Episode 151 - Big Babies, Small Babies: Understanding Size, Scan Accuracy, and Your Choices at the End of Pregnancy

Episode 151 - Big Babies, Small Babies: Understanding Size, Scan Accuracy, and Your Choices at the End of Pregnancy

May 11, 2026 · 17 min · Season 13 · Episode 1

About this episode

This episode discusses the implications of baby size at the end of pregnancy and the accuracy of growth scans.

In this episode, I unpack one of the most common concerns at the end of pregnancy: baby size. Whether you’ve been told your baby is “big” or “small,” this conversation can quickly lead to discussions about induction, monitoring, or caesarean birth. This episode breaks down what those labels actually mean, how accurate growth scans really are, and how these predictions can influence decision-making. References 1.American College of Obstetricians and Gynecologists. (2020). ACOG Practice Bulletin No. 222: Fetal Macrosomia. Obstetrics & Gynecology, 135(3), e18–e35. https://doi.org/10.1097/AOG.0000000000003770  2.Royal College of Obstetricians and Gynaecologists (RCOG). (2017). Management of Suspected Fetal Growth Restriction. Green-top Guideline No. 31. https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/fetal-growth-restriction/  3.Melamed, N., Yogev, Y., Glezerman, M., et al. (2009). Inaccuracies in ultrasound estimation of fetal weight: implications for clinical management. Obstetrics & Gynecology, 114(5), 1077–1084. https://doi.org/10.1097/AOG.0b013e3181bb3b43  4.Deter, R. L., et al. (2018). Ultrasound estimated fetal weight: Accuracy…

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Host: The Nurture Nest

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Mentioned in this episode

Organizations: American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynaecologists

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