#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)

#403 VBAC or Cesarean, An Honest Assessment of Risk & Benefit.

#403 VBAC or Cesarean, An Honest Assessment of Risk & Benefit.

In this episode of the Birthing Instincts Podcast, Blyss and Dr. Stu explore the risks and benefits of cesarean sections (C-sections) and vaginal births after cesareans (VBACs). They discuss the pros ...

5 Maalis 20251h 4min

#402 Why Does Mystery Stop At The Hospital Door?: A discussion of Homeopathy with Midwife Laurie Fremgen

#402 Why Does Mystery Stop At The Hospital Door?: A discussion of Homeopathy with Midwife Laurie Fremgen

In this episode of the Birthing Instincts Podcast, we explore the possibilities of homeopathy and homeopathic remedies. The benefits of this type of alternative treatment for pregnancy, labor, and rel...

26 Helmi 20251h 13min

#401 Are We Done With Oxygen? NRP revisited with Michele Kazmier

#401 Are We Done With Oxygen? NRP revisited with Michele Kazmier

Join Blyss and Dr. Stu in this episode as they welcome Michele Kazmier to the show. Michele is a home birth midwife passionate about holistic neonatal transition. During the episode, she shares her in...

19 Helmi 20251h 17min

#400 The Sanctity of Postpartum with Birthfit's Lindsey Matthews Cantu

#400 The Sanctity of Postpartum with Birthfit's Lindsey Matthews Cantu

In this episode of Birthing Instincts, Blyss and Dr. Stu welcome Lindsey Mathews Cantu, a strength and conditioning coach at Birthfit. Birthfit offers specialized strength and conditioning training ta...

12 Helmi 20251h 4min

#399 Let's Begin Again with Zach Bush, MD

#399 Let's Begin Again with Zach Bush, MD

Welcome to another episode of Birthing Instincts Podcast. In this episode, Blyss and Dr. Stu welcome Zach Bush, MD, to the show. Zach is an incredible thinker and orator on many relevant topics that a...

5 Helmi 20251h 21min

#398 Bandl's Ring, like life itself, is perplexing

#398 Bandl's Ring, like life itself, is perplexing

Before getting into today's topic, Blyss and Dr. Stu discuss the maternity care crisis in California that has been impacting local birth centers. They explain Bandl's Ring more in-depth and explain ho...

29 Tammi 20251h 4min

BONUS Reflecting on a Monumental Weekend in Washington D.C.: Empowering Change in Maternal Health

BONUS Reflecting on a Monumental Weekend in Washington D.C.: Empowering Change in Maternal Health

In this special bonus episode Dr. Stu recaps his remarkable experiences in Washington D.C. with Lindsay Meehleis and Katie Allen. They had the honor of attending the 'Make America Healthy Again' gala ...

27 Tammi 202548min

#397 From The Cry Of A Mother, "Just The Inserts" was Born

#397 From The Cry Of A Mother, "Just The Inserts" was Born

Why isn't healthcare more personalized? This is the question our guest today aims to address. Alexandra is the founder of Just the Inserts, a platform dedicated to empowering individuals with accessib...

22 Tammi 20251h 1min

Suosittua kategoriassa Nuorille kuuntelijoille

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