Preconceptional, conception, antenatal period and intrapartum period are in continuum. For successful obstetric outcome, prepregnancy weight and proper antenatal care are important factors. Newborn whose birthweight exceeds 40004500gms is labled as macrosomia. Prolong labour, arrest of labour, foetal distress, shoulder dystocia, instrumental delivery and increased incidence of cesarean section are associated with macrosomic fetuses. Early detection, watchfull expectancy active interventions are key factors for safe delivery of macrosomic fetuses

Keywords: Macrosomia; Diabetes; Cesarean Section; Shoulder Dystocia.