A suspected big baby isn't always a big baby, but the label alone can change a birth plan and how a birth is managed. In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire explore the updated evidence on suspected big babies, including how accurately ultrasounds can predict birth weight and how the label of a "big baby" can influence birth outcomes. They break down the risks of shoulder dystocia and other birth complications, examine new research on early induction, and discuss the potential benefits and risks of planned Cesareans for big babies.
(08:04) What is a big baby, and how common are they?
(13:22) Factors associated with having a big baby
(16:54) How suspected big babies are identified and managed during pregnancy
(21:20) Risks and complications of shoulder dystocia
(28:20) Brachial plexus injuries and the importance of provider training
(35:03) How the suspicion of a big baby can influence birth outcomes
(37:27) How accurate are ultrasounds and other fetal weight estimates?
(43:08) New research on early induction for suspected big babies
(52:30) Cochrane Review findings on induction and birth outcomes
(55:54) Evidence on planned Cesareans for suspected big babies
(01:04:09) Key takeaways and evidence-based decision-making for big-baby pregnancies with and without GDM
