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post-35351 post type-post status-publish format-standard has-post-thumbnail hentry category-plus-size-birth tag-plus-size-pregnancy mv-content-wrapper"> <header class="entry-header header-singular wrapper"> <h1 class="entry-title article-heading">How much does your BMI increase the odds of shoulder dystocia?</h1> <div class="article-meta post-meta-wrapper post-meta-single post-meta-single-top"> <p class="author-meta post-author meta-wrapper"> By: <span class="byline"><span class="screen-reader-text">Author </span><a class="url fn n" href="https://plussizebirth.com/about/">Jen McLellan, CBE</a></span> </p> <p class="meta-wrapper "><span class="posted-on"><span class="screen-reader-text">Posted on </span><time class="entry-date" datetime="2023-08-11T01:54:20-06:00">August 11, 2023</time></span></p> </div> </header> <div class="entry-content mvt-content"> <style>img#mv-trellis-img-1::before{padding-top:63.671875%; }img#mv-trellis-img-1{display:block;}img#mv-trellis-img-2::before{padding-top:99.6%; }img#mv-trellis-img-2{display:block;}img#mv-trellis-img-3::before{padding-top:99.6%; }img#mv-trellis-img-3{display:block;}</style><div class="swp_social_panel swp_horizontal_panel swp_flat_fresh swp_default_full_color swp_individual_full_color swp_other_full_color scale-100 scale-" data-min-width="1100" data-float-color="#ffffff" data-float="left" data-float-mobile="none" data-transition="slide" data-post-id="35351"><div data-rocket-location-hash="badbf1c019697797e6bb7139cadc954b" class="nc_tweetContainer swp_share_button swp_pinterest" data-network="pinterest"><a rel="nofollow noreferrer noopener" class="nc_tweet swp_share_link noPop" href="https://pinterest.com/pin/create/button/?url=https%3A%2F%2Fplussizebirth.com%2Fshoulder-dystocia%2F" onclick="event.preventDefault(); var e=document.createElement('script'); e.setAttribute('type','text/javascript'); e.setAttribute('charset','UTF-8'); e.setAttribute('src','//assets.pinterest.com/js/pinmarklet.js?r='+Math.random()*99999999); document.body.appendChild(e); "><span class="swp_count swp_hide"><span class="iconFiller"><span class="spaceManWilly"><i class="sw swp_pinterest_icon"></i><span class="swp_share">Pin</span></span></span></span></a></div><div data-rocket-location-hash="64a2ec561cbdd98dd24da21d1884cfa3" class="nc_tweetContainer swp_share_button swp_facebook" data-network="facebook"><a class="nc_tweet swp_share_link" rel="nofollow noreferrer noopener" target="_blank" href="https://www.facebook.com/share.php?u=https%3A%2F%2Fplussizebirth.com%2Fshoulder-dystocia%2F" data-link="https://www.facebook.com/share.php?u=https%3A%2F%2Fplussizebirth.com%2Fshoulder-dystocia%2F"><span class="swp_count swp_hide"><span class="iconFiller"><span class="spaceManWilly"><i class="sw swp_facebook_icon"></i><span class="swp_share">Share</span></span></span></span></a></div></div><p>You might have heard that BMI increases the odds of shoulder dystocia. But by how much?</p> <p>Let's look at the evidence and address the common misconception that the risk is high when you're plus size.</p> <p><em>Please note this article is not a substitute for professional medical advice. Address any questions or concerns with your care provider. </em></p> <p><em>Also, BMI is commonly used in studies to categorize people by their <a href="https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm" target="_blank" rel="noopener" data-lasso-id="3422">weight relative to their height</a>. We use BMI in this article to share information about shoulder dystocia risks, but we acknowledge that BMI is <a href="https://www.everydayhealth.com/weight/why-body-mass-index-bmi-can-be-problematic-for-the-bipoc-community/" target="_blank" rel="noopener" data-lasso-id="3423">problematic</a> and doesn't give a complete view of someone's health. </em></p> <div class="wp-block-image is-style-default"><figure class="aligncenter size-large"><a href="https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia.jpg" data-lasso-id="3424"><noscript><img fetchpriority="high" decoding="async" width="1024" height="652" data-pin-url="https://plussizebirth.com/shoulder-dystocia/?tp_image_id=35353" data-pin-title="How much does your BMI increase the odds of shoulder dystocia?" src="https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-1024x652.jpg" alt="plus size woman