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Childbirth

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

A big head

6 replies

thunksheadontable · 15/04/2012 21:19

My ds (now 2) had a head that was 95th centile and still does. I had a number of late scans due to suspected breech position where this was predicted, but no one paid too much attention as no one does to these, there is so much room for error.

Anyway, after a long induced labour he got stuck and I had to have a rotational forceps delivery and it was all veyr traumatic.

Baby 2 is due in a few weeks and I had a scan yesterday and it would appear this baby has almost identical profile - large head, slim body, long legs.

Is it all just an urban myth that big heads make things harder? Was my last birth just (bad) luck? Baby's head is measuring four weeks bigger than gestational age... just like his/her brother. I don't much want a repeat of the vaginal trauma... I couldn't walk fully normally for nearly six months!

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k2togm1 · 15/04/2012 22:13

My ds also had and still has a huge head and it did cause trouble for me, it probably was the reason why I stopped dilating at 4 cm as he got stuck LOT. Hope someone with more knowledge and positive experiences comes along. My ds weighted 9lbs11oz but wasn't chubby at all and I'm sure most of the weight is his head!

k2togm1 · 15/04/2012 22:14

Oh, and wish you a wonderful birth!

whenskiesaregrey · 15/04/2012 22:17

Well I was 9lb 7ozs, pretty long and with a big head, and I know my mum had to have forceps as I got stuck. But that is anecdotal after all.

Would you prefer a cs? Could you not use your last birth as reference for a cs?

FlipFantasia · 15/04/2012 22:23

My son (also 2) has a head on the 99.9th centile (he was 97th centile at birth, but his head has grown - it's very rare to cross a centile in size so we had some hospital appointments about it when he was 6 and 10 weeks old - turns out he officially has familial big head syndrome, ie my DH and his family have big heads and DS takes after them!). He had a big head and a slim body and long legs.

Anyway, it was predicted via a scan at 34 weeks, during which the sonographer asked if I was planning a vaginal birth, to which I said yes, a home water birth, to which she replied "oh, with a head that size that should be interesting - good luck with that" Hmm. I was quite annoyed with her response at the time, but definitely not worried about my ability to birth him naturally (was practising hypnobirthing). I was induced at 42 weeks and ended up with an EMCS due to foetal distress, so nothing to do with the size of his head. After the birth, I asked the obstetrician about it at my 6 week check and he said that it generally shouldn't cause a problem during a normal labour (I didn't ask what constitutes a normal labour though!). Turns out one of my NCT friends had a son with a head on the 97th centile and she was the only one of us to have a normal vaginal delivery (with only a minor tear) - she had done hypnobirthing, had a water birth and had done perineal massage (she thinks all of that helped).

My DD was born 3 weeks ago and I had lots of scans with her, again showing a head on the 97th centile. She was also predicted to be big, and I was getting pressure from my obstetrician about my planned vbac - not about the head size (I asked specifically and she said it wasn't a problem - it was a different doctor from the one I saw after DS's birth) but more about the fact that I had gone so overdue with DS and the hospital weren't happy with vbac-ers going past 41 weeks (I had said I wanted to wait to go into labour naturally as long as it took).

As it turns out I went into labour naturally at 2 days past my EDD and had a straightforward birth. Turns out her head was at the top of the chart, but she was only 8lbs4.5oz - so the scans were right about a big head, but as I expected she had a slim body and long legs like her brother. I had an episiotomy, as she went into distress right when I was pushing and she needed to come out pronto, but my second stage was only 9 mins so it all happened quite fast. I've no idea if I'd have torn if I hadn't had the episiotomy...I've healed well, and within days felt physically totally recovered (the EMCS took me weeks to recover from properly). I also found the actual birth amazing, and really enjoyed the labour (compared to DS's labour and birth that is). I had done hypnobirthing again and found it really beneficial.

Sorry for the rambly post - am typing one hadned while feeding DD - but I think my problems first time around were caused by being induced (I had immediate hyperstimulation so had a pretty bad time of it - DS was also posterior, so back to back labour). Second time around going into labour naturally, and DD being in a good position, meant I had an easier time of it.

But your first birth sounds traumatic so I imagine you're considering an ELCS too. A friend had rotational forceps for her first and had a planned section for her second, as she couldn't face a vaginal birth again (totally understandably).

MsMoo · 16/04/2012 09:48

You do have options if your baby is suspected of being this large, repeating the previous attempt and hoping it doesn't go the same way or it might be worth considering a planned caesarean. There are risks with both vaginal and caesarean birth obviously but the risks are different and it should be your assessment of those that informs your decision rather than anything you midwife is telling you to do.

There is a book 'Caesarean Birth: A positive approach to preparation and recovery' by Leigh East www.csections.org which evaluates both modes of birth and presents a detailed risk/benefit assessment. It may be useful in helping you work out which way you want to try things this time. It has loads of stuff about preparation and recovery so that your caesarean birth can be as rewarding an experience as any vaginal birth can be.

Good luck

k2togm1 · 16/04/2012 20:33

Agree with flipfantasia about blaming the induction for much of what goes wrong, trouble is once you get really overdue it's difficult to make rational decitions and/or be brave enough to really go through with expectant management. Well done flip for what sounds like an amazing vbac.

I wish I had planned my emcs (I just put in my birth plan 'if a cs is needed discuss with us)... Hmm at the time after a two day induction and g&a and epidural, etc I would have declared war on Mars for all I could think straight. There are a few things that bother me, like not having skin to skin which if you plan and prepare for you can have, I would also have liked to have the screen down and seen the baby come out. I saw a cs in obem (and therefore counts as research) and you don't actually see anything gruesome, so I would not have minded looking down when he was about to come out.

Whatever you decide, best of luck.

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