The Suspected Macrosomic Fetus at Term: A Clinical Dilemma

Ellen M. Ray, Jeanne L. Alhusen

Research output: Contribution to journalArticlepeer-review


Estimation of fetal weight is an important component of antenatal and intrapartum management of pregnant women. While many clinicians use ultrasound estimates of fetal weight to assess fetal growth, there are inherent challenges in both the diagnosis and management of suspected fetal macrosomia. Given the inaccuracy in estimating fetal weight, and the risks that accompany cesarean birth or induction of labor, the management of suspected fetal macrosomia requires open communication and shared decision making between the woman and her health care providers. This case study and literature review highlight the current management and recommendations for suspected fetal macrosomia.

Original languageEnglish (US)
Pages (from-to)263-269
Number of pages7
JournalJournal of Midwifery and Women's Health
Issue number2
StatePublished - Mar 1 2016


  • Provider communication
  • Suspected fetal macrosomia
  • Ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery


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