with shoulder dystocia" class="wp-image-35353" srcset="https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-1024x652.jpg 1024w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-300x191.jpg 300w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-768x489.jpg 768w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-960x611.jpg 960w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-1080x687.jpg 1080w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-150x95.jpg 150w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia.jpg 1100w" sizes="(max-width: 760px) calc(100vw - 40px), 720px"></noscript><img fetchpriority="high" decoding="async" width="1024" height="652" data-pin-url="https://plussizebirth.com/shoulder-dystocia/?tp_image_id=35353" data-pin-title="How much does your BMI increase the odds of shoulder dystocia?" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%201024%20652'%3E%3Crect%20width='1024'%20height='652'%20style='fill:%23e3e3e3'/%3E%3C/svg%3E" alt="plus size woman with shoulder dystocia" class="wp-image-35353 eager-load" sizes="(max-width: 760px) calc(100vw - 40px), 720px" data-pin-media="https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia.jpg" id="mv-trellis-img-1" loading="eager" data-src="https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-1024x652.jpg" data-srcset="https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-1024x652.jpg 1024w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-300x191.jpg 300w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-768x489.jpg 768w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-960x611.jpg 960w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-1080x687.jpg 1080w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia-150x95.jpg 150w, https://plussizebirth.com/wp-content/uploads/2023/08/shoulder-dystocia.jpg 1100w" data-svg="1" data-trellis-processed="1"></a></figure></div> <h2 class="wp-block-heading" id="h-what-is-shoulder-dystocia">What is shoulder dystocia?</h2> <p>During vaginal birth, <a href="https://www.ncbi.nlm.nih.gov/books/NBK470427/" target="_blank" rel="noopener" data-lasso-id="3425">shoulder dystocia</a> happens when one or both of a baby's shoulders get stuck behind the pubic bone. It is a rare but urgent medical emergency.</p> <p>The good news? Most of the time, shoulder dystocia is managed safely and without complications, thanks to the fast responses and special techniques that your healthcare team is trained in.</p> <p>Occasionally, the baby might have minor injuries, like a temporary arm weakness or, very rarely, a broken collarbone. For the birthing individual, there might be some tearing or bleeding. But keep in mind these complications aren't typical.</p> <h2 class="wp-block-heading" id="h-what-is-associated-with-the-highest-risk-for-shoulder-dystocia">What is associated with the highest risk for shoulder dystocia?</h2> <p>A study from 2023 examined shoulder dystocia in about 10 million vaginal births in the U.S. from 2016 to 2019 (Youssefzadeh et al., 2023). </p> <p>This data came from the <a href="https://hcup-us.ahrq.gov/nisoverview.jsp" target="_blank" rel="noopener" data-lasso-id="3426">National Inpatient Sample</a>, which randomly gathers information from 20% of inpatient records in participating centers in the United States. </p> <p>The study was designed to accurately represent the United States population by including individuals with different health conditions.</p> <p>In the study, women aged 15 – 54 had various health conditions like diabetes (either before pregnancy or developed during), high blood pressure disorders, and more. Some had complications during labor, like needing assistance with tools like a vacuum or forceps.</p> <p>Out of all the births studied, shoulder dystocia happened in 228,120 cases. That's 23 out of every 1,000 births or 2.3%. </p> <p><strong>The study found that having a <a href="https://evidencebasedbirth.com/evidence-for-induction-or-c-section-for-big-baby/" target="_blank" rel="noopener" data-lasso-id="3427">big baby</a>, having diabetes before or during pregnancy, and using a vacuum during birth were the main factors linked to shoulder dystocia.