ABSTRACT
Obstetricians have, traditionally viewed fetal hydrocephalus with resultant macrocephaly
as a dismal condition with little chance for a good outcome. Cephalocentesis with
decompression of the fetal head in order to permit vaginal delivery has often been
the management of choice. In view of the significant perinatal consequences of cephalocentesis
and the changing outlook for optimally managed neonatal hydrocephalus, the authors
reassess the role of cephalocentesis in modern obstetrics.