#431: "Hold Your Beer" It's Fetal Macrosomia Guidelines
Birthing Instincts
Dr. Stuart Fischbein + Midwife Blyss Young
4.8 • 691 Ratings
🗓️ 17 September 2025
⏱️ 90 minutes
🔗️ Recording | iTunes | RSS
🧾️ Download transcript
Summary
This week Blyss and Stu go on a deep dive into macrosomia, also known as a large baby. They review extensive data from multiple sources, including ACOG, NICE guidelines, and the Big Baby Study, and discuss the implications of predicted and actual macrosomia. They discuss risk factors, maternal and fetal morbidity, ultrasound accuracy, the pros and cons of induction of labor, and the impact of the standard of care. As always, Blyss balances the conversation with discussing the stark contrast between the way macrosomic babies are cared for in the hospital v at home under the care of midwives. She shares tips on how to reduce the risks of macrosomia, especially when a mom is diabetic or has gestational diabetes.Â
Mentioned in This Episode
Homeopathy for Community Midwives
Birthing Instincts Episode 252: Inducing Naturally & Letting Fear Control Us
Studies Referenced
ACOG Practice Guidelines: American College of Obstetricians and Gynecologists. “Macrosomia.” Practice Bulletin: Obstetrics, Committee on Practice Bulletins—Obstetrics, William H. Barth Jr, MD, and Rebecca Jackson, MD, [2016] PDF.
In This Episode
Macrosomia: Definitions and Risk Factors
Understanding Shoulder Dystocia and Its Risks
Clinical Estimated Weights and Palpation Skills
Induction of Labor and Macrosomia
VBAC and Macrosomia Considerations
Podcast Produced by: Raquel Hernandez, Pride and Joy Doula CareÂ
This show is supported by
- WeNatal | Go to WeNatal.com/Birthinginstincts for a free magnesium with any subscription order.Â
- Wholesome Organics Beauty Company | Go to wholesomeOBC.com and use the code INSTINCTS for 20% off your order.
- BIRTHFIT | Go to birthfit.com and use the code INSTINCTS for 20% off any fitness program.
- Restorative Roots | Go to restorativeroots.com and use code BIRTHINGINSTINCTS to get $20 off
Connect with Dr. Stu and Blyss
- Join our Patreon! patreon.com/birthinginstinctspodcast
- Instagram: @birthinginstincts/@birthingblyss
- Website: birthinginstincts.com/birthingblyss.com
- Email: birthinginstinctspodcast@gmail.com
- Podcast webpage: birthinginstinctspodcast.com
Advertising Inquiries: https://redcircle.com/brands
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Welcome to the Burling Instincts Podcast. |
| 0:05.0 | I'm Dr. Stewart Fishbein, community-based practicing obstetrician and long-time advocate for birth choices. |
| 0:10.0 | And I'm Bliss Young, a licensed midwife. |
| 0:13.0 | Join us in our conversational style podcast where we talk about everything birth. |
| 0:17.0 | Sometimes we laugh, sometimes we cry, but we're happy that you're here. So here we go. |
| 0:21.6 | Oh my God. |
| 0:22.6 | Well, it truly is good morning from here in Utah. |
| 0:27.6 | The sun is up and the construction going on to Bach away as loud as ever. |
| 0:33.6 | And good afternoon, good evening, and good middle of night and everybody else. |
| 0:38.0 | I was thinking that I would talk really fast today. |
| 0:40.5 | Like, you know how people put out of their podcast on one and a half speed or two speed? |
| 0:45.4 | Because I probably need to talk because I got a lot of data today because we're going to talk about macrosomia. |
| 0:51.1 | And I'll get into that minute, but first we have to do our traditional stuff. |
| 0:55.7 | Okay. So where are you now? Bring us up to date. And then I'll get into my stuff. And then we'll get into macrosomia. |
| 1:02.7 | I'm right on the border of Tennessee and Virginia. I had an elder that I was scheduled for yesterday, but she had to go to a birth. |
| 1:12.7 | So I'm kind of in a holding pattern right now until she's ready. |
| 1:16.8 | I think when that happens. It happens. And they apologize. And I'm like, are you kidding me? |
| 1:20.9 | We're we understand how it is. It's fine. Of course. It's raining here. And I haven't had any rain. |
| 1:27.3 | And it's been raining for hours and I looked |
| 1:29.4 | around at the math and literally it's only raining here. |
| 1:33.8 | Everywhere else around, it's not raining, but it's fine. |
| 1:36.0 | It's lovely and I'm near Bristol, which I guess is the home of country music. |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Dr. Stuart Fischbein + Midwife Blyss Young, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Dr. Stuart Fischbein + Midwife Blyss Young and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.

