Fetal macrosomia: induction of labour or expectant management? – Authors' reply

Expectant management versus labor induction for suspected fetal macrosomia: a systematic review.

OBJECTIVE To systematically review and summarize the medical literature regarding the effects of expectant management and labor induction on mode of delivery and perinatal outcomes in patients with suspected fetal macrosomia. DATA SOURCES We supplemented a search of entries in electronic databases with references cited in original studies and review articles to identify studies assessing mana...

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Should pregnancies be induced for impending macrosomia?

www.thelancet.com Published online April 9, 2015 http://dx.doi.org/10.1016/S0140-6736(14)62302-3 1 Fetal macrosomia (usually defi ned as an estimated fetal weight or birthweight >4000 g or ≥4500 g) is associated with various perinatal complications. Irrespective of which weight threshold is used, macrosomic fetuses have higher rates of shoulder dystocia and subsequent birth trauma than do non-m...

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