Is there a role for fetal cephalocentesis in modern obstetrics?

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.