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 Marchioness Flea

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 MummyIHK

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



  


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Get your FREE Baby & Toddler ticket!

Get your free tickets to the Sydney The Essential Baby & Toddler Show for September 25-27! Register online for your free ticket now!

A solo birth, a wasp swarm and a forest fire: mum and baby's amazing story of survival

Desperate, out of petrol and low on food, a new mother lit a fire in the hope of attracting attention.

Boy found on swing died of hypothermia and dehydration, autopsy finds

The story was chilling and heartbreaking: a three-year-old boy was found dead in a Southern Maryland park, his mother pushing him on the swing.

Child's play and laughter help battle fatigue

Feeling fatigued? Uh-huh, thought as much. Join the queue.

Dad shares entertaining 'how to hold a baby' clip

For many new dads, their own child is the first baby they have ever held. So one dad has posted an instructive YouTube video titled "How to Hold a Baby".

The Australian baby with 100,000 Facebook fans

She may be only eight months old, but Egypt has already amassed more than 100,000 fans and received a letter from royalty - Hollywood royalty that is.

Public welcome outside church for Princess Charlotte's christening

Duke and Duchess of Cambridge have invited well-wishers to see Princess Charlotte outside church in Sandringham on day of her baptism.

Tongue tie: what you need to know

Tongue and lip tie can lead to many problems for babies - and their parents. Here are the signs of tongue tie and how it's treated.

My daughter is small but that doesn't matter

My daughter may be small, but it's my job as her parent to refocus back where it belongs - on who she is as a person

Wet wipes linked to rise in allergic reactions

The government has issued a health warning after a rise in allergic skin reactions has been linked to a preservative found in some wet wipes.

Gay couple in their 80s first to wed in Dallas after Supreme Court ruling

Love may have won, but it came with quite the wait.

William Tyrrell's family marks birthday with cake and renewed appeal

The family of missing boy William Tyrrell will mark his fourth birthday on Friday making a cake to share with friends and family as NSW police renewed their public appeal for information on his disappearance.

What all parents should know about safe babywearing

A picture of Ryan Reynolds always gets the girls talking, and a recently shared photo has done exactly that - but this time, it's for all the wrong reasons.

Baby's head shape reveals potentially fatal condition

Thinking her baby just had an unusually shaped head, a mother was shocked to discover it was instead linked to a dangerous condition.

'Help - my toddler hits me!'

My toddler has started hitting when he gets frustrated, is feeling ignored, or just thinks it might be fun.

Why IVF success rates may not be what you think

Transparency, accountability and responsibilityare essential measures to protect IVF vulnerable patients.

On the 10th anniversary of my son's death

This day marks a significant day. Today marks 10 years since I lost my son Kai.

Mother-in-law 'from hell' inspires survival guide

The happily ever after Nicola Milan had imagined wasn't to be – and she blames her mother-in-law.

Name your baby Quinoa, win a $10K gift card

Choosing a name for your little bundle of joy is always a major decision. It can be something traditional, trendy, creative … or inspired by the menu of your favourite chain restaurant.

Owning a pair of nail scissors does not make me a hairdresser

It's been a whole year since sleeping in until 10am. A whole year since having a peaceful shower.

The 83 children who were tragically let down in the last decade

Over a 10-year period, 83 children died from domestic violence abuse in NSW, with three quarters of the victims aged five years or under, the NSW Ombudsman has revealed.

Expert Q&A: Gross motor skill development in toddlers and preschoolers

Dr Katie Heathershaw answers questions about jumping, toe walking, riding a bike and being pigeon toed.

WIN A $500 VISA DEBIT CARD

Are you a parent, or are you planning to be? Tell us what you think and you'll go in the draw to win a $500 gift card!

Is it reasonable to expect your partner to give up drinking in pregnancy?

From the moment that I fell pregnant with my son, I realised just how much my life had already started to change.

