Just a couple of questions first? Has she got polyhydramnios? with such a sudden increase in fundal height. If her fundal height was larger than dates i.e. 1cm all along it probably isn't a problem. Is the same person measuring the fundal height each week? Is she a multip?
I am only 161cm tall, and my second baby was 4.950kg. I was huge. My fundal height was bigger than dates from about 21 weeks, but I didn't have any sudden increases as your lady. My midwife was concerned at 21 weeks, had an ultrasound, but everything was O.K. I delivered at 41weeks, vaginally with 1 degree tear. I was on my feet standing and ambulating around the room and in and out of the shower for 6 hours of labouring and not stuck to a bed on a CTG (although this was 13years ago and I guess things have changed). I am glad I was not a midwife then because I would have been worried about shoulder dystocia etc, but I obviously had the pelvis for such a big baby. I hope all goes well for her and just remember that most women with a bigger than average baby on-board have a pelvis able to deliver him/her. Just make sure there are resources and skilled people necessary if the delivery does become difficult. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Belinda Maier Sent: Thursday, 17 March 2005 11:22 To: [email protected] Subject: [ozmidwifery] big baby Just looking for some ideas to help a woman in my antenatal class today . She has apparently got a 4.2 kg baby by ultrasound at 37weeks. She is very uncomfortable and now worried. The ultrasound was done because of increased fundal height 5cm in 1 week. The baby had no abnormalities although a high feta alpha protein early in pregnancy. The parents refused any further testing. Does anyone know if Downs syndrome could be a factor? also any tips I can pass on to her, I have discussed with her the probs with ultrasound weights, big babies, birth, she is very tall as is her husband, stressing about the size in labour affecting her labour ... I am pretty caught up in other stuff at the moment which means my pot is boiling over! I want to make sure I can help her. Thnaks Belinda -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
