#431: "Hold Your Beer" It's Fetal Macrosomia Guidelines
Birthing Instincts17 Syys 2025

#431: "Hold Your Beer" It's Fetal Macrosomia Guidelines

This week Blyss and Stu go on a deep dive into macrosomia, also known as a large baby. They review extensive data from multiple sources, including ACOG, NICE guidelines, and the Big Baby Study, and discuss the implications of predicted and actual macrosomia. They discuss risk factors, maternal and fetal morbidity, ultrasound accuracy, the pros and cons of induction of labor, and the impact of the standard of care. As always, Blyss balances the conversation with discussing the stark contrast between the way macrosomic babies are cared for in the hospital v at home under the care of midwives. She shares tips on how to reduce the risks of macrosomia, especially when a mom is diabetic or has gestational diabetes.


Mentioned in This Episode

Homeopathy for Community Midwives

Birth Outside the Box

Midwifery Over Medicine: Leaving The Medical Model Of Delivering Babies To The Midwifery Model With OBGYN Dr. Stuart Fischbein Part One

Apollo the Original Podcast: Home Birth, Feminism and Hospital Misogyny | Midwife Tells it All, with Midwife Aleks

Birthing Instincts Episode 252: Inducing Naturally & Letting Fear Control Us


Studies Referenced

NICE Study: National Institute for Health and Care Excellence. “Induction of Labour for Suspected Fetal Macrosomia: Evidence Review A.” NICE Guideline NG207, [2021]. PDF.

Big Baby Study: Gardosi, Jason, et al. “Induction of Labour versus Standard Care to Prevent Shoulder Dystocia in Fetuses Suspected to Be Large for Gestational Age in the UK (the Big Baby Trial): A Multicentre, Open-Label, Randomised Controlled Trial.” The Lancet, vol. 405, no. 10491, 17 May 2025, pp. 1743–1756. DOI: 10.1016/S0140-6736(25)00162-X.

ACOG Practice Guidelines: American College of Obstetricians and Gynecologists. “Macrosomia.” Practice Bulletin: Obstetrics, Committee on Practice Bulletins—Obstetrics, William H. Barth Jr, MD, and Rebecca Jackson, MD, [2016] PDF.

Preyer, Oliver, et al. “Fetal Weight Estimation at Term—Ultrasound versus Clinical Examination with Leopold’s Manoeuvres: A Prospective Blinded Observational Study.” BMC Pregnancy and Childbirth, vol. 19, 2019, article 122.

In This Episode

Macrosomia: Definitions and Risk Factors

Understanding Shoulder Dystocia and Its Risks

Clinical Estimated Weights and Palpation Skills

Induction of Labor and Macrosomia

VBAC and Macrosomia Considerations


Podcast Produced by: Raquel Hernandez, Pride and Joy Doula Care


This show is supported by

Connect with Dr. Stu and Blyss



Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Jaksot(439)

#372 The Christiane Northrup Episode

#372 The Christiane Northrup Episode

"The cycle responsible for all human life on earth is associated with this degree of suffering? No!" Visionary super soul, Dr. Christiane Northrup, joins the podcast today to talk about the menstrual ...

31 Heinä 20241h 13min

#371 The Ever Changing Definitions Of Fetal Growth Restriction

#371 The Ever Changing Definitions Of Fetal Growth Restriction

Responding to listener questions we address the question of “What is IUGR?” Before we get there Blyss waits on a birth and listens to Dr. Stu’s concerns about entropy winning and way too much idiocy, ...

24 Heinä 20241h 44min

#370 Birth Time: The Documentary

#370 Birth Time: The Documentary

Two of the four co-creators, Jerusha Sutton and Jo Hunter join us to discuss the backstory and making of their film and what is happening with birth in Australia. Blyss and Dr. Stu loved the film and ...

17 Heinä 20241h 34min

#369 Phases, Not Stages, of Labor - The Wisdom of Dr. Rachel Reed

#369 Phases, Not Stages, of Labor - The Wisdom of Dr. Rachel Reed

A special treat today as Blyss and Dr. Stu chat with author, former midwife and wise woman, Rachel Reed, on reclaiming physiologic childbirth for those willing to listen. She recounts a bit of the his...

10 Heinä 20241h 38min

#368 Boys to Men: The Importance of Masculinity

#368 Boys to Men: The Importance of Masculinity

Culture and society may have erred when they decided we don't need strong men and fathers. Ashley Mariani, MSW joins Blyss and Dr. Stu to discuss the role of the male partner in pregnancy and equippin...

3 Heinä 20241h 34min

#367 It's Not Simple: MTHFR Explained

#367 It's Not Simple: MTHFR Explained

What if understanding one gene could significantly change your approach to fertility and pregnancy? Join us as we catch up with Dr. Ben Lynch, a pioneer in the field of epigenetics and naturopathic me...

26 Kesä 20241h 48min

#366 Placentas: Way More Sacred Than a Biohazard

#366 Placentas: Way More Sacred Than a Biohazard

Join us for an eye-opening episode as we welcome Kimberly Denitz-Zuleger, a passionate doula and maternal health activist from Southern California. With a wealth of experience encapsulating over 400 p...

19 Kesä 20241h 26min

#365 A Neonatal Doctor Making A Difference

#365 A Neonatal Doctor Making A Difference

At a time of great anxiety, Neonatologist and NICU specialist Priyush Patel, MD shares his humanistic approach to care.While Blyss is busy birthing, Midwife Lindsey Meehleis shares a birth story leadi...

12 Kesä 20241h 27min

Suosittua kategoriassa Nuorille kuuntelijoille

lasten-sadut
rss-hei-baby
iltasatu-lapselle
saran-kaverikirja
rss-satupalvelu-satuja-lapsille
rss-naapurissa
rss-kuumilla-aalloilla
perusasento
satuillaan-yhteisia-satuhetkia-koko-perheelle
rss-lastenohjelma-taikalipas
onnen-kuplia
odotushuone
rss-stylecast
rss-palaudu-synnytyksesta-podcast
puhutaan-koiraa
docemilia
riivattu-rakki
rss-mamcast
rss-vastaanotolla
hyvaa-elamaa-koiran-kanssa