</strong></p> <p>Other factors that were somewhat linked to increased risk of shoulder dystocia: </p> <ul><li>Older or younger age</li><li>Black individuals (from systemic effects of racism) </li><li>Lower-income</li><li>Chronic health conditions</li><li>BMI > 30 </li><li>Term premature rupture of membranes</li><li>High weight gain during pregnancy</li><li>Giving birth after 40 weeks of pregnancy</li><li>Labor induction or augmentation</li></ul> <h2 class="wp-block-heading" id="h-what-is-my-increased-risk-of-shoulder-dystocia-with-a-bmi-above-30">What is my increased risk of shoulder dystocia with a BMI above 30? </h2> <p>When we look at the numbers in the study, people with a BMI of 30 or higher had a <strong>3.4%</strong> chance (or 34 out of 1000) of experiencing shoulder dystocia. </p> <p>In comparison, those with a BMI below 30 had a 2.2% chance (or 22 out of 1000).</p> <p>As highlighted in our article on <a href="https://plussizebirth.com/plus-size-pregnancy-risks/" target="_blank" rel="noopener" data-lasso-id="3428">discussing increased pregnancy risks</a>, let's view this from another angle.</p> <p>Rather than dwelling on the 3.4% risk, let's take a fresh perspective based on the data. </p> <p>With a BMI over 30, there's a <strong>96.6% likelihood you won't incur shoulder dystocia during childbirth</strong> – and those odds sound really good!</p> <p>Being plus size, you might encounter biases where people make unfair assumptions about your health and your chances of having a healthy pregnancy. </p> <p>Such myths sometimes arise from concerns about shoulder dystocia or <a href="https://brooksidepress.org/ob_newborn_care_2/?page_id=362#:~:text=(1)%20Pelvic%20dystocia.,that%20of%20the%20bony%20pelvis." target="_blank" rel="noopener" data-lasso-id="3429">soft tissue dystocia</a>. For instance, hearing that someone's <a href="https://plussizebirth.com/vagina-too-fat-to-give-birth/" data-lasso-id="3430">vagina is too fat to give birth</a> is scientifically incorrect and deeply hurtful. </p> <p>Instead of letting misconceptions or negative comments weigh you down, keep the lines of communication open with your care provider. They can offer guidance and facts tailored just for you.</p> <p>Remember, as with the shoulder dystocia statistics, the overall increased risks are generally low during a <a href="https://plussizebirth.com/plus-size-pregnancy/" data-lasso-id="3431">plus size pregnancy</a>.</p> <p>By focusing on your wellness during pregnancy and connecting with a <a href="https://plussizebirth.lpages.co/size-friendly-provider-opt-in/" target="_blank" rel="noopener" data-lasso-id="3432">size-friendly care provider</a>, you're setting the stage for a more relaxed, positive experience with fewer worries.</p> <h3 class="wp-block-heading" id="h-references"><strong>References</strong></h3> <p><em>Special thanks to Anna Bertone for her assistance with the research for this article. </em></p> <ul><li>Davis DD, Roshan A, Canela CD, et al. Shoulder Dystocia. [Updated 2022 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan / ncbi.nlm.nih.gov/books/NBK470427/</li><li>Youssefzadeh AC, Tavakoli A, Panchal VR, Mandelbaum RS, Ouzounian JG, Matsuo K. Incidence trends of shoulder dystocia and associated risk factors: A nationwide analysis in the United States. Int J Gynaecol Obstet. 2023 Aug;162(2):578-589. doi: 10.1002/ijgo.14699. Epub 2023 Mar 1. PMID: 36707062.</li></ul> <script async data-uid="9de6ecc9de" src="https://plus-size-birth.ck.page/9de6ecc9de/index.js" data-jetpack-boost="ignore" data-no-defer="1" nowprocket></script> <div class="abh_box abh_box_down abh_box_fancy"><ul class="abh_tabs"> <li class="abh_about abh_active"><a href="#abh_about">Author</a></li> <li class="abh_posts"><a href="#abh_posts">Recent Posts</a></li></ul><div class="abh_tab_content"><section class="vcard author abh_about_tab abh_tab" itemscope itemprop="author" itemtype="https://schema.org/Person" style="display:block"><div class="abh_image" itemscope itemtype="https://schema.org/ImageObject"><a href="https://plussizebirth.com/about/" class="url" target="_blank" title="Jen McLellan, CBE" rel="nofollow"> <noscript><img decoding="async" src="https://plussizebirth.com/wp-content/uploads/gravatar/jen-mclellan-2.jpg" class="photo" width="250" alt="Jen McLellan, CBE"></noscript><img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='250'%20height='249'%20viewBox='0%200%20250%20249'%3E%3C/svg%3E" class="photo lazyload perfmatters-lazy" width="250" alt="Jen