#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)

#221 Corruption in Modern Science

#221 Corruption in Modern Science

Americans are slowly losing their trust in medical institutions, and often for good reason. Dr. Stu and Blyss discuss why so many medical establishments are crumbling before our own eyes, and some of ...

11 Elo 20211h 18min

#220 Bringing the Sexy Back into Fertility with Ivy Joeva

#220 Bringing the Sexy Back into Fertility with Ivy Joeva

Doula and birth educator, Ivy Joeva, joins Dr. Stu She shares her work and how she helps prepare women’s bodies for pregnancy. They discuss how Ivy’s spirituality intersects with her practice, the big...

4 Elo 20211h 49min

#219: Mask Mandates, Stubborn Twins, and Where the Name Birthing Instincts Came From

#219: Mask Mandates, Stubborn Twins, and Where the Name Birthing Instincts Came From

On today’s episode, Dr. Stu and Blyss catch up and chat about all the happenings in their lives. They discuss the hypocrisies behind COVID restrictions, when castor oil doesn’t help stubborn twins, an...

28 Heinä 20211h 4min

#217: Hope Gets A Makeover

#217: Hope Gets A Makeover

Dr. Stu joins Blyss in her new kitchen on wheels to discuss listener questions and spider bites. Our duo discusses a more honest article on vaccine counseling and whether the term "trusted healthcare ...

14 Heinä 20211h 4min

#216: It’s Still All Wrong

#216: It’s Still All Wrong

Blyss is away so Dr. Stu has a conversation with his past and present self and discovers that not much has changed in 30 years. Absurdity and being wrong a lot doesn't seem to cause those in charge to...

7 Heinä 202157min

#215: Let’s Reimagine Managing

#215: Let’s Reimagine Managing

Dr. Stu dusts himself off to hijack a slogan that's trending, and Blyss thinks it's about time. Our duo review ABO incompatibility and bask in two different beautiful home births and find that wisdom ...

30 Kesä 20211h 8min

#214: Stop the F@#kery!

#214: Stop the F@#kery!

What's the deal with everyone being on low-dose aspirin in pregnancy? Blyss and Dr. Stu also review the data and, not surprisingly, have an opinion. Blyss is fed up with the f@#kery as Dr. Stu shares ...

23 Kesä 20211h 9min

#213: Trolling for Twins

#213: Trolling for Twins

Dr. Stu reviews The Twin Birth study and politely responds to some angry Facebook trolls using ACOG's own words and reason. Blyss jumps in with both feet to discuss chorionicity and add her midwife wi...

16 Kesä 20211h 24min

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