Evaluation and Management of Fetal Macrosomia

Obstet Gynecol Clin North Am. 2021 Jun;48(2):387-399. doi: 10.1016/j.ogc.2021.02.008.

Abstract

Macrosomia results from abnormal fetal growth and can lead to serious consequences for the mother and fetus. In cases of suspected macrosomia, patients must be counseled carefully regarding a delivery plan, and Cesarean section should be considered when indicated. Techniques to assess for suspected macrosomia include clinical measurements, ultrasound, and MRI.

Keywords: Macrosomia; Shoulder dystocia; Ultrasound.

Publication types

  • Review

MeSH terms

  • Birth Injuries / epidemiology
  • Cesarean Section / methods
  • Clavicle / injuries
  • Delivery, Obstetric / methods
  • Female
  • Fetal Development
  • Fetal Macrosomia / diagnosis*
  • Fetal Macrosomia / epidemiology
  • Fetal Macrosomia / therapy*
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases / epidemiology
  • Magnetic Resonance Imaging / methods
  • Male
  • Neonatal Brachial Plexus Palsy / epidemiology
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Risk Factors
  • Shoulder Dystocia / epidemiology
  • Ultrasonography, Prenatal / methods