Macrosomia

Question: where can i find photos of newborn babies with fetal macrosomia?

Answer: According to http://www.aafp.org/afp/20010115/302.htm… fetal marcosomia is defined as a a birth weight of more than 4,000 g (8 lb, 13 oz). You could probably find infants with a birthweight over 8lbs 13oz on a hospital's maternity ward link.

Question: Did your Dr. suspect macrosomia also known as Big baby syndrome? If so, what was the outcome and how did you deliver? I am 37w1d and my dr is having me go for a 4th ultrasound to try to rule it out. I'm huge and uncomfortable. I'm measuring 39 weeks at my 37w apt yesterday. At my 36w apt... I was measuring just fine. To add ...I'm only 5' tall, so this makes it all worse...I'm so off balance.

Answer: Yes, I measured big from about 28 weeks on. I was induced when I was 9 days overdue. I would only dilate to about 2 cm though. I ended up having a c-section and had a baby girl that was just shy of 12 pounds. She was the biggest baby born in that hospital in 7 years.

Question: Doctor suspects macrosomia and shoulder dystocia, Need advice!? Doctor suspects that my baby has macrosomia and shoulder dystocia. I had an ultrasound yesterday and his torso was measuring 42 weeks while her head measured the current week (38) I'm in. She pressured me to schedule a c-section but told her that I wasn't ready to make that decsion just yet. Doctor is saying that my baby is measuring 9lbs which I don't think she's big. I know from other people that ultrasounds are not accurate when it comes to guessing the weight of the baby. I'm short stature (5'2") and without gestational diabetes so I don't know how accurate the diagnosis is. My question is anyone's baby diagnosed with macrosomia or shoulder dystocia? and what was the outcome? How much did the doctor suspect the baby was weighing and how much did your baby weigh? If your baby had shoulder dystocia and went into labor how were you able to deliver your chld? I'm trying to avoid the c-section since I've had the green light for a VBAC befo finding out this info. Any info will be helpful. Thanks in advance!

Answer: Shoulder dystocia can't be diagnosed in utero, it is a complication that occurs during the delivery itself. I am all too familiar with your situation, being the mom of two macrosomic (11lbs and 9lbs 14oz) babies. My son (11lb) did have shoulder dystocia, and it was a scary few minutes in the delivery room. My daughter was a C because of the first delivery. 13 years later, I'm pregnant with my third and am a much more well-educated patient, as well as being a DONA trained doula. If your baby is suspected to be on the big side, do some research NOW and choose your laboring and pushing positions accordingly: this makes a tremendous difference in the amount of room your pelvis will expand to allow the baby to pass. This in itself can keep the chances of shoulder dystocia down. Pushing in the hands and knees position is widely regarded to be the best for this. If I were you I would do everything in my power to avoid a C section, because it will affect your future births more than you can even imagine.

Question: Macrosomia / footling breech question? Just need a bit of reassurance if you wouldn't mind please. I'm currently 36wks pregnant, have been in hospital a few times with really strong Braxton Hicks, and also a partial loss of my mucous plug, but still no active labour recorded. Here are my complications: (2nd pregnancy by the way) - footling breech, doc told me if my waters break at home and cord slips down, 5 mins would be too long to get to hospital - we live 45 mins away - 2nd pregnancy after C-section late 2006 - doc says he's worried my uterus will rupture because when baby lifts feet up from footling positionshe kicks my scar - macrosomia - doc said to keep a close eye on foetal movements because baby is very large for gestational age These are the complications, and I've been sent home from my scan today and told to come back in a week. I know 2 of the above are potentially fatal complications, for baby and me, so why can't they take baby out now instead of leaving me to worry about all of this at home?

Answer: Wow, it seems to me it would be safer to deliver the baby early and if they already know the baby is large, I wonder why they are waiting? Is it an option for you to see another doctor, or get a second opinion from a specialist? A bit of reassurance though - my first baby was footling breech, only we didn't know until my water broke and I got to the hospital (I was 35 weeks). At that time not only did we find out he was footling breech, but the cord had also prolapsed and I had to have an emergency cesarean. Everything went fine, and now my "baby" is going to be 11 in a couple of months. He was born at 35 weeks and has no health problems or delays or issues or anything; he didn't even need an extended stay in the hospital, he went home with me. After my cesarean, I went on to have 2 successful vaginal deliveries, but neither of those babies were breech, so I guess I did not have the kicking of the scar issue that you have. But there is always a chance of uterine rupture with a previous cesarean. You should really try to get a second opinion, or insist that the baby be delivered ASAP. If you water should break at home, and you can feel the cord in your vagina, you should get down on your hands and knees and call for an ambulance - this could save your baby's life. Good luck!

