Wastlund D, et al. - Researchers sought to determine the most cost-effective policy for identification and management of fetal macrosomia in late-stage pregnancy. Using a health economic simulation model, they compared two detection strategies (universal ultrasound scanning at approximately 36 weeks of gestation vs selective ultrasound scanning), combined with three management strategies (planned caesarean section vs induction of labour vs expectant management) of suspected fetal macrosomia regarding long-term maternal–fetal health and cost outcomes. Selective ultrasound scanning coupled with induction of labour for all suspected cases of macrosomia was identified to be the most cost-effective policy for detection and management of fetal macrosomia. Findings do not support universal ultrasound scanning for macrosomia in late-stage pregnancy as it is not cost-effective.