Strategies useful in caring for macrosomic newborns.

Newborn macrosomia has been shown to be significantly related to weaker reflex functioning, poorer motor behavior, and decreased state regulation during the first 2 days of life. Macrosomic newborns' behavior patterns suggest that special strategies are indicated in order to decrease the effects that limb and body mass have on the execution of coordinated movements and spontaneous motor patterns. This article highlights techniques that have been found to be effective in handling, arousing, and quieting macrosomic newborns during interactions involving the Brazelton Neonatal Assessment Scale.