Introduction: Fetal macrosomia is defined as a fetal weight of more than 4kg or 4.5 kg irrespective of gestational age at delivery. The mode of delivery is usually left to the surgeon's discretion, but fetal macrosomia increases the risk of cesarean delivery among women worldwide. In addition, the role of social determinants of health such as maternal race, educational level, and insurance in managing fetal macrosomia cannot be overemphasized.Aim: To determine the interaction between maternal race, insurance, and education level and how this affects the management of fetal macrosomia in the United States.