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

Episoder(439)

#451: We are not packaging sausages - Why Doulas should remain independent with Shellie Poulter & Ivy Joeva

#451: We are not packaging sausages - Why Doulas should remain independent with Shellie Poulter & Ivy Joeva

This week on the podcast, Blyss and Stu take a hard look at what’s happening to the world of doula support as insurance and institutions move in. They’re joined by two seasoned doulas, Ivy Joeva and S...

4 Feb 1h 43min

#450: What’s To Do About Fluoride?

#450: What’s To Do About Fluoride?

In this week’s episode, Blyss and Stu explore the history, benefits, and controversies surrounding fluoride in drinking water, highlighting different perspectives and potential health implications. Re...

28 Jan 1h

#449: A Free OB: A Conversation with Dr. Poppy Daniels on The Dangers of DepoProvera

#449: A Free OB: A Conversation with Dr. Poppy Daniels on The Dangers of DepoProvera

This week Dr. Stu and Midwife Blyss welcome special guest Dr. Poppy Daniels, a holistic OB-GYN with over 22 years of private practice experience. They discuss the severe side effects of Depo-Provera, ...

21 Jan 1h 16min

#448: Tampons: Convenience Does Not Imply Safety

#448: Tampons: Convenience Does Not Imply Safety

In this week’s episode Stu is finally back and excited to engage in a candid discussion with Blyss about the overlooked risks of using tampons, highlighting a 2024 study that found harmful metals and ...

14 Jan 1h 23min

#447: Midwifery Past, Present and Future: Wisdom from Adele Rose

#447: Midwifery Past, Present and Future: Wisdom from Adele Rose

In this week’s episode Blyss interviews Adele Rose, an elder and mentor in the midwifery community, about her long-standing career and insights on the evolution of midwifery. Adele shares her personal...

7 Jan 1h 6min

#446: Baby Aspirin for All??

#446: Baby Aspirin for All??

In this week’s episode you get a special sneak peak into The Birthing Instincts Patreon Community. With Dr. Stu still healing from knee surgery we decided to share an exclusive Bonus Content episode w...

31 Des 202535min

#445: Women Are Not a Formula: Debunking VBAC Myths with Sarah Stead

#445: Women Are Not a Formula: Debunking VBAC Myths with Sarah Stead

Dr. Stu hosts a special edition podcast featuring Sarah Stead, a registered massage therapist specializing in C-section recovery. Together they dive into various topics surrounding Vaginal Birth After...

24 Des 20251h 21min

#444: Restoring Midwifery: Breaking Down the Indefensible

#444: Restoring Midwifery: Breaking Down the Indefensible

In this week’s episode, Dr. Stu and Midwife Blyss interview Rowan Bailey and Sarita Bennett, two midwives who have faced significant legal and professional challenges. They discuss Rowan's experience ...

17 Des 20251h 40min

Populært innen For unge lyttere

min-barneoppdragelse
vitnemal
foreldreradet
er-det-noe-liv-med-nora-angeltveit
snipp-snapp-snute
gravid-uke-for-uke
rss-the-molvar-maurstads
rss-maren-mina
jordmorpodden-om-graviditet-fodsel-og-barseltid
plutselig-barneteater
uroskolen
fodselspodden
rss-ung-dum-mamma
babyverden
fodepodden
velvarepodden-din-guide-til-positiv-endring
familieliv
trening-etter-fodsel
fodepodden-2
mammashjerte