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Down to Birth

#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

Pregnancy, Childbirth, Postpartum, Midwives, Alternative Health, Home Birth, Society & Culture, Newborn, Documentary, Hypnobirthing, Kids & Family, Health & Fitness, Breastfeeding, Pregnant, Birth, Maternity, Motherhood

4.8586 Ratings

🗓️ 6 March 2024

⏱️ 61 minutes

🧾️ Download transcript

Summary

In this episode, we welcome back Dr. Stu Fischbein for his third appearance on Down to Birth Show. We start the conversation by catching up on some of the latest problems occurring on the birth scene including VBACs, aspirin in pregnancy, the monetization of birth, late pregnancy ultrasounds, big babies, and due dates, before we get into the meat of the episode on Intrauterine Growth Restriction (IUGR). Dr. Stu shares a letter from one of his followers regarding her IUGR diagnosis resul...

Transcript

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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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