#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(440)

#262 They Just Keep Doing That

#262 They Just Keep Doing That

In this episode, Blyss and Dr. Stu discuss the difference between a Colposcopy, LEEP and Cone Biopsy. They also share a variety of letters from listeners–many who were left without answers or dealt wi...

8 Kesä 20221h 5min

#261 Fear is a Thief

#261 Fear is a Thief

Today, Dr. Stu and Blyss take a glance into the past to inform the present. Dr. Stu reads a chapter about the history of whooping cough from a book he’s been reading titled, “Dissolving Illusions: Dis...

1 Kesä 20221h 21min

#260 Back Stories and British Birthing with Erin Fung of Better Birth UK

#260 Back Stories and British Birthing with Erin Fung of Better Birth UK

Today’s show features two conversations: Blyss joins in an alliteration of B’s, while Stu connects from his RV. Stu also leaves the Beast behind and travels to the village of Shoreham in Kent, UK to m...

25 Touko 20221h 11min

#259 Remember to Breathe

#259 Remember to Breathe

Blyss Young of Birthing Blyss joins Dr. Stu to reminisce, vent a little and discuss a home birth quandary. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.co...

18 Touko 202245min

#258 A Flight of Ideas

#258 A Flight of Ideas

In this episode, mental and physical wellness and hopeful visions are the subject of today's podcast. Blyss and Dr. Stu read listener letters and discuss more truths and lies. Plus, learn why we need ...

11 Touko 20221h 13min

#257 Toxins, Tyranny, & Tylenol Alternatives with Jennifer Margulis

#257 Toxins, Tyranny, & Tylenol Alternatives with Jennifer Margulis

Dr. Stu & Blyss sit down for a conversation with author, sage, and award-winning science journalist. Jennifer Margulis, PhD. They muse on their attendance to the #HEALNC gathered in Raleigh, NC and ba...

4 Touko 20221h 19min

#256 Pushing, Tearing & Repairing

#256 Pushing, Tearing & Repairing

Blyss and Dr. Stu discuss RV life and physiologic vs. coached pushing with tears and repairs on today's episode. Learn some tips for preventing tearing from happening in the first place and feel empow...

27 Huhti 20221h 27min

#255 Old Wisdom into New Paradigms with Maryn Green

#255 Old Wisdom into New Paradigms with Maryn Green

Maryn Green of Indie Birth joins Blyss to discuss ancient wisdom and remind women to take back birth. A midwife since 2009 (first as a licensed midwife and now as an independent, autonomous midwife in...

20 Huhti 20221h 9min

Suosittua kategoriassa Nuorille kuuntelijoille

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