#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(440)

#318 Your Cholestasis Questions Answered…Finally!

#318 Your Cholestasis Questions Answered…Finally!

Join us as we celebrate the arrival of Stu’s first grandchild, and finally cover a topic that has been highly requested: cholestasis. This is a lesser-known health issue that affects a significant num...

19 Jul 20231h 26min

#317 The Seduction of Induction

#317 The Seduction of Induction

Medical induction of labor continues to rise. Most OBs will want to induce all of you. Does this make sense? No! Blyss & Dr. Stu explain. Blyss hangs with her boys & Dr. Stu becomes a grandpa. Advert...

12 Jul 20231h 39min

#316 Reclaiming Birth with Dr. Sara Wickham

#316 Reclaiming Birth with Dr. Sara Wickham

On the Summer Solstice, Dr. Sara Wickham, author and researcher, joins the podcast to share her wisdom. Dr. Stu and Dr. Sara talk about the meaning of risk and prevention and the risk of prevention as...

5 Jul 20231h 33min

#315 Advanced Maternal Age: Debunking Myths

#315 Advanced Maternal Age: Debunking Myths

In this episode, Blyss and Dr. Stu delve into the term 'Geriatric Pregnancy', debunking myths and embracing evidence around advanced maternal age and the need for individualized care. They also touch ...

28 Jun 20231h 21min

#314 Low Platelets & Deficiencies of Wisdom

#314 Low Platelets & Deficiencies of Wisdom

Today, Blyss meets up with Dr. Stu at his new homestead for some in-person podcasting! They discuss thrombocytopenia and low levels of independent thought in so many health care providers. Learn about...

21 Jun 20231h 4min

#313 Comforting Truths About Low Lying Placenta

#313 Comforting Truths About Low Lying Placenta

Today, Blyss and Dr. Stu dive into the topic of low-lying placenta and challenge the commonly held perception of it being a high-risk condition, discussing the medical gaslighting that often occurs. B...

14 Jun 20231h 20min

#312 Activating Your Inner Jaguar with Kimberly Ann Johnson

#312 Activating Your Inner Jaguar with Kimberly Ann Johnson

The brilliant author of “The Fourth Trimester” & “Call of the Wild”, Kimberly Ann Johnson joins Blyss & Dr. Stu for a really fascinating conversation into rites of passage and our autonomic nervous s...

7 Jun 20231h 13min

#311 Low Hanging Fruit: The Marketing of our Health

#311 Low Hanging Fruit: The Marketing of our Health

Do physicians live up to their definition? Blyss and Dr. Stu delve into the troubling relationship between big medicine, big government, and big pharma. Blyss & Dr. Stu, together again, break down the...

1 Jun 202359min

Populært innen For unge lyttere

min-barneoppdragelse
vitnemal
er-det-noe-liv-med-nora-angeltveit
foreldreradet
snipp-snapp-snute
gravid-uke-for-uke
rss-the-molvar-maurstads
rss-maren-mina
jordmorpodden-om-graviditet-fodsel-og-barseltid
plutselig-barneteater
rss-trygg-av-natur
rss-det-ma-vi-snakke-om
rss-fertilitetsradet
fodselspodden
babyverden
uroskolen
fortell-meg-om
familieliv
fra-null-til-hund
rss-ung-dum-mamma