Objectives : To ascertain the incidence, various associated risk factors & outcome of macarosomia Methods : Retrospective descriptive study done in PIMS in 2007 among 2343 deliveries. Study population included were 67 women who had delivered macrosomic infants (defined as those with birth weight > 4.0 kgs). Outcome variables included maternal characteristics, delivery details, maternal & perinatal morbidity data. Results : Incidence of macrosomia in our study population was 2.75%. Increased BMI & multiparity were significantly associated with macrosomia (PO.05). 60% of these women delivered vaginally & 40% required caesarean section. Shoulder dystocia was encountered in 4 cases.