McLellan, CBE" height="249" id="mv-trellis-img-2" data-trellis-processed="1" data-src="https://plussizebirth.com/wp-content/uploads/gravatar/jen-mclellan-2.jpg" /><noscript><img decoding="async" src="https://plussizebirth.com/wp-content/uploads/gravatar/jen-mclellan-2.jpg" class="photo lazyload" width="250" alt="Jen McLellan, CBE" height="249" id="mv-trellis-img-2" loading="lazy" data-trellis-processed="1"></noscript></a> </div><div class="abh_social"> <div style="clear: both; font-size:12px; font-weight:normal; width: 85px; margin: 0 0 2px auto; line-height: 20px;">Follow me</div><a itemprop="sameAs" href="https://facebook.com/plussizebirth" title="Facebook" class="abh_facebook" target="_blank" rel="nofollow"></a><a itemprop="sameAs" href="https://twitter.com/plusmommy" title="Twitter" class="abh_twitter" target="_blank" rel="nofollow"></a></div><div class="abh_text"><div class="abh_name fn name" itemprop="name"><a href="https://plussizebirth.com/about/" class="url" target="_blank" rel="nofollow">Jen McLellan, CBE</a></div><div class="abh_job"></div><div class="description note abh_description" itemprop="description">Jen McLellan is a certified childbirth educator, published author, and founder of Plus Size Birth and host of the Plus Mommy Podcast. 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tag-link-position-25" style="font-size: 11.929824561404pt;" aria-label="Voices (5 items)">Voices</a></p></div><div id="media_image-26" class="mv_trellis_mobile_hide widget-container widget_media_image"><a href="https://plusmommy.com/"><noscript><img width="300" height="300" src="https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-300x300.jpg" class="image wp-image-33459 attachment-medium size-medium" alt="Plus Mommy Podcast" style="max-width: 100%; height: auto;" decoding="async" srcset="https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-300x300.jpg 300w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1024x1024.jpg 1024w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-150x150.jpg 150w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-768x768.jpg 768w, 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https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-640x640.jpg 640w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-960x960.jpg 960w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1080x1080.jpg 1080w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER.jpg 1920w" sizes="(max-width: 760px) calc(100vw - 40px), 720px" data-pin-nopin="nopin" data-pin-url="https://plussizebirth.com/shoulder-dystocia/?tp_image_id=33459"></noscript><img width="300" height="300" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='300'%20height='300'%20viewBox='0%200%20300%20300'%3E%3C/svg%3E" class="image wp-image-33459 attachment-medium size-medium lazyload perfmatters-lazy" alt="Plus Mommy Podcast" style="max-width: 100%; height: auto;" decoding="async" data-pin-nopin="nopin" data-pin-url="https://plussizebirth.com/shoulder-dystocia/?tp_image_id=33459" id="mv-trellis-img-6" data-trellis-processed="1" data-src="https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-300x300.jpg" data-srcset="https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-300x300.jpg 300w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1024x1024.jpg 1024w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-150x150.jpg 150w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-768x768.jpg 768w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1536x1536.jpg 1536w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-720x720.jpg 720w, 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https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1080x1080.jpg 1080w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER.jpg 1920w" data-sizes="(max-width: 760px) calc(100vw - 40px), 720px" /><noscript><img width="300" height="300" src="https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-300x300.jpg" class="image wp-image-33459 attachment-medium size-medium lazyload" alt="Plus Mommy Podcast" style="max-width: 100%; height: auto;" decoding="async" srcset="https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-300x300.jpg 300w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1024x1024.jpg 1024w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-150x150.jpg 150w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-768x768.jpg 