Tag Archive for: Adelaide baby

Induction for Suspected Big Baby: What the Evidence Really Says

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So You’re Having a “Big” Baby? Understanding Induction for Suspected Macrosomia

Being told your baby might be “big” can trigger a wave of emotions — excitement, worry, pressure, or confusion. Many parents suddenly find themselves facing recommendations for induction of labour or even a planned caesarean, often without a clear understanding of the evidence behind those suggestions.

This article brings together high‑quality research from Cochrane, Evidence Based Birth, and Dr Sara Wickham to help you feel informed, confident, and empowered.

How Accurate Are Predictions of a “Big” Baby?

One of the most important facts parents rarely hear is this:

  • Around half of all babies suspected of being big are actually average size at birth.

Evidence Based Birth reports that both ultrasound and abdominal palpation have wide margins of error — often 10–15%. That means a baby estimated at 4.2 kg could easily be 3.6 kg.

Dr Sara Wickham’s review of the Big Baby Trial found that 58–60% of babies labelled “big” on ultrasound were not big at birth.

In other words, many families are making major decisions based on an estimate, not a certainty.

Why Induction Is Often Recommended

The most common reason given for induction or caesarean is to reduce the risk of shoulder dystocia, a situation where the baby’s shoulders become stuck after the head is born.

Shoulder dystocia can be serious — but the evidence shows a more nuanced picture than many parents are told.

Induction of labour

induction for suspected big baby

Does Induction Reduce Shoulder Dystocia or Injury?

Here’s what the research consistently shows:

From the Cochrane Review

  • Induction may slightly reduce the rate of shoulder dystocia.
  • But it does not reduce brachial plexus injury, the main injury parents are told induction will prevent.
  • Induction does not improve neonatal outcomes.
  • Induction does not reduce caesarean rates.

From Evidence Based Birth

  • Induction for suspected big baby does not prevent serious complications.
  • The risk of shoulder dystocia is not eliminated by induction.
  • Many babies labelled “big” are not big at all.

From Dr Sara Wickham

  • 94% of babies weighing 4 kg or more do not experience shoulder dystocia.
  • Shoulder dystocia can occur with babies of any size.
  • Being told your baby is “big” can increase fear, anxiety, and pressure — even when the baby is average size.

The key takeaway: Induction does not prevent the harm it is intended to prevent.

Risks of Induction for Suspected Big Baby

Induction is not a neutral intervention. When done for a baby who may not even be big, the balance of risks becomes even more important.

Research shows induction for suspected macrosomia can increase:

  • Longer, more intense labour Induced contractions are often stronger and more painful.
  • Perineal tearing Faster or instrumental births can increase the risk of significant tears.
  • Birth trauma Both physical and emotional trauma can be more common.
  • Fetal distress Stronger contractions can reduce oxygen flow.
  • Emergency caesarean Especially if the cervix is not ready and induction fails.

These are not small considerations — and parents deserve full, balanced information.

What About Planned Caesarean?

Some providers recommend a planned caesarean to avoid shoulder dystocia altogether. However:

  • Caesarean carries its own risks: infection, haemorrhage, longer recovery, and complications in future pregnancies.
  • Most babies suspected of being big are not big.
  • Most big babies are born vaginally without complications.

Routine caesarean for suspected big baby is not supported by evidence, except in very specific circumstances.

So What Are Your Options?

1. Ask for the actual evidence

You’re entitled to know the absolute risks — not just the scary possibilities.

2. Consider the accuracy of the estimate

If there’s a 50% chance your baby is average size, does the recommendation still make sense?

3. Explore all your options

These may include:

  • Waiting for spontaneous labour
  • Monitoring and reassessment
  • Declining induction
  • Discussing your individual risk factors

4. Seek supportive, evidence‑based antenatal education

This is where high‑quality childbirth education makes a real difference.

Want to Feel Calm, Confident, and Informed?

