EstimatedFetalWeightPercentileChart

GestationalWeeks=EstimatedFetalWeightPercentileChart+/1.28Standard
Deviation
[Afetusisconsiderednormaliftheyarebetween10thand90thpercentile]

Avg
EstimatedFetalWeight+/SD1.28
GestationalWeeks
EFW
10th%
90th%
16
146g(5oz)
121
171
17
181g(6oz)
150
212
18
223g(7oz)
185
261
19
273g(9oz)
227
319
20
331g(11oz)
275
387
21
399g(14oz)
331
467
22
478g(1lb)
398
559
23
568g(1lb5oz)
471
665
24
670g(1lb7oz)
556
784
25
785g(1lb11oz)
652
918
26
913g(2lb)
758
1068
27
1055g(2lb5oz)
876
1234
28
1210g(2lb10oz)
1004
1416
29
1379g(3lb)
1145
1613
30
1559g(3lb7oz)
1294
1824
31
1751g(3lb13oz)
1453
2049
32
1953g(4lb4oz)
1621
2285
33
2162g(4lb12oz)
1794
2530
34
2377g(5lb3oz)
1973
2781
35
2595g(5lb11oz)
2154
3036
36
2813g(6lb3oz)
2335
3291
37
3028g(6lb10oz)
2513
3543
38
3236g(7lb2oz)
2686
3786
39
3435g(7lb9oz)
2851
4019
40
3619g(7lb15oz)
3004
4234

FetalGrowthPercentileCharts:
MeasurementCharts:
BPDOFDHC|FemurandHumerus(FLHL)|AbdominalCircumference(AC)

BIPARIETALDIAMETERANDHEADCIRCUMFERENCE
TheBPDandOFDaremeasuredonatransverseaxialsectionofthefetalheadwhichincludesthe
falxcerebrianteriorlyandposteriorly,thecavumseptumpellucidumanteriorlyinthemidlineandthe
thalami.TheBPDismeasuredfromtheouteredgeofthenearerparietalbonetotheinneredgeof
themoredistantparietalbone.TheOFDismeasuredperpendiculartotheBPD.

FEMURANDHUMERUSLENGTH
Thelongbonesaremeasuredwiththeboneacrossthebeamaxis.Thestrongacousticshadow
behindthefemoralorhumeralshaftandthevisualisationofbothcartilaginousendsindicatesthatthe
imageplaneisonthelongestaxisandistheoptimalmeasurementplane.Thecalipersareplaced
alongthediaphysealshaftexcludingtheepiphysis.

ABDOMINALCIRCUMFERENCE
Thesemeasurementsaremoreappropriatelyusedintheassessmentoffetalgrowth,particularlyin
thesecondhalfofthepregnancy,thanintheassessmentofgestationalage.Itis,however,an
appropriatemeasurementinthesecondtrimestertodemonstratenormalfetalproportions.
Theabdominalcircumferenceismeasuredattheleveloftheliverandstomach,includingtheleft
portalveinattheumbilicalregion.

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UltrasonicFetalMeasurementStandards

Ifweassumeafetusisgrowingnormally,biometricmeasurementsaredeterminedby
gestationalage,andwecanestimatethegestationalageandthustheduedate.Whenthe
dateofthelastmensesprecedingconceptionisknown,itisusuallyamoreaccurate
estimate(+/5days)ofEDC
Whenusingultrasoundtoestimategestationalage,rememberthatweareassumingthe
fetusisgrowingnormally.Conditionswhichalterfetalgrowthwillmaketheestimatesless
reliable.Althoughmanyembryonicandfetalstructurescanbemeasured,onlyafew
measurementsareeasyandrepeatableenoughforwidespreaduse.

