#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

Episoder(439)

#419: Thank you, I love you. Our Conversation on the book "Yoni Owner's Manual" with Ibu Robin Lim

#419: Thank you, I love you. Our Conversation on the book "Yoni Owner's Manual" with Ibu Robin Lim

In this week's podcast, Blyss and Stu are joined by renowned midwife and author Robin Lim to explore her new book, The Yoni Owner's Manual. Robin shares her awe-inspiring experiences and insights into...

25 Jun 20251h 23min

#418: What Zookeepers Know & Obstetricians Have Forgotten: A Conversation with Author Milli Hill

#418: What Zookeepers Know & Obstetricians Have Forgotten: A Conversation with Author Milli Hill

In this edition of The Birthing Instincts podcast, Dr. Stu hosts an enlightening discussion with guest Millie Hill, a renowned writer and feminist advocate. Millie, the author of 'The Positive Birth B...

18 Jun 20251h 32min

#417: Midwifery & The Conundrum Of The Legislative Process with Ellie Stangl

#417: Midwifery & The Conundrum Of The Legislative Process with Ellie Stangl

This week Dr. Stu is solo as Blyss is away and joined by guest Ellie Stangl, a certified doula and legislative aide in Nebraska. Together they delve into the legislative process affecting maternity ca...

11 Jun 20251h 22min

#416: Disentangling Mono-chorionic Twins

#416: Disentangling Mono-chorionic Twins

This week Dr. Stu and Midwife Blyss do a deep dive into mono-chorionic twin pregnancies, with a focus on debunking common myths about mono-mono twins. Drawing on recent research and personal experienc...

4 Jun 20251h 29min

#415: Your Menstrual Cycle As A Window To Your Health. Our thoughtful discussion with "The Fifth Vital Sign" author, Lisa Hendrickson-Jack

#415: Your Menstrual Cycle As A Window To Your Health. Our thoughtful discussion with "The Fifth Vital Sign" author, Lisa Hendrickson-Jack

This week Blyss and Stu discuss the importance of understanding the menstrual cycle with guest Lisa Hendrickson-Jack, author of The Fifth Vital Sign. Lisa brings not only her personal experiences with...

28 Mai 20251h 30min

#414: Advocacy is a Team Sport

#414: Advocacy is a Team Sport

Join us for an in-depth conversation with Meredith Nelson and Alicia Fishbein, board-certified patient advocates and seasoned doulas from Intentional Birth. The episode explores the critical role of a...

21 Mai 20251h 26min

#413: Rediscovering Ancient Postpartum Traditions: Pelvic Steaming with Valerie Wiesner

#413: Rediscovering Ancient Postpartum Traditions: Pelvic Steaming with Valerie Wiesner

While Dr. Stu was busy teaching breech in Texas, Blyss hosted Valerie Wiesner to discuss the practice of vaginal steaming, its benefits, and the ancient traditions associated with it. Valerie shares h...

14 Mai 20251h 1min

#412: When Advocacy Isn’t Enough with Lara Janson

#412: When Advocacy Isn’t Enough with Lara Janson

In this episode, Blyss is joined by Lara Jason, an assistant professor of sociology at Grinnell College, as she shares her powerful and emotional story about her breech birth experience. Despite her e...

7 Mai 20251h 29min

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