If you’re navigating decisions about suspected big baby, induction, or birth choices, evidence‑based childbirth education can be transformative.

My Hypnobirthing Adelaide classes provide:

  • Evidence‑based information so you understand your options
  • Tools for calm, confident labour
  • Strategies for informed decision‑making
  • Support for empowered birth experiences

You can learn more here: 👉 https://www.katebergamasco.com.au/hypnobirthing-adelaide/

These classes are designed to help parents feel grounded, informed, and in control — no matter what recommendations they receive.

Final Thoughts

Being told your baby might be “big” can feel overwhelming, but the evidence is clear:

  • Size predictions are often inaccurate
  • Induction does not prevent the injuries parents are told it will
  • Induction introduces its own risks
  • Many big babies — and many babies suspected of being big — are born safely without intervention

You deserve balanced information, supportive care, and the confidence to make decisions that align with your values and your birth preferences.

Natural Childbirth in Adelaide’s Private Hospitals

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Natural Childbirth in Adelaide’s Private Hospitals

Choosing where and how to give birth is one of the most important decisions expectant parents make. In recent years, there has been a decline in natural childbirth in Adelaide’s private hospitals due to higher intervention rates .This trend doesn’t have to continue.With greater knowledge parents can advocate and negotiate their wishes

In this blog, we explore why natural birth is beneficial for mothers and babies and how you can prepare for the birth experience you truly want in a private hospital setting..

What Is Natural Childbirth?

Natural childbirth typically refers to labour and birth with minimal medical intervention, allowing the body to progress as naturally as possible. Many parents choose this option because they value an active role in labour, holistic comfort measures and a more instinctive birthing experience.

Adelaide’s private hospitals cater to a range of birthing preferences, making it possible to pursue a natural approach with expert care available when needed.

Why Choose (Natural)Childbirth in Adelaide’s Private Hospitals?
1. Personalised and Consistent Care

Private maternity hospitals offer personalised attention, continuity of care and the ability to work closely with your chosen obstetrician . This consistency helps parents feel well supported throughout pregnancy, labour and birth.

2. Calm and Comfortable Birthing Environments

Many families select Adelaide’s private hospitals for their modern maternity suites, spacious birthing rooms, and soothing environments designed to support natural labour techniques such as movement, water therapy, breathing and relaxation.

3. Flexibility to Follow Your Birth Plan

Natural childbirth is most successful when your care team supports your goals. Private hospitals in Adelaide often provide flexibility and respect for your birth plan, encouraging active birth positions, low-lighting, minimal monitoring when safe, and alternative pain-relief options.

4. Access to Medical Support if Needed

One of the biggest advantages of choosing a private hospital is the balance of natural birth support with immediate medical care if required. This gives parents peace of mind while still pursuing a low-intervention birth experience.

Preparing for a Natural Birth in a Private Hospital
✓ Attend private antenatal or childbirth education classes

Knowledge builds confidence. Many  local childbirth educators offer classes that focus on natural birth preparation.While some hospital classes may focus on interventions, private practitoners value more empowering language

✓ Create a clear and informed birth plan/preferences 

Outline your preferences regarding positions, pain management, monitoring and postpartum care. Share it with your obstetrician or midwife early.If your provider doesn’t support your wishes early in pregnancy, this may cause you to question if they are the right person for you.

✓ Choose a care team aligned with your goals

Working with an obstetrician or midwife who values natural birth greatly improves your chances of achieving it.Make sure you feel comfortable with your choice.If NOT -change before you pay for pregnancy management fee.

✓ Practise comfort techniques

Breathing, movement, massage, warm water, and mindfulness can all support a smooth natural labour.

Is Natural Childbirth Right for You?

Every birth is unique, and the right environment matters. If you’re hoping for a calm and empowered experience, natural childbirth classes in Adelaide offers an ideal balance of choice, comfort, privacy and professional support.

