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Childbirth

Share experiences and get support around labour, birth and recovery.

Considering maternal request c section for large baby

57 replies

CoralFz · 01/07/2023 07:05

I am currently 38+3 weeks and the other day I had a growth scan. I was told baby is already estimated 8lb5 and could be around the 9lb5 mark at due date. Having a large baby hadn't occurred to me before then and I was fully prepared for VB. I know hes not as big as he could be and people have birthed bigger naturally. I'm also 5ft7 and perhaps that's why they didn't seem overly concerned too.

However, after the scan I spoke to a doctor. Male, older, quite blunt and not at all reassuring. He went through the risks of LGA babys and VB telling me about increased risk of a heavy bleed, more of a liklihood of instrumental delivery, baby getting stuck, tears that extend the all the way to the back passage etc etc. In all honesty he scared me completely. Obviously these are always the risks with VB but to be told two weeks before due date that these things are now more likely has sent me into anxiety over drive.

He has booked me in for another scan when I am 40 + 1 weeks and it just wasn't sitting right with me. I kept thinking but if I go into labour on or just before my due date and he's as big or bigger than they're estimating I've had no time to consider other options.

I spoke to my midwife yesterday and she was very understanding. She reassured me that growth scans aren't always accurate and that the margin of error could be around 20% either way. (Although in my head that could be a margin of error that he's actually 20% heavier than they estimated too!)

She asked me what I would feel more comfortable with in terms of perhaps induction or c section. I am quite against induction specially at this point as I know it can sometimes be a long drawn out and more painful process than spontaneous labour. Even taking days or upto a week to give birth, and that would ultimately take me to my due date anyway.

I asked if perhaps I could have elective csection booked 1 week before my due date. Giving baby a chance to arrive sooner by VB around his current size and the csection be there as a back up so I don't go any further. She assured me this should be fine. Though I got quite upset as I know there is some stigma around mrcs and I feel some kind of shame around asking and that I may be judged. She was lovely, told me it's my body and that it's not uncommon for ladies to elect for csection with larger babies.

I now have another consultation booked for a couple of days time to discuss this all (purposefully with a different doctor to the one who scared me). But I'm still struggling with that feeling of am I doing the right thing?

I've spoken to my partner and parents and a friend and they have all been supportive and say that if a csection allows baby to be delivered safely without getting stuck without trauma and I'm avoiding all the risks mentioned then it is fine to take this route. That if I went ahead with VB and something did happen I would kick myself for not following my gut. I just wish there wasn't this guilt feeling, even though I'm fully aware a csection is in no way an easy way out either.

OP posts:
GHxx · 01/07/2023 07:15

100% have the csection! I had one last time and I’m about to have another. It’s a much more calm and controlled process in my experience and I’m hoping it’s the same again this time. People don’t really care that you had a section, some nosey people need to know ‘why’ but baby being too big is a very short sharp answer to shut them up! I used to so hate the fact some people would think it was okay to ask why. It’s no one else’s business and you’d never ask for details of anyone’s gynaecologist visit so why do people suddenly need to know the ins and outs of the workings of your reproductive system just because a baby is involved 🙈

You could potentially still have baby early and it could all be fine and they could be completely wrong about the weight but if you think it would ease your anxiety to have the section booked 100% go for it. I have friends who have had much quicker recoveries from csections than tears, blood loss etc where they haven’t been able to sit down for months

vdbfamily · 01/07/2023 07:14

Having had 2 x VB and an emergency CS, I personally don't see why they are ever considered the easier option although an emergency CS is a bit different as you still go through some of the labour.
Is it first baby. Mine was 3rd and I had 2 other preschoolers to look after plus a newborn which may have been why I found life so hard post CS with the recovery time and restrictions on lifting etc.
I had a 9.5 lb baby and my labour was not noticeable worse than my 7.5 lb baby and I do agree the weight predictions are often not accurate.
I also had 3 X inductions, so I cannot compare that with a non induction, but I would have thought that might be best option if you don't want to go over term.

CornishGem1975 · 01/07/2023 07:13

Have the C-section. I was induced for a large baby. Induction took 5 days, I got to 10cm dilated, lots of pushing and ended up with an emergency c-section as his giant head didn't move down.

You'll also have a lot of people come on here and tell you scans are wrong and tell you about how small their babies were. Yep, scans can be wrong. My baby was a whole pound heavier than the several growth scans predicted and was almost 10lb.

CoralFz · 01/07/2023 07:13

Justchooseone · 01/07/2023 07:10

Have the C section. I’m 5 foot and had a nearly 9 pounder and had most of the complications/interventions you describe. It was awful. Do what’s right for you.

Sorry to hear that, Do you think height plays a part in being able to birth a larger baby or complications can happen to anyone regardless?

OP posts:
Infusionist · 01/07/2023 07:11

Why would you feel guilty about a CS? There’s no reason at all for guilt!

If it’s best for you and baby (and ‘because I want it’ is a decent reason for it to be best), then go for it!

Justchooseone · 01/07/2023 07:10

Have the C section. I’m 5 foot and had a nearly 9 pounder and had most of the complications/interventions you describe. It was awful. Do what’s right for you.

HalfasleepChrisintheMorning · 01/07/2023 07:06

Have the ELCS.

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