• O Irion and M Boulvain.
• Département de Gynécologie et d'Obstétrique, Hôpitaux Universitaires de Genève, Boulevard de la Cluse, 32, Geneva, Switzerland, CH-1205. olivier.irion@hcuge.ch
• Cochrane Db Syst Rev. 2000 Jan 1(2):CD000938.

BackgroundSuspected macrosomic fetuses are usually induced in order to reduce the risk of difficult operative delivery.ObjectivesThe objective of this review was to assess the effects of a policy of labour induction for suspected fetal macrosomia on method of delivery and maternal or perinatal morbidity.Search StrategyWe searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register.Selection CriteriaRandomised trials of induction of labour for suspected fetal macrosomia in non-diabetic women.Data Collection And AnalysisTrial quality assessment and data extraction were done independently by two reviewers. Study authors were contacted for additional information.Main ResultsTwo trials involving 313 women were included. Compared to expectant management, induction of labour for suspected macrosomia did not reduce the risk of caesarean section (odds ratio 0.85, 95% confidence interval 0.50 to 1.46) or instrumental delivery (odds ratio 0.98, 95% confidence interval 0.48 to 1.98). Perinatal morbidity was similar between groups.Reviewer's ConclusionsInduction of labour for suspected fetal macrosomia in non-diabetic women did not appear to alter the risk of maternal or neonatal morbidity.

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