Exploring your options early in pregnancy can help you find the care provider and hospital that best align with your vision for birth.

To chat to Kate please CONTACT ME 

or

If youre ready to book a class which ticks all the boxes and recommended by many private OBs in Adelaide

BOOK NOW

Childbirth classes in Adelaide

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Childbirth classes in Adelaide

Achieve a drug free and active birth

An active birth is often the key to achieving a vaginal birth with less need for pharmacological pain relief.

Your body i built for birth but with impact of TV, internet and medical involvement in this natural process, society has lost perspective.We see so many dramatic birth, we hear so many traumatic stories and medical science crates such a fear , that we have lost perspective.

In fact research shows that women who are well informed about how the female body , hormones and environment work in sync, have more positive bieth outcomes than women who only receive standard childbirth education.

What is the difference ?

In standard childbirth classes, women are informed about medications, procedures and hospital policies.

Information is often presented in such a way that women and partners feel they dont have choices about procedures.

STaff are employed by the hospital and therefore the content is dictated by the organization.

Independant childbirth classes

Provide evidence based, natural   , positive and empowering information.Couples are provided with more infomration on how the hormones worlk with the body to promote natural labour.

Youll recive information about different positions, breathing techniques, accupressure points and undrstand how they work with your body to promote natural birth

Accupre4ssure pointslight touchPr4essure points help labour

Join my next group class

Best options for pregnancy exercise in Adelaide

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Best options for pregnancy Exercise in Adelaide

Exercise in pregnancy is not only safe ( unless otherwise advised) it is beneficial for mums mental and physical wellbeing

Best options for exercise include aqua classes / yoga/ pilates and Adelaide active can provide you will options during and after pregnancy for you and your baby

AquaBumps Class

Exercising in the water during pregnancy provides gentle resistance and relief from pressure on your joints. AquaBumps classes are tailored to expectant mums, helping reduce swelling, improve circulation, and provide a calm space to relax while staying active.

Benefits

Relieve pressure on joints and back

Experience relief from musculoskeletal discomfort with targeted techniques that address pain and tension, helping you move freely and comfortably.

Improve circulation and reduce swelling

Boost your circulation with our therapeutic methods, which help improve blood flow, delivering vital nutrients and oxygen to your muscles and tissues.

Relax and feel weightless in the pool

Unwind and rejuvenate as our class promotes relaxation and reduce stress, allowing you to feel calm and centred

Clinical Pilates Classes

Clinical Pilates is a safe and effective way to support your body through pregnancy and beyond. Led by experienced physiotherapists, these classes focus on posture, stability, and controlled movement to help you stay strong, mobile, and confident as your body changes.

Benefits

Reduce back and pelvic pain

Targeted exercises help relieve common pregnancy discomforts, supporting your spine, hips, and pelvis for easier movement and daily comfort.

Strengthen your core and posture

Gentle core activation and alignment work help stabilise your body, improve posture, and prepare you for labour and recovery.

Feel energised and confident in your body

Build strength and body awareness in a safe, encouraging space designed to help you feel capable and supported.

Mums & Bubs Clinical Pilates

Our Mum & Bubs Clinical Pilates classes are designed to help you recover safely after birth with your baby right by your side. These sessions rebuild strength, stability, and confidence while creating space to bond and connect with other new mums.

Benefits

Safely restore strength after birth

Rebuild your core and pelvic floor through gentle, guided exercises that support recovery and reduce postnatal discomfort.

Bond with your baby during exercise

Enjoy the special connection of sharing movement time with your little one. Your baby can lie beside you or join in for gentle interaction.

Connect with other supportive mums

Be part of a community that understands the ups and downs of early motherhood, where encouragement and laughter are always part of the class.