Question: medical reassurance needed re: macrosomia, footling breech,..Please? Just need a bit of reassurance if you wouldn't mind please. I'm currently 36wks pregnant, have been in hospital a few times with really strong Braxton Hicks, and also a partial loss of my mucous plug, but still no active labour recorded. Here are my complications: (2nd pregnancy by the way) - footling breech, doc told me if my waters break at home and cord slips down, 5 mins would be too long to get to hospital - we live 45 mins away - 2nd pregnancy after C-section late 2006 - doc says he's worried my uterus will rupture because when baby lifts feet up from footling positionshe kicks my scar - macrosomia - doc said to keep a close eye on foetal movements because baby is very large for gestational age These are the complications, and I've been sent home from my scan today and told to come back in a week. I know 2 of the above are potentially fatal complications, for baby and me, so why can't they take baby out now instead of leaving me to worry about all of this at home?

Answer: My friend had her twins at home, both were breech. Her girl was a footling breech. She also had a caved-in head, due to what happened during the pregnancy, not labor. If she had been born head first her skull would have crushed. If she had been delivered c-section, the doctor would have grabbed her head to pull her out and crushed her head. You need to pay attention to footling breeches, because the cord can slip, but that's usually not a problem until the shoulders engage with your pelvis. Big babies aren't a huge problem (no pun intended). My midwife delivered a 13 lb baby, and the mom didn't tear. Our bodies are made to deliver babies of nearly any size. I would worry about your scar rupturing, but that happens not very often. If I were you, I would get a second opinion, maybe from a midwife who has experience with breech births and vaginal birth after c-section (VBAC). Edited to fix spelling.

Question: Macrosomia Babies and the risks? Other wise known as a baby larger then 9 lbs!? I have been fine with the idea of a large baby up until now. I think its because I'm getting closer to my due date! I have history of large babies in the past. I have already been estimated to have a baby larger then 9 lbs before 36 weeks. My last two over 9 years ago were 9 lbs at birth. I don't have the typical symptoms of having a large baby ether. Commonly gestational diabetes and high blood pressure can cause these things but I have been tested for both and always come back negative! This baby could be well over 11 lbs at birth and I'm a small women. So now I 'm starting to feel nervous even though my doc is doing ultra sounds every week and reassuring me that labor might start on its own. She has considered a c-section if I haven't delivered by next Wednesday and if the baby measures larger then it did at the last ultra sound. I really don't like the idea of a c-section but also realize it may be necessary! I guess what I'm needing is reassurance everything will be OK and reassurance that if they decide to do a section that its the right thing to do? Also we are thinking of having a fourth child after this baby is there anything I can do to reduce my risk of yet another large baby? Thanks much!

Answer: Most of the time, large or small babies are genetic. I was 9lbs 7oz, and my baby is going to be around 9 lbs the doctor said. I think most of the time when babies are big, people point to the mother and say she ate too much, or didn't eat good enough, didn't exercise, etc. But your baby is going to gain the amount of weight he is, there's nothing much you can do about it unless you are downing double quarterpounders every 5 minutes. My mother ate extremely healthy and walked 3 miles every day up until delivery (my father was paranoid and made her do these things, he's still a health nut). With my pregnancy I lost 10 pounds in the beginning due to severe nausea and vomiting. I still don't eat as much as I used to and I eat perfectly healthy, and yet my baby is still going to be about 9 lbs. My doctor said this was normal and is probably genetic. There's nothing much you can do for another large baby except eat healthy, exercise, but if all your previous babies have been large, the next baby you have is probably going to be large too. Good luck.

Question: Should I call the dr office and let them know, or just wait until tomorrow? I'm feeling horrible, having increased bh contractions, lots of pressure, and diarrhea since I woke up at 4 am. I do have a dr apt tomorrow at 4:10 after my 4th ultrasound to rule out or confirm the Macrosomia, also known as big baby syndrome. I will be 38w tomorrow as well. Oh, how I wish I could take a nice nap...but I'm at work. I'm thinking Friday will be my last day though...I'm so over it!

Answer: I'd call. Why wait when you could be easing your discomfort a little. Good luck sweetie. I have been watching your weeks dwindle down to nothing! I hope you have a wonderful a birthing!

Question: Birth defects caused by diabetes? I am 32 weeks pregnant and throughout my pregnancy have tried to find what birth defects are caused by uncontrollable diabetes. I have been unsuccessful except macrosomia and open spinal bifida, which the spinal bifida is a no go with my little one as far as we know. Are there any brain defects or mental disabilities linked with higher blood sugars during pregnancy? Please list sources if any

Answer: A great resource is to talk to your doctor.

Question: Induced Labor? I'm currently 37.5 weeks with my first baby. My OBGYN wants to induce labor at 39 weeks due to my gestational diabetes, but I don't feel it's necessary. I just had an ultrasound that showed the baby was actually small for how far along I am, so macrosomia is not an issue, and I'm not having any other health problems. Is there a reason that they should induce when I haven't even reached my due date, or should I throw a fit?

Answer: tell your doctor that you do not wish to be induced, she knows best

Question: So im 38 weeks pregnant...? and im 1 cm dialated....im 5'1, and i went for my doctor's visit today, and i was diagnosed w/ fetal macrosomia, which is big babies (baby is 8 pounds)....so now i have to be induced this thursday and i am SCARED TO DEATH!!!! so everyone on yahoo answers who reads this....PRAY FOR ME PLEASE!!!! Thanx!

Answer: i will and talk to ur boo and see whats up