Big baby, what childbirth?

Big baby, what childbirth?

"I'm seven months pregnant and my baby is already weighing 2.5 kg, I'm worried a bit, because at this rate, it should weigh 4,750 kg, I'm not wide of the pelvis." will it be possible? "Dr. Jeanne Coursier, a gynecologist-obstetrician, answers Céline's question.

The answer of Dr. Jeanne Coursier, gynecologist-obstetrician at the clinic of Wood, Lille

  • "There is really no weight limit for the baby to give birth vaginally, the important thing is to know the presentation of the child (head down or seat) and to confront the mother's pelvis. For this purpose, a pelvimetry (scanner that can measure the pelvis) may be necessary.If it is in the seat, pelvimetry is systematic.
  • But if everything indicates that birth is possible vaginally, there is no reason to stress unnecessarily. A big baby does not necessarily mean a more painful delivery, although the risk of shoulder dystocia is more important. On the other hand, if the work does not go well, for example if the dilation of the cervix is ​​a bit sluggish, it will be easier to move to a caesarean with a big baby.
  • Afterwards, it should be kept in mind that the ultrasound gives an estimate of the birth weight with a margin of error of 10 to 15%. "

The mothers' point of view

  • "My birth is also close and my baby is announced at 4.5 kg!" My first child was also a big baby of 4.4 kg for 54 cm, while I did not have gestational diabetes either. do not hide the fact that my vaginal delivery was painful! This time, my obstetrician advised me to have caesarean section, it's up to you to discuss it with your doctor. " Sophie
  • "Within a month, you will have to have a pelvic radio and your gynecologist will decide on your delivery, with you.If your baby is more than 4 kg, I advise you to see with him to consider a caesarean. I gave birth naturally to a baby of 4.540 kg for 55 cm and I admit that it was difficult.I had an episiotomy and if it was again, I would opt for a caesarean without hesitation. luck ! " Virginia

Other expert answers.