Foetal macrosomia

  • Suzanne Wallace
    Suzanne Wallace BM BCh MA MRCOG is a Specialist Registrar in the Department of Obstetrics and Gynaecology at Nottingham City Hospital, Nottingham, UK. Conflicts of interest: none declared
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      Clinical palpation, ultrasound biometry and maternal perception can all lead to the suspicion of a large for gestational age foetus and foetal macrosomia. Although maternal diabetes and rare genetic syndromes may be the cause of large foetal size, most of these pregnancies will in fact be normal. Nevertheless, maternal and perinatal risks do increase with increasing foetal size. Antenatal prediction, however, is imprecise and the evidence to date does not support intervention in non-diabetic pregnancies where there is a suspicion of foetal macrosomia.


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      Further reading

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