Themostcommonare:
GestationalSac:
Thefirstelementtobemeasurableisthegestationsacoftheearlypregnancy.The
gestationalsacismeasuredinthreedimensions,andtheaverage,theMeanSacDiameter
(MSD)usedforestimatinggestationalage.Itisusefulbetween5and8menstrualweeks
withaccuracyof+/3days.Asaroughruleofthumb,theMSD+30=MenstrualAgein
days.
EmbryonicCrownRumpLength:
Thelengthoftheembryoonthelongestaxis(excludingtheyolksac)constitutesthecrown
rumplength.Thisisamongthebestdocumentedparameterstodatetheembryo,with
accuracyof+/35days.Asaroughruleofthumb,theCRL+6.5=MenstrualAgein
Weeks.
Biparietaldiameter(BPD):
Thetransversewidthoftheheadatit'swidest.Wemeasurefromthetheleadingedgeto
leadingedgeofthebones,becausethisleadinginterfaceismostdistinct.Sincetheheadis
oval,theerrorinducedbysmallerrorsinpositioningissmall,makingforarepeatable,robust
measure.
Headsizeisdeterminedlargelybybraingrowthwhichisrelativelyindependentofnutritional

(maternal/placentalinsufficiency)growthretardingprocesses,andheadgrowthisoften
relatively"spared"insuchgrowthretardation.
TheBPDbestusedafter12weeks.
Accuracyis+/1.1week1420weeks,
+/1.6weeks2026weeks,
+/2.4week2630weeks,
and+/34weeksafter30weeks.
FemurLength:
ThefemurlengthisarepeatablemeasurementwithaccuracysimilartotheBPD.Itis
effectedbyskeletaldysplasias,butsincethesearerare,itisareliablemeasurementwhich
confirmsmeasurementsofthehead.Itisbestmeasuredafter14weeks.
Itiscommontomakeatleast2andoften45measurementstoestimategestationalage.In
mostcases,BPD,HeadCircumference,Femurlength,andAbdominalcircumferenceare
used.
Sinceallofthesemeasurementsarestronglyrelatedtogestationalage,itisnotusually
importanthowtheyarecombined.Mostmodernultrasoundmachinesincludecomputerized
biometricanalysisprogramsusedtoeasilycalculateyourEstimatedDueDateorEDDor
EDC.

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UltrasoundFetalMeasurementStandardsChart
NOTE:+/Standarddeviationsshownin(brackets).Measurementsareforcompletedweeks.
UltrasonicFetalMeasurementStandardsChart
Gestation BPD
(weeks) (mm)

OFD
Head
Abdominal Femur Humerus Gestation
(mm) circumference circumference (mm)
(mm)
(weeks)
(mm)
(mm)

+/Standarddeviationsshownin(brackets).Measurementsarefor
completedweeks.

11

16 21 59(15)
(2.0) (2.0)

52(10)

8
8
(2.0) (3.0)

11

12

20 24 70(15)
(4.0) (2.0)

63(10)

10
9
(2.5) (2.0)

12

13

24 29 84(15)
(4.0) (3.0)

74(10)

11 11
(2.5) (3.0)

13

14

28 34 96(15)
(4.0) (3.0)

84(10)

15 14
(3.0) (4.0)

14

15

31 38 108(15)
(4.0) (3.0)

96(10)

17 17
(3.5) (5.5)

15

16

36

46 128(15) 106(10) 22

21

16

(5.0) (3.0)

(4.0) (4.0)

17

39 50 141(15) 120(15) 25 25
(5.0) (3.0)
(4.0) (5.0)

17

18

42 54 151(20) 131(15) 28 27
(4.0) (3.5)
(5.0) (5.5)

18

19

45 57 160(20) 140(15) 30 29
(5.0) (3.5)
(5.0) (5.0)

19

20

47 61 170(20) 151(15) 32 31
(4.0) (3.5)
(6.0) (5.0)

20

21

49 63 176(20) 164(20) 34 32
(4.0) (4.0)
(6.0) (6.0)

21

22

52 68 188(20) 176(20) 37 35
(5.0) (3.5)
(5.0) (6.0)

22

23

57 76 210(20) 186(20) 43 38
(5.0) (4.0)
(5.0) (4.0)

23

24

60 79 220(20) 201(20) 45 40
(6.0) (4.0)
(4.0) (6.0)

24

25

64 82 231(20) 212(20) 48 43
(6.0) (4.5)
(5.0) (5.0)

25

Gestation BPD
(weeks) (mm)

OFD
Head
Abdominal Femur Humerus Gestation
(mm) circumference circumference (mm)
(mm)
(weeks)
(mm)
(mm)

26

67 84 238(20) 223(25) 49 44
(4.0) (4.5)
(5.0) (4.0)

