Practice Bulletin No. 173: Fetal Macrosomia.

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics · Obstet Gynecol · 2016

review · Level V

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Abstract

Suspected fetal macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the neonate increases. The purpose of this document is to quantify those risks, address the accuracy and limitations of methods for estimating fetal weight, and suggest clinical management for a pregnancy with suspected fetal macrosomia.

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