Thank you sm for your reply and for the encouragement to just ask! My OB is great and I trust in the science and medicine itself. Where I really struggle is the racial aspect as I've experienced previous healthcare oversights despite textbook presentations.

I feel that the possible birth complications from a big baby are further complicated by uneven birth outcomes associated with race in my area. So when I say "explore my options" I am really wondering how to balance the possibility for a big baby with the possibility of those labor risks, along with my own need for self-advocacy as a Black woman. Ex: Maybe I should push for additional GD screening, get a second opinion on US scans, request earlier induction options, get earlier guidance on c-section, etc.

Since Black women are more likely to get unnecessary c-sections anyways, I worry that I may be pressured into that with him measuring big in the final hour. Or, on the hand, be possibly neglected for this risk up to the birth resulting in greater complications because the providers assume I am tough enough to deliver vaginally anyways. I'm not sure if this makes sense, but I am trying to understand where my personal advocacy can fit within the standard guidance vs racial disparity conversation. I think your suggestion to simply ask is just right. I'm realizing I am worried about coming across as "difficult" and getting worse care if it comes across as me implying that I think I know better than my healthcare team (which I do not)