Counseling for Fetal Macrosomia: An Estimated Fetal Weight of 4,000 g is Excessively Low

Abstract

The policy of discussing the risk of macrosomia with SEFW ≥ 4,000 g to women is not justified. A higher SEFW to trigger counseling for shoulder dystocia and CS, more consistent with American College of Obstetrics and Gynecology (ACOG) guidelines, should be considered.