes of Australian Bananas to be won. Entry is simple: just post a pic of your little one enjoying a banana in the comments of the FB post to enter.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.