diff --git a/uvloop/handles/process.pxd b/uvloop/handles/process.pxd
index c98b48f1..970abcfc 100644
--- a/uvloop/handles/process.pxd
+++ b/uvloop/handles/process.pxd
@@ -34,7 +34,7 @@ cdef class UVProcess(UVHandle):
     cdef _init_env(self, dict env)
     cdef _init_files(self, _stdin, _stdout, _stderr)
     cdef _init_options(self, list args, dict env, cwd, start_new_session,
-                       _stdin, _stdout, _stderr)
+                       _stdin, _stdout, _stderr, bint force_fork)
 
     cdef _close_after_spawn(self, int fd)
 
diff --git a/uvloop/handles/process.pyx b/uvloop/handles/process.pyx
index 89208357..63b982ae 100644
--- a/uvloop/handles/process.pyx
+++ b/uvloop/handles/process.pyx
@@ -46,9 +46,17 @@ cdef class UVProcess(UVHandle):
         # callbacks have a chance to avoid casting *something* into UVHandle.
         self._handle.data = NULL
 
+        force_fork = False
+        if system.PLATFORM_IS_APPLE and not (
+            preexec_fn is None
+            and not pass_fds
+        ):
+            # see _execute_child() in CPython/subprocess.py
+            force_fork = True
+
         try:
             self._init_options(args, env, cwd, start_new_session,
-                               _stdin, _stdout, _stderr)
+                               _stdin, _stdout, _stderr, force_fork)
 
             restore_inheritable = set()
             if pass_fds:
@@ -232,7 +240,7 @@ cdef class UVProcess(UVHandle):
         return ret
 
     cdef _init_options(self, list args, dict env, cwd, start_new_session,
-                       _stdin, _stdout, _stderr):
+                       _stdin, _stdout, _stderr, bint force_fork):
 
         memset(&self.options, 0, sizeof(uv.uv_process_options_t))
 
@@ -246,6 +254,21 @@ cdef class UVProcess(UVHandle):
         if start_new_session:
             self.options.flags |= uv.UV_PROCESS_DETACHED
 
+        if force_fork:
+            # This is a hack to work around the change in libuv 1.44:
+            #    > macos: use posix_spawn instead of fork
+            # where Python subprocess options like preexec_fn are
+            # crippled. CPython only uses posix_spawn under a pretty
+            # strict list of conditions (see subprocess.py), and falls
+            # back to using fork() otherwise. We'd like to simulate such
+            # behavior with libuv, but unfortunately libuv doesn't
+            # provide explicit API to choose such implementation detail.
+            # Based on current (libuv 1.46) behavior, setting
+            # UV_PROCESS_SETUID or UV_PROCESS_SETGID would reliably make
+            # libuv fallback to use fork, so let's just use it for now.
+            self.options.flags |= uv.UV_PROCESS_SETUID
+            self.options.uid = uv.getuid()
+
         if cwd is not None:
             cwd = os_fspath(cwd)
 
diff --git a/uvloop/includes/uv.pxd b/uvloop/includes/uv.pxd
index 595ff899..87651306 100644
--- a/uvloop/includes/uv.pxd
+++ b/uvloop/includes/uv.pxd
@@ -1,5 +1,6 @@
 from libc.stdint cimport uint16_t, uint32_t, uint64_t, int64_t
 from posix.types cimport gid_t, uid_t
+from posix.unistd cimport getuid
 
 from . cimport system
 
diff --git a/vendor/libuv b/vendor/libuv
index 988f2bfc..f0bb7e40 160000
--- a/vendor/libuv
+++ b/vendor/libuv
@@ -1 +1 @@
-Subproject commit 988f2bfc4defb9a85a536a3e645834c161143ee0
+Subproject commit f0bb7e40f0508bedf6fad33769b3f87bb8aedfa6