26

27

68 86 250(20) 230(25) 50 47
(5.0) (4.5)
(5.0) (4.0)

27

28

72 95 263(20) 242(25) 54 50
(4.0) (5.0)
(4.0) (5.0)

28

29

75 97 269(25) 259(25) 55 51
(4.0) (5.5)
(5.5) (5.0)

29

30

76 98 274(25) 262(25) 58 52
(4.0) (5.5)
(6.0) (5.0)

30

31

80 101 284(25) 272(30) 59 54

(6.0) (5.0)
(5.5) (5.0)

31

32

81 102 288(25) 283(30) 62 56

(4.0) (5.0)
(6.0) (5.0)

32

33

84 107 300(25) 294(30) 65 57

(6.0) (5.5)
(4.0) (6.0)

33

34

86 108 305(25) 305(30) 66 59

(6.0) (5.5)
(4.0) (5.5)

34

35

88 109 310(25) 315(30) 67 60

(6.5) (5.5)
(6.0) (6.0)

35

36

90 112 317(25) 325(35) 69 62

(6.0) (5.5)
(6.0) (5.0)

36

37

92 113 321(25) 333(35) 72 63

(6.5) (6.0)
(5.0) (6.0)

37

38

93 116 328(25) 342(35) 73 64

(6.0) (5.5)
(5.5) (6.0)

38

39

95 119 336(25) 356(35) 75 65

(8.0) (6.0)
(6.0) (5.5)

39

40

96 120 340(25) 362(35) 76 66

(8.0) (6.0)
(4.0) (6.0)

40

41

98 122 344(25) 367(35) 77 68

(8.0) (6.0)
(5.0) (6.0)

41

Gestation BPD
(weeks) (mm)

OFD
Head
Abdominal Femur Humerus Gestation
(mm) circumference circumference (mm)
(mm)
(weeks)
(mm)
(mm)

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CrownRumpLengthMeasurements
CrownRumpLengthMeasurements

Gestation CRL Gestation CRL Gestation CRL

(weeks/days) (mm) (weeks/days) (mm) (weeks/days) (mm)

5.2

8.3

20

11.4

52

5.3

8.4

21

11.5

55

5.4

8.5

22

11.6

56

5.5

8.6

22

12.0

57

5.6

9.0

23

12.1

58

6.0

9.1

24

12.2

60

6.1

9.2

26

12.3

61

6.2

9.3

27

12.4

63

6.3

9.4

28

12.5

64

6.4

9.5

29

12.6

65

6.5

9.6

31

13.0

68

6.6

10

10.0

34

13.1

70

7.0

11

10.1

36

13.2

72

7.1

11

10.2

37

13.3

74

7.2

12

10.3

38

13.4

76

7.3

12

10.4

39

13.5

77

7.4

13

10.5

39

13.6

80

7.5

14

10.6

40

14.0

81

7.6

15

11.0

44

14.1

84

8.0

17

11.1

45

14.2

85

8.1

18

11.2

47

14.3

86

8.2

19

11.3

48

14.4

87


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HowmanyscansshouldIhave?
Asapracticalmatter,ultrasoundscanninghasproventobesopopularwithpatientsand
alsotheirobstetricians,thatalmosteveryonereceivingregularprenatalcareendsupwithat
leastonescananyway.Thetotalnumberofscanswillvarydependingonwhethera
previousscanhasdetectedcertainabnormalitiesthatrequirefollowupassessment.
Thereisnohardandfastruleforthenumberofscansyoushouldhaveduring
pregnancy.
Insomecountries,sonogramsareperformedjusttwiceduringpregnancy.Onceat1618
weekstoassessfetalabnormalities,andagainat3234weekstoassessageandwell
being.
Itisnowrecommendedthatallpregnantwomenhaveadatingscaninthefirsttrimester
ideallyat10to13weeksofpregnancytoconfirmyourdates.Thisisespeciallyimportantif
youaregoingtohaveanyscreeningtestsforDown'ssyndrome,asknowingtheexactdates
makessureyourresultisaccurate.Mosthospitalsofferascaninthesecondtrimesterat
about20weeks(theanomalyscan)tocheckthatyourbabyisdevelopingnormally.