Should I get induced to reduce risks caused by a big baby?
There are several reasons to get induced for labor, but baby's size is not one of them.
An increase in cesarean birth is one risk, and oxygen deprivation is another. Estimating fetal size is not particularly accurate. The chance of having a slightly premature (called a late preterm) baby is much higher with induction. The March of Dimes warns that babies even a couple weeks early are twice as likely to die in the first year of life than babies that go to their due dates. Natural labor may protect babies that are a couple weeks early, but induced labor does not allow the fetus the same maturing hormones as natural labor. Several studies show that healthy babies are not more likely to die at 41 and 42 weeks as previously thought when looking only at one study that included some health problems. Induction does not protect against shoulder dystocia and may increase it. The common "reasons" for inducing a woman with a baby that is suspected to be large are not so reasonable after all. Find out if there is any medical reason not to go into labor on your own. Not because of statistics, but because of your own personal health status.
Mothers are concerned that the larger baby will hurt more to be born or cause more pelvic floor damage. Very large babies can be associated with higher rates of tearing as the head and shoulders come out, especially if you do have an episiotomy or give birth on your back. But tears and episiotomies (the vagina is cut open by the doctor or midwife) happen when birthing small babies, too. Patience and good skin tone allow many 11-pounders to birth with out a tear. Lying on one's back forces the head into the perineum, so don't birth on your back. A first time mom with a big baby may not want to be on her back, even semi sitting when the head comes out. Tears and cuts are more likely with obstetricians than family practice doctors or midwives. Urinary incontinence is said to be higher among women that gave birth vaginally. And that may be true, but not by significantly greater numbers. Pushing before the urge, having a pudendal block, and use of a vacuum or forceps each increases pelvic floor damage. Nuns and men also have urinary incontinence. A little leaking is more common among all groups of people who are over 50. And the term urinary incontinence doesn't mean you have to wear diapers to have the phrase applied to you. Just one sneeze and dribble gets you in the group of pants wetters.
Doctors are concerned that a large baby will have trouble birthing the shoulders. About 8 in 100 babies near 9 pounds can need help from the doctor or midwife for their shoulders to be born. When babies are over 10-pounds it may be one in ten babies experience shoulder dystocia (stuck). However, neither labor inductions nor preventative cesareans have been shown to reduce the number of cases of stuck shoulders.
After birth, studies show labor
induction for fetal size doesn’t prevent complications and may add
other troubles stemming from the intervention of induction. Inductions
are more likely to end in cesareans than spontaneous birth.
A co-venture video experience with Spinning Babies and Blooma Yoga! Coming Soon!
Spinning Babies; Daily Essentials For Pregnancy Video.
Together Sarah Longacre, international prenatal yoga instructor and birth doula, and Gail Tully, yours truly, created a unique instructional video for flexibility and comfort in pregnancy and to support better fetal positioning in time for birth.
Here are daily activities for stretching and balancing a pregnant body. Start early in pregnancy to prepare to make the most space for baby's best birth position and the most ease for mother's opening during the birth process.
We begin the program for women of average flexibility (or just plain stiff to start with) and beginner tips. But soon, you'll be ready to move freely! That's when Sarah brings the stretches all together into her easy to follow, playful, sensual, and flowing "Blooma Style" daily routine.
Sarah's "dance of opening," moves joints and ligaments to come alive under the delightful melody and percussions of Carin Vagle. This isn't about core strength; its about freedom of movement and creating space in the body.
Sarah plays along with Gail's little game of "Flashlight" to show pregnant women how to evaluate their own posture and positions. Smart Maternal Positioning helps baby snuggle their backs into the front of the womb for Optimal Fetal Positioning.
The Daily Essentials For Pregnancy includes tips for using Maternal Positioning around the house. Actual scenes in the bedroom, living room -and even the bathroom- gives practical instruction like no other video. You will be sleeping more comfortably immediately when using these tips. Within a week or two many pregnancy discomforts of the pelvis and lower back may be reduced when all these nurturing techniques are integrated into your daily lifestyle. Spinning Babies and Blooma Yoga-- a natural collaborative!
Spinning Babies Childbirth Preparation Class.
Soon pregnant parents around the world can take a Spinning Babies class from their own monitor! Join six couples as they learn the reason why Spinning Babies works and how it can enhance your labor and birth.
See techniques to do daily or weekly. Actual, real consultations with two couples right at our class location, one with a breech baby (head up) and one with a baby in a transverse lie (lying sideways).
Couples do the techniques together and show you how to do these at home.
Used alone or with the Daily Essentials, Spinning Babies Childbirth Preparation Class goes beyond the basics. Simple props show complex concepts sweetly. Little-known anatomy is linked to childbirth and the role of fetal positioning.
The section on labor discusses two labor patterns- the one "promised" in other books and the unexpected one associated with the posterior labor. Learn the common causes of long labor and techniques to help baby through the pelvis.
Be empowered; be prepared. After using this video throughout your pregnancy, while we can't promise, of course, you may not need the tips for labor progress. You can use that knowledge to help your neighbor. This video is all Spinning Babies.
Blooma Yoga Prenatal Yoga for AM and PM.
Warm up in the morning and cool down in the evening in two 30-minute sequences. Sarah Longacre shares her own blossoming pregnancy, Blooma style, to the exquisite music of Carin Vagle. Sarah's affirmations will carry you through labor with emotional strength and encouragement. Play this video when the others become too basic and you just want to dance and have fun. Wait, dance? Isn't this yoga? With Blooma and Carin Vagle, your spirit won't know the difference. Soar to greater freedom of movement. Bring your hormones into harmony with the day. Begin your day with serious play. Cool down at night with a sleep enhancing stretch before bed. This video is all Blooma!
Sarah's video is ready for you now! Get Blooma's AM/PM Yoga here
All three videos are professionally produced by Melissa Koch of Grey Duck Productions, with stills by Tanya Villano Photography, each of these three videos are dynamic on their own. Together they will enhance your pregnancy and labor experience with fun and empowerment in the most practical manner. Feel hope for your birth abilities, this is support for your journey. Gain the confidence and flexibility to fully bloom. I believe these videos carry the potential to bring your best birth dreams into the gentle reality.
Compassionately priced. Estimated Due Date for Daily Essentials March 2014; for Spinning Babies Parent Class, Fall 2014.