Fetal macrosomia : what to do ?

Abstract EN

This is a two year retrospective review of'221 preg-nancies that resulted in the delivery of an infant weigh-ing 4م)ام(م gm or more (macrosomic babies).

Women delivering macrosomic fetuses were significantly older, of high parity, obese (> 90 Kg) and had higher fre-<^ueney of postmaturity than the control.

The macrosomic infant was more often male and had more birth trauma and shoulder dystocia but not to a statis-tically 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.