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 Jenferal

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 Feralishous

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

 

WIN an exclusive performance from Sam Moran!

To celebrate the DVD release of children?s musical series Play Along with Sam, we?re giving one lucky parent the chance to have Sam perform at their child?s preschool or daycare centre!

Touching memorial service for siege victim Katrina Dawson

In a moving memorial attended by more than 1500 people, the mother of three and talented barrister was remembered as an "extraordinary" woman.

Lyndey Milan's 10 best baking tips

Whipping up a cake or biscuits need never instil fear again.

Princess of Sweden pregnant with second baby

Princess Madeleine of Sweden is expecting her second baby, only 10 months after her first.

Video: Kids excited by world's worst Christmas gifts

Struggling to find last minute stocking fillers before Santa's visit this week? If this cute video is anything to go by just raid the fruit bowl in order to keep your kids happy.

Elton John and David Furnish marry after 21 years together

British musician Elton John has married his long-term partner David Furnish, converting their civil partnership after laws allowing gay marriage in Britain came into force this year.

Gorgeous toddler Izzy a model of diversity

With her blond curls and winning smile, it's not surprising little Izzy Bradley was chosen to appear in a toy catalogue for Target in the US.

Mother arrested over deaths of eight children

The mother of seven of the eight children found dead in a Cairns home yesterday has been arrested over their deaths, according to police.

Facebook appeal saves labouring woman's life

A plea for help posted on Facebook helped save the life of a pregnant woman who had spent days in labour in a remote part of Papua New Guinea.

Can nits be romantic?

And so I face the prospect of a Christmas with nits. It was inevitable, really, given the matter of my daughter's recent outbreak.

Former 'N Sync bandmate confirms news of Timberlake-Biel baby

It seems the cat is out of the bag if Joey Fatone is to be believed.

Toddler freed after getting trapped in escalator

A shopping centre escalator needed to be pulled apart to free a toddler's trapped hand.

Why I'm kind of excited about my daughter's nits

Is it weird to say that I am secretly thrilled to find that my daughter Edie has nits?

Baby born at 10:11 on 12-13-14

Well, it's actually 13-12-14 to us over here. But still, Clare Elizabeth Keane's consecutive numerical birth time is pretty special.

On holding tightly and loving fiercely

We can't live in fear. This post is about Christmas and how at this time we should be celebrating life and grateful for what we have: our loved ones who we cherish fiercely.

Babies, relatives and coping with Christmas day

Everyone will love your baby but your baby may not be so happy to be passed around a lot of new people - nor may you want to feed with an audience.

Why I won't be posting pictures of my baby on Facebook

There are pros and cons to this policy.

The myths and truths of gender swaying

Here are a few popular methods hopeful parents-to-be use to try to get a baby of their preferred gender – and what an expert says about whether they really work.

10 easy DIY Christmas decoration ideas

It's officially time to get into the Christmas spirit. Why not branch out when you put up your tree this year and add a personal touch with a few DIY decorations? We've found the perfect easy-to-make ways to put more festive fever into your home.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

The dangerous new trend of glucose challenge test refusal

A dangerous trend is seeing more mothers-to-be declining a relatively simple and painless test to check for gestational diabetes.

Office of Fair Trading reveals naughty toys ahead of Christmas

The Office of Fair Trading has pulled seven toys from shelves ahead of Christmas after they fail safety tests.

Video: Baby boy's trouble with twins

These twin girls will no doubt have fun fooling people in years to come, but nobody will be as confused as baby Landon.

'I tried to kill my baby': one mum's story

After bathing and dressing her three-month-old son, Amanda had a rare moment alone with her baby.

Attack of the 'mummy brain'

I feel that almost every day, someone in my life - be they a friend, family member or complete stranger - feels the need to excuse my behaviour as I have other things on my mind.

Mum of baby who fell ill after drinking raw milk speaks out

A Melbourne mother has described how her son turned grey when he became seriously ill after drinking raw milk.

The disagreement that can break a relationship

If he doesn't change his mind, all I can hope is that I will. It would be a waste to spend the rest of my marriage mourning a baby that never was.

Australian divorce rate lowest since 1976

Modern newlyweds are now well into their 30s and marriage still offers something powerful a new book argues.

Young mum burns 'from inside-out'

A young mum is in intensive care after she took a friend's antibiotic and wound up with an ailment that is burning her body 'from the inside-out'.

The aftermath of a traumatic birth experience

In Australia, 30 per cent of women find their birth experience traumatic, with 6 per cent going on to develop post traumatic stress disorder (PTSD).

Long-term reversible male contraceptive on its way

Men could soon have access to an injectable long-term contraceptive which works in a similar way to a vasectomy but promises to be easily reversed.

Co-sleeping or no-sleeping? Mum videos worst nap ever

One mother's futile attempt to sleep in caught on camera in a hilarious - and very cute - video.

Why children misbehave during the festive season

While we all like to imagine the holiday season as being a fun, loving and bonding experience; often our reality is quiet different.

I was fat-shamed by my doctor

The fear of being weighed is the most significant factor in women cancelling medical appointments - and now weight-shaming has happened to me.

WIN an exclusive performance from Sam Moran!

To celebrate the DVD release of children?s musical series Play Along with Sam, we?re giving one lucky parent the chance to have Sam perform at their child?s preschool or daycare centre!

End of an era: no more childcare

As we reach the end of 2014, we're closing the book on many things for another year, most notably childcare. Our last child has attended childcare for the very last time.

Carers admit to force-feeding children

As Sydney grieves the loss of Sydney siege victims Katrina Dawson and Tori Johnson, reports have suggested that both died as heroes.

 

How many weeks til Christmas?

On your To-Do list

Get the "Santa" shopping done without the kids in tow.

 
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.