Oh, I’m Healthy? Then of Course I Need The Surgery!!

You go into the doctor, and you are about 36 or 37 weeks pregnant. He feels your belly and says you are growing on schedule, but the baby seems a little big, so he orders an ultrasound. He notes on your chart that you have suspected fetal macrosomia and that your baby is going to be bigger than 4000 g or 8 lbs 13 oz.

You go to the ultrasound and see your ‘big’ baby, and they send you back to your doctor’s office for the results. Your fluid levels are great, the baby is growing and is head down, and things look good.

Except the estimated weight of your baby is 8 lbs 15 oz. Your doctor doesn’t mention anything about how ultrasounds can be very wrong, but says that you probably won’t be able to safely have this baby vaginally. He begins to talk about inducing at 38 weeks or scheduling a cesarean.

You go home wondering what you should do. Your baby is bigger than average, and you don’t want to tear as they come out. Maybe a cesarean is the better option. There are less risks than with a vaginal birth, especially with such a big baby, and your doctor does know best. I mean, you haven’t been to medical school!

So, you go back for your appointment at 37 weeks, and say you would like to schedule your cesarean for this week or next so the baby isn’t too big and since you are term, it is healthy and alright to be born.

***

One of the biggest reasons doctors site for the cesarean rate in this country is that women are healthier and grow bigger babies that we just cannot birth vaginally. This has made a giant debate between birth types and how you should handle birthing of big babies.

If it was really true that we can’t birth big babies, and we are healthier so we grow bigger babies, we would die out really fast. Why would God make a system where women who are healthy grow giant babies that can’t be born? It just doesn’t make sense!

And to top it off, 8 lbs 13 oz is average. Average means you take all the weights of babies and the most born is average. This means, a LOT of babies are bigger than 8 lbs. Or else the average would be a lot lower. It’s just common sense!!

A lot of women that were given cesareans for fetal macrosomia had babies that were 6 or 7 pounds, a lot less than the ‘estimated’ weight from the ultrasound. Doctors say that the baby would have been bigger if they had gone into labor themselves and the baby could have died. It happens everyday.

And the women that choose to have VBACs from macrosomia, most go on to have babies WAY bigger than their cesarean baby. A lot are 10 pounds or more.

I just hate this system!! And the people that support it drive me even more crazy. “A lot of babies can’t be born vaginally, and NCB advocates are just stupid in thinking that positions and other things will change that.” How dumb is our system where it blindly follows that big babies can’t be born through a pelvis that rotates and moves during birth? Technically, bith actually seems like an impossible feat! That baby going down a canal and through bones and out a tiny hole that stretches, it just seems impossible, but it truly is possible!!

What are your thoughts? Is this all just a hoax so doctors can have an easier time delivering babies? Or do we truly grow bigger babies and the surgeries are necessary?

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4 Responses

  1. I think a lot of docs are simply pro-cesarean and pro-induction because they allow for babies-by-schedule – saves time, increases income, prevents lawsuits (more interventions seem to equal fewer lawsuits, at least at the moment). And moms are just way too ignorant and trusting of their doctors. I have heard a lot of macrosomia stories, and they almost always come out with a "surprisingly smaller baby" than expected! And I hate how (in doing this) doctors promote the "broken body" concept i.e. "your body couldn't possibly do this birth". And women are just too gullible!Nice post, as always!

  2. Great blog, great post!

  3. Ok, here's what I think: I do think that because we get better prenatal care and nutrition during pregnancy, that we do in fact birth bigger babies. The average size for a newborn is bigger now that a century ago, or so I have heard. I also think that our bodies (in most cases) are equipped to handle the birth of larger babies. Are there mothers who can't birth these babies? Sure. That select few should by all means get a cesarean. The important thing is to get a second opinion if you are unsure about your diagnosis. I certainly would.

  4. I could never imagine getting a c-sec based on sizing on an u/s!! When my sister was pregnant with her daughter, they expected a very large baby – u/s estimate (from multiple u/s) was in the 11 lb range by her due date. However, she was not willing to just go straight to a section. When she did go into labor, she had a long, awful labor (several days) – probably because she was terrified. When she was finally able to let go and relax, things moved very quickly, and my darling neice was born. All 8 lbs 9 oz of her!! I don't dispute that women are healthier and babies are bigger, however, I think that most of those babies are still able to be birthed vaginally, and more often than not, the u/s is wrong anyway!

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