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. However

the diagnosis of fetal macrosomia is imprecise. The American College of Obstetricians and Gynecologists issued guidelines for the management of fetal macrosomia.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.