Find out more

The seduction of induction at Xmas

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We are coming into silly season

The time when Xmas plans are being made and when you’re pregnant you’re most likely hoping for your baby’s sake he or she is not born on Xmas day

If your baby is due around Xmas there is often the seduction of being induced to be sure your baby doesn’t have to share hospital birthday

With that concern comes the seduction to accept an induction of labour

Ask any midwife in a private hospital and they will be dreading the week leading up to Xmas as they know the “induction book” will be bursting at the seems with inductions

Of course any one would rather keep Xmas day and the days either side quiet so that more staff can spend the day with their families .

But Xmas ( Easter etc etc ) are not valid reasons to induce a baby .

Induction of labour techniques were introduced with the good intention of ending pregnancy early when there is valid medical reason .

Valid reasons can include hypertension of pregnancy and or a baby who doesn’t seem to be growing and thriving in utero .

Induction of labour comes with risk . When the benefits of induction ( such as reducing risk of hypertension for mum or slow growth for baby ) outweighs the risks – then of course induction should happen in a timely matter – no matter what day of the week it is .

When the reason for induction is – Xmas day / Easter / weekend / Doctor going on holiday – the benefit probably doesn’t out weigh the risk .

What are the risks of induction of labour ?

More discomfort during the labour process and therefore more use of pain medications

More risk of baby becoming distressed during the “artificial” contractions leading to increase risk of instrumental birth ( forceps or c section

Increased risk of infection

Increases risk of postpartum bleeding

Increased risk of baby needing special care nursery due to distress / infection / lung immaturity

Increases risk of baby needing care for jaundice a associated with being born before due date and the use of forceps

Decreases breastfeeding rate – due to pain relieving medication and baby immaturity

Increases risk of perineal tears

Decreased satisfaction of birth experience ( due to increased levels of discomfort )

There have been studies over the past decade which have resulted in higher number of women being “offered” induction of labour – the study did not look at the impact of induction on baby’s in short and long term .

The rates of induction over the past 2 decades have increased dramatically

The percentage of stillbirth has NOT decreased ( and therefore induction of labour at 39-30 weeks can not be claimed to reduce stillbirth rates

Many women are also offered / encouraged induction due to their baby being “large” . This estimate is based on ultrasound which is not effective at predicting size and can over ( or under) predict by 10-20 percent .

Having an induction of labour to avoid Xmas day may seem very enticing BUT keep your eye on the longer term effects of unnecessary interventions .

Gaining more knowledge about your options for birth is vital for you and your baby ( physical and mental wellbeing)

My positive birth classes provide you and your partner with the knowledge , tools and confidence to advocate and take charge over your pregnancy and birth

 

Induction of labour tips

When is THE best time to begin Hypnobirthing ?

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When is the best time to start a hypnobirthing class ?

All too often I have messages from mums at 36 weeks ask if it’s too late to do Hypnobirthing !!

While it’s never too late ( I’ve had a mum start at 38 weeks – we had to do a full day intensive to be safe) it’s ideal to begin between 20-30 weeks gestation .

By starting as early as 24 weeks – you gain a great deal of knowledge and confidence about your options throughout pregnancy.

I’ve had a few couples , who have reevaluated their choices in care provider after beginning their Hypnobirthing classes . The reason- they started to follow their gut – that the care provider was suggesting interventions around birth before there was indications !

Hypnobirthing is more than just feeling calm and in control of your options – it’s about developing an understanding that each birth is different BUT it IS what your body is meant to do . We emphasise that yes interventions are great IF we need them BUT all too often – our society is over medicalising birth . When you are armed with knowledge you have the confidence to demand individualised care and only accept interventions when they suit your individualised situation .

What’s more – your partner and you will be able to work as a team – fully confident about what you need during pregnancy and birth to have a positive experience .

To have a better idea of why I am so passionate about private childbirth education classes – watch a birth documentary called birth time – it’s gives a personal perspective of birth from many women in Australia .

If you’re ready for a positive birth- BOOK NOW

If you have any questions please call me direct 0409480493

When should i start hypno-birthing classes ?
Learning techniques for a calm birth