Abstract: Objective: To probe into the incidence,diagnosis and management of gigantic neonates in the recent fifteen years.Methods: The data of 362 cases of gigantic neonates from January 1989 to December 2003 were reviewed,every 5 years as a time period.Results: The incidence of gigantic neonates increased from 3.71% during 1989-1993 to 6.27% during 1999-2003.The vagina parturition was gradually transited to cesarean parturition.The rate of postpartum hemorrhage didn't increase.Meanwhile the incidence of asphyxia,neonate obstetric hurts,neonate shoulder presentation and stillbirth obviously decreased.Conclusions: The incidence of gigantic neonates is associated with the diabetes mellitus of gestation period,hydramnios and obesity lying in woman.Cesarean section is presently the major approach to the termination of pregnancy of gigantic neonates.