Delivery of the macrosomic infant: Cesarean section versus vaginal delivery

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


The macrosomic fetus of a diabetic woman faces increased risk for injury at the time of birth. Cesarean section offers the potential for avoiding trauma to the fetus, but can result in increased morbidity in the mother as compared to vaginal delivery. In this article, the advantages and disadvantages of the 2 routes of delivery for the overgrown fetus of a diabetic mother are discussed. In addition, methods for diagnosing macrosomia by ultrasound are examined, along with the benefits and pitfalls of ultrasonic fetal weight estimation in the setting of diabetes. Finally, management approaches for selecting route of delivery for the macrosomic fetus are described and analyzed.

Original languageEnglish (US)
Pages (from-to)225-231
Number of pages7
JournalSeminars in Perinatology
Issue number3
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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