768w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1536x1536.jpg 1536w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-720x720.jpg 720w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-480x480.jpg 480w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-320x320.jpg 320w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-200x200.jpg 200w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-735x735.jpg 735w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-335x335.jpg 335w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-347x347.jpg 347w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-520x520.jpg 520w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-640x640.jpg 640w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-960x960.jpg 960w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER-1080x1080.jpg 1080w, https://plussizebirth.com/wp-content/uploads/2022/05/Plus-Mommy-Podcast-Jen-McLellan-MASTER.jpg 1920w" sizes="(max-width: 760px) calc(100vw - 40px), 720px" data-pin-nopin="nopin" data-pin-url="https://plussizebirth.com/shoulder-dystocia/?tp_image_id=33459" id="mv-trellis-img-6" loading="lazy" data-trellis-processed="1"></noscript></a></div><div id="block-7" class="mv_trellis_mobile_hide widget-container widget_block widget_text"> <p>Host Jen McLellan, the founder of Plus Size Birth, takes on topics from plus size pregnancy to parenthood with the <a href="https://plusmommy.com/" target="_blank" rel="noreferrer noopener">Plus Mommy Podcast</a>. From bumps to bellies, we talk about it all!</p> </div><div id="block-8" class="mv_trellis_mobile_hide widget-container widget_block"> <hr class="wp-block-separator has-css-opacity"> </div><div id="block-15" class="mv_trellis_mobile_hide widget-container widget_block widget_text"> <p><em>We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites.</em></p> </div> <div class="mv-sticky-slot"></div> </aside> </div> </div> <footer data-rocket-location-hash="1c3fc054718431205a256e7773c31efd" class="footer"> <div data-rocket-location-hash="1e38d45813a725af6c32d6be624bfca4" class="wrapper wrapper-footer"> <div data-rocket-location-hash="15007b1c421ef10e79b445c6ecc9303f" class="footer-container"> <div class="left-footer footer-widget-area"><div id="tag_cloud-8" class="widget-container widget_tag_cloud"><h3 class="widget-title">Topics</h3><div class="tagcloud"><a href="https://plussizebirth.com/tag/birth-center-birth-story/" class="tag-cloud-link tag-link-4927 tag-link-position-1" style="font-size: 10.456140350877pt;" aria-label="Birth Center Birth Story (3 items)">Birth Center Birth Story</a> <a href="https://plussizebirth.com/tag/breastfeeding/" class="tag-cloud-link tag-link-44 tag-link-position-2" style="font-size: 13.730994152047pt;" aria-label="Breastfeeding (9 items)">Breastfeeding</a> <a href="https://plussizebirth.com/tag/caesarean-birth-story/" class="tag-cloud-link tag-link-4941 tag-link-position-3" style="font-size: 14.058479532164pt;" aria-label="Caesarean Birth Story (10 items)">Caesarean Birth Story</a> <a href="https://plussizebirth.com/tag/doula-support-birth-story/" class="tag-cloud-link tag-link-4932 tag-link-position-4" style="font-size: 14.058479532164pt;" aria-label="Doula Support Birth Story (10 items)">Doula Support Birth Story</a> <a href="https://plussizebirth.com/tag/gestationaldiabetes/" class="tag-cloud-link tag-link-6169 tag-link-position-5" style="font-size: 14.058479532164pt;" aria-label="Gestational Diabetes (10 items)">Gestational Diabetes</a> <a href="https://plussizebirth.com/tag/home-birth-story/" class="tag-cloud-link tag-link-4939 tag-link-position-6" style="font-size: 11.27485380117pt;" aria-label="Home Birth Story (4 items)">Home Birth Story</a> <a href="https://plussizebirth.com/tag/hospital-birth-story/" class="tag-cloud-link tag-link-4934 tag-link-position-7" style="font-size: 18.479532163743pt;" aria-label="Hospital Birth Story (37 items)">Hospital Birth Story</a> <a href="https://plussizebirth.com/tag/infertility-birth-story/" class="tag-cloud-link tag-link-4937 tag-link-position-8" style="font-size: 13.321637426901pt;" aria-label="Infertility Birth Story (8 items)">Infertility Birth Story</a> <a href="https://plussizebirth.com/tag/lgbtq-stories/" class="tag-cloud-link tag-link-7785 tag-link-position-9" style="font-size: 11.27485380117pt;" 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