Q:My first baby was big at 10lb 7oz (4730g),and two weeks overdue.During labour,her shoulders got stuck.I'm now 31 weeks pregnant and have a growth scan at 36 weeks as this baby is also big.I'm scared it will happen again.What can I do?
A:Firstly,the fact that you had a big first baby and her shoulders got stuck ( shoulder dystocia) will be highlighted in your maternity notes.Unfortunately,consecutive babies can be bigger,so there is an increased risk of recurrence if you go overdue.Discuss the delivery options with your obstetrician,who may suggest early induction once you've had the 36 week scan.You may also be offered an elective Caesarean at 37 weeks.You may have gestational diabetes - a temporary diabetes that develops in pregnancy and can result in your baby being too 'big for dates',so you may be offered a blood test.Being prepared is the best policy and,hopefully,this time around,your labour and delivery should be less traumatic.
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