Fetal macrosomia.what to do?

ABSTRACT

This is a two year retrospective review of 221 pregnancies that resulted in the delivery of an infant weighing 4000 gm or more [macrosomic babies]. Women delivering macrosomic fetuses were significantly older, of high parity, obese [> 90 Kg] and had higher frequency of postmaturity than the control. The macrosomic infant was more often male and had more birth trauma and shoulder dystocia but not to a statistically significant level. The method of delivery of a macrosomic baby should be individually considered as some women can achieve vaginal delivery of "very macrosomic baby" without significant increase in the maternal and perinatal mortality or morbidity, although in our series there was a relatively higher rate of delivery by caesarian section