Stroke victim joins class action against makers of popular contraceptive pill

"I was terrified I would always be this way. The pill needs to come with a much higher warning."

Sexy time

Why you should get excited about scheduling sex

Unfortunately, the belief that sex should always be spontaneous is a myth. It just isn't.

When newborn photoshoots get messy

When it comes to newborn photoshoots, it is all about the timing.

Orphaned baby daughter Ayla wakes from coma

Former All Black Jerry Collins' critically injured orphaned daughter has awoken from her coma and is able to bottle-feed.

Dad takes miraculous catch while feeding baby

One American father has taken multitasking to a new level at a Cubs-Dodgers baseball game at Wrigley Field.

'Samuel is our firstborn, and he will never be forgotten'

Having lost their firstborn at one day old, the Carrolls were overjoyed to welcome their daughter Isobel into the world a year later.

Channel 10's Sarah Harris expecting first child

The Studio host Sarah Harris doesn't mind if her first baby is a boy or girl, but she does hope it is born with one thing in particular.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

27 funny ultrasound pictures

Ultrasounds give you a look at your growing baby ... and sometimes what appears to their womb-buddy, or your bub in an amusing position.

The top 6 misleading parenting terms

From 'morning sickness' to 'the terrible twos', there are many parenting terms that are misleading.

When 'good' nannies go bad

While most nannies take pride in their work, there can be some who have a hidden side.

Woman hospitalised for skinny jeans injury

Beware: skinny jeans might be bad for your health.

Gauze seeding: the bacteria-breeding birth trend

A number of women having caesarean deliveries are now taking steps to give their baby a better 'microbiome' start in life.

Jimmy Fallon writes new children's book for dads

Jimmy Fallon, host of NBC's The Tonight Show, recently wrote a children's book about every father's secret wish for their baby's first word to be "dada" - not "mama".

28 names for babies born in winter

Looking for some baby name inspiration for a bub born during the colder months? Here are 28 options from around the world to consider.

The horrible act that sparked a brawl at child's birthday party

The uncle of the seven-year-old girl at the centre of the brawl at child's birthday party in Sydney's west has described the events leading up to the alarming show of violence.

Babies 'benefit from iPads at a young age': study

More often than not, you'll read that screen time for children should be kept to a minimum - but some scientists are now challenging this way of thinking.

Do mums really just obsessively talk about their children?

Natalie Reilly describes three main types of conversations mothers have. And, surprise, they're not all about kids.

Why some dogs might attack babies or young kids

A baby's smell, the noises it makes and even its gaze can contribute to the potential for a dog attack.

Mum demands refund for 'beargina' christening cake

It was meant to be a tasteful cake to help celebrate a three-year-old's christening.

5 things no one warns you about after giving birth

How many times have you been warned about all the sleepless nights you have to 'look forward to' when you become a parent?

Police officer sang nursery rhyme as heartbreaking photo was taken

A police officer arrived at a devastating scene on Thursday: a car crash resulting in all passengers being thrown from the vehicle.

Don't worry, working mums: Just leave Dad in charge at home

Want to open the boardroom doors for women? Encourage - heck, praise - dads who stay home with their children.

Hilaria Baldwin shares post-baby selfie

Just two days after giving birth, actor Alec Balwin's wife posted a post-baby picture on social media.

'Help - my child won't ever do what I ask!'

Compliance is part of the parent-child relationship, but so is resistance. It's all natural.

Postnatal depression support gets $23 million boost in NSW

The Baird government will include $22.8 million in Tuesday's NSW budget to expand a program designed to help parents at risk of postnatal depression (PND).

'I'm just as tired, scared and stressed as you': stay-at-home dad's plea

I'm really lucky to have two great kids, but I found it really tough with so much being aimed at the mothers and not the fathers.

 

Win $500

WIN A $500 VISA DEBIT CARD

Are you are parent or planning to be? We want to know what you think - let us know and you'll be in the draw to win a $500 gift card.

 
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.