#255 | What's Up with Intrauterine Growth Restriction: An Off-the-Record-Style Conversation with Dr. Stu Fischbein
Down to Birth
Cynthia Overgard & Trisha Ludwig
4.8 • 586 Ratings
🗓️ 6 March 2024
⏱️ 61 minutes
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| 0:00.0 | Most pregnancies don't have a problem. |
| 0:04.9 | Yet in OB world, almost all pregnancies have a problem. |
| 0:08.3 | Somebody is not right. |
| 0:09.4 | They both can't be true. |
| 0:10.3 | So many mothers are given a diagnosis of IUGR at a single visit. |
| 0:14.3 | How can you diagnose growth restriction if you're not comparing between more than one data point? Well, the diagnosis used to be |
| 0:23.2 | IEGR was less than the third percentile by weight, not by abdomen or thing, and 10th percentile |
| 0:29.0 | was small for gestational age. But now they've sort of, they've sort of blurred the lines between |
| 0:34.0 | those two. They don't care whether it's small for gestational age or IJR. They don't feel |
| 0:39.1 | that their intervention has any negativity. If you're just going, because it is so delightful to |
| 0:44.4 | see your baby, let's face it, try to talk a woman out of doing an ultrasound. But now you are |
| 0:49.3 | responsible that you opened up a can of worms. We know if they tell you the fluid levels are low, they're going to recommend induction. We know if they find a baby they say is big, and we also know that they're wrong, the vast majority of the time anyway, we know they're going to push a scheduled C-section. We know they're going to tell you it's IUGR. Well, now the best thing you can do is don't get yourself into this mess. Ultrasound has never been shown to make |
| 1:12.9 | low-risk women any safer in decades. I'm Cynthia Overgard, owner of hypnoborthing of Connecticut, |
| 1:21.6 | childbirth advocate, and postpartum support specialist. And I'm Tresha Ludwig, certified nurse midwife and international board certified lactation |
| 1:30.2 | consultant. |
| 1:31.1 | And this is the down-to-birth podcast. |
| 1:35.7 | Childbirth is something we're made to do, but how do we have our safest and most satisfying |
| 1:40.5 | experience in today's medical culture? |
| 1:42.8 | Let's dispel the myths and get down to birth. |
| 1:52.3 | Hi, guys. |
| 1:54.0 | Hey, Stu. Hi, Stu. Welcome back. It's always good to talk to you both. |
| 2:00.4 | Always nice to see your smiling eyes. |
... |
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