29/09/2023
DOES HAVING A BIG ABDOMEN MEAN MY BABY IS GROWING WELL?
📍Many women are concerned about the size of their bumps during pregnancy. They are always asking if my bump is small and it is not growing as big as I expect. Will it affect my baby? Is it safe?
📍The answer is your fundal height is what usually gives a midwife a clue as to whether the baby is small for date or big for date. Fundal height is what you see a midwife using tape measure to measure the bump. So it does not really depend on the appearance of your bump. A scan can also be done to determine your fetal weight. Your midwife or doctor will alert you when there is a deviation.
📍At birth your expected fetal weight considered normal is 2.5 kg to 3.5 kg. Anything less or more is considered as underweight or overweight.
📍Babies that are born and are overweight or big come with their own problem. Some include respiratory problems , birth injuries, hypothermia, hypoglycemia/reduced glucose level in the blood, still birth etc
📍Before your due date your doctor will request a scan. This scan can predict your baby's weight. Together with measuring your fundal height, a doctor may diagnose that you are likely to have a big baby.
📍Birth has to be done by a skilled attendant in a hospital. If the baby is very big, the doctor may request a caesarian section.
📍Mothers with gestational diabetes are likely to have big babies and it is important that birth is done in a hospital with a neonatal intensive care unit to resuscitate the baby where needed. During pregnancy glucose should be controlled to prevent complications
📍Eating a well balanced diet, exercising and taking prescribed medication can help you get a healthy weight for your newborn
📍After reading this, I hope you see that having a healthy baby does not mean the baby should be big or your bump should be big!