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Old Aug 27th, 2012, 14:58 PM   1
pompeyvix
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Worried about having a big baby and getting stuck


Hi Ladies

I know, I always worry about something. But this is just a gut-feeling type worry rather than anything based on fact.

I am 5 days over at the moment and terrified of having a large baby that will get stuck in the birth canal. I don't know why I am feeling like this, but it is just this niggle I have in the back of my mind that something is going to go wrong.

I have been recommended to have an early epidural due to blood pressure issues. I haven't decided whether I will or not, preferring to wait until I am in labour to see if I feel I need one. However, I read (on here on another thread) that if you have an epidural that if the baby gets stuck, due to being immobile, it can make the delivery even harder and potentially require medical intervention. This on top of potentially being induced (again can require extra intervention) and the thought I am carrying a big baby is scaring me so much.

I had a growth scan at 34 weeks and baby is within the average percentiles (abdomen higher end of average, head just over average and femur length bang on 50th percentile) and I don't have GD or anything. But something inside is telling me this baby is big and as I am going more and more overdue, getting bigger all the time.

Can anyone reassure me? Should I just not worry about this stuff and what will be will be? Or should I raise concerns with my midwife? Will the Dr's/midwives actually do anything about my concerns?

I asked my mw to feel my bump last week and she wouldn't commit to anything. She didn't say the baby feels particularly big but she did say the baby is not small.....but then she may not be willing to say anything about it being large knowing how worried I already am. She just said that my body is designed to give birth and the baby will fit. I get that in theory, but if that was the case 100% of the time, then babies would not get stuck would they?!

Scared and worried



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Old Aug 27th, 2012, 15:06 PM   2
aliss
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Well, keep in mind that "getting stuck" means a lot of things. I have had a true shoulder dystocia with a 9lb 3oz baby.

Dystocia is when the baby's shoulder blade gets stuck under your pubic bone, this is a true emergency, but can almost always be resolved safely (my son's injury involved a broken collarbone which sucks of course, but is not life threatening). Many dystocias are also misdiagnosed (there's a difference between a stubborn little one, and one that is truly trapped). Dystocia itself is quite rare (I think under 1% for normal first time women).

"Getting stuck in the birth canal" is often a term used for slow progress/fetal distress/etc.. I don't know a great deal about that so I'll leave it to someone else but some practitioners are much more overcautious than others in letting the baby take their time out.

That being said it's not impossible to get out a dystocia baby with an epidural, I've done it myself, but it does mean it's more likely they will resort to the shoulder break if you can't feel it. You can also help yourself by gripping the squat bar that most hospitals have. I'm doing it at home this time, with a 20-40% reoccurrence risk, it's a decision that has taken me 2 years, but doing a lot of research has helped me. You might wish to read Ina May's Guide to Childbirth, she has a decent amount of info about it.



 
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Old Aug 27th, 2012, 15:10 PM   3
Charlie5
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All I can offer is that I am trying not to worry too much as from experience with my son things can change and never quite go to plan so you'll spend ages worrying but it'll be totally beyond your control and may be totally different.

All I am thinking is it'll go how nature wants it to go and if bubs does get stuck they will do/suggest whatever they feel appropriate and take it from there.

Natural to worry but I am playing it by ear as otherwise I'll worry myself sick with all the possibilities/eventualities lol



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Old Aug 27th, 2012, 15:16 PM   4
Cat lady
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I had this worry first time around, we were told to expect a big baby, so much to the point we didnt bother with newborn clothes. Then after being 8 days late a 6lb14 baby popped out, almost a lb lower than average!! I dont believe a word they say with this one!
All I can advise hun, is to relax and take it easy. Whilst in labour try not to panic and just take things how they come.
HUGE HUGS
xxx



 
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Old Aug 27th, 2012, 15:16 PM   5
pompeyvix
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Thanks Aliss. I think it was your post in another thread that triggered me to write this! I will see if I can read the book you have recommended before the time comes! Sorry to hear you had a traumatic time last time, and good luck for your home birth.

I think I am just worried about the whole getting stuck thing / SD and the baby being under distress and not getting enough oxygen.

Am I right in thinking that if the baby is in the birth canal and stuck, you cannot have an EMCS if needed? What if the baby just won't come out? Can that even happen?



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Old Aug 27th, 2012, 15:18 PM   6
pompeyvix
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I know that I am worrying over something I have no control over....it's just I have this gut feeling about this baby which just won't go away. I am bordering on asking about c-sections, although I am sure I am just totally over reacting.



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Old Aug 27th, 2012, 15:20 PM   7
louloumenace
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Hun at 32 weeks my little boys ac was the end of the scale his head was in the middle I'm also worried as a midwife told me he wud get stuck but then was told not to worry I know ur worries cus I'm the same but u need to try not to worry x x



 
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Old Aug 27th, 2012, 15:20 PM   8
aliss
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Quote:
Originally Posted by pompeyvix View Post
Am I right in thinking that if the baby is in the birth canal and stuck, you cannot have an EMCS if needed? What if the baby just won't come out? Can that even happen?
If it's the birth canal then yes, they generally do a regular EMCS. They can do a C-section if the baby is stuck by the shoulders but it is very rare, it's called a "Zavanelli" section. I have never heard of one being done "in real life", it's so extremely rare you wouldn't even find literature on it. If the baby really won't come, like mine wouldn't, they will perform an episiotomy, reach in, manually break the collarbone, and pull them out. Now, as freaky as that sounds, it actually didn't hurt me at all and his shoulder was healed within a few weeks. Some soreness after, but that's all, we took him to a chiropractor. Nearly all true dystocias will be resolved without problem. You are more likely to have other scary stuff happen (ie a hemorrhage, bad tear), then a very serious dystocia, but the nature of dystocia sounds scary which is why people are more scared of it.

There is something like 5-7 ways they attempt to dislodge the baby before a manual collarbone break, it is quite rare for it to come to that, let alone any further.



 
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Old Aug 27th, 2012, 15:22 PM   9
Charlie5
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Quote:
Originally Posted by pompeyvix View Post
Thanks Aliss. I think it was your post in another thread that triggered me to write this! I will see if I can read the book you have recommended before the time comes! Sorry to hear you had a traumatic time last time, and good luck for your home birth.

I think I am just worried about the whole getting stuck thing / SD and the baby being under distress and not getting enough oxygen.

Am I right in thinking that if the baby is in the birth canal and stuck, you cannot have an EMCS if needed? What if the baby just won't come out? Can that even happen?
Yes you can, they have to get it out one way or the other so depending on the circumstances they'll forcepts/ventouse or c section or whatever they think best.

I was watching midwifes the other day and a lady has a c section and bubs was too low on the birth canal for them to get properly so the mw had to put her hand up and push it back up a bit so they could get it properly which they did. Don't worry, if needs be they will get bubs out the quickest and safest way for you both



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Old Aug 27th, 2012, 15:25 PM   10
aliss
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Yes it's forceps/ventouse for being in the birth canal. They won't use forceps/ventouse for dystocia, it's not the same "stuck".



 
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