56cm 24 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

54
52
GIRLS Gestational age in weeks 54cm
52
72cm

70
GIRLS 2 3
Age post-term in weeks/calendar months
4 5 99.6th 6
70cm
Data Recording
Measurement 1
23 to 42 weeks 2 weeks to 98th

h
Recording Date

t
50 50
91st
gestation 6 months Weight

g
48 48 68 68

len
75th Head Circumference
46 46
66 66 Length/Height
50th

h
44 99.6th
44cm

t
Location
42 64 25th 64

g
98th 38cm
Health worker name

en
40 91st 9th
99.6th 62 62 Measurement 2

l
38 75th 37
2nd Recording Date
36 50th 98th 60 60
25th 36 0.4th Weight
34 91st 6th -3 SD
9th 58 99. 58 Head Circumference
32
75th h
2nd 35 98t Length/Height
30 56 -4 SD
56cm
0.4th 91s
t
Location
28 -3 SD 50th
34 t h
54 75 -5 SD 46cm Health worker name
26 -4 SD
25th
h 99.6th
50t Measurement 3
24
9th 33 52 5 th 45
2 Recording Date

d
22cm 98th
2nd 9th Weight
50 44

a
32cm 32 91st
0.4
th 2nd Head Circumference
D

e
-3 S 48 0.4t
h 75th 43 Length/Height
31 31cm -3 S
D
Location

h
46 50th 42

d
SD
-4 D
-4 S

a
30 5.0kg Health worker name
25th

e
44 41 Measurement 4

h
D
-5 S
29 h 4.8 9th Recording Date
.6t 42cm 40
99 Weight
2nd
6th
28 4.6 39cm 99. 39 Head Circumference
h 0.4th
98t Length/Height
27 th 38 -3 SD
38
98 4.4
th 91
st Location
.6
99
37 th 37 Health worker name
26 4.2 75 -4 SD
th st Measurement 5
98 91 th
36 50 36cm Recording Date
25 4.0 th -5 SD
st 25 Weight
91 35
24 th 3.8 9th th Head Circumference
th 75 99.6 10.0kg
75 34 Length/Height
2nd
23 3.6 th Location
th 33 0.4 9.5
50 th D
50 -3 S Health worker name
98th
22 th 3.4 32 Measurement 6
25 D 9.0
-4 S Recording Date
th
21 25 3.2 31
h Weight
9t D 91st 8.5
-5 S
30cm Head Circumference
20 d 3.0
2n 9th Length/Height
8.0kg 8.0
75th Location
19 4t
h 2.8
0.

t
2n
d Health worker name
SD 7.5 7.5
-3
18 2.6 Measurement 7
50th

h t
th Recording Date
0.4 7.0 7.0

h
17 -4
SD
SD
2.4 Weight

ig
-3

g
25th Head Circumference
6.5 6.5

i
16cm 2.2

e
Length/Height
9th Location

e w
SD 6.0 6.0
2000g -4 2.0 Health worker name
th
.6 2nd
99 Measurement 8
1800 1.8 5.5 5.5

w
Recording Date
th 0.4th
98 Weight
1600 1.6 5.0 -3 SD 5.0
Head Circumference
st
91
1400 1.4 Length/Height
4.5 -4 SD 4.5
th Location
Harlow Printing Limited Tel: 0191 455 4286 www.healthforallchildren.co.uk

75
1200 1.2 Health worker name
4.0 th -5 SD 4.0
h 50 Measurement 9
.6t
1000 99
8 th 1.0 th Recording Date
9 25
st 3.5 3.5
91 Weight
h 9th
800 75t 0.8
h Head Circumference
50t
© DH Copyright 2009

3.0 d 3.0
2n Length/Height
25th
600 0.6 th
9th 0.4D Location
S
-3
2nd 2.5 2.5 Health worker name
400 0.4
0.4th -4 S
D
-3 SD
Use date boxes for speedy & Use the calendar on flap to fill in
Measurement 10
2.0 2.0kg
UK-WHO Chart 2009

200 accurate calculation of age: 0.2 -5 S

D
date boxes before starting plotting. Recording Date
TERM

-4 SD
Age post-term in weeks/calendar months
see instructions. Weight
0g Gestational age in weeks 0.0kg 1.5kg 1 2 3 4 5 6 Head Circumference
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Length/Height
Location
Expected
EDD Expected
date at age
D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M date at age
D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M Health worker name
Instructions
Find the expected date of delivery (EDD) on the
96cm
GIRLS 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

GIRLS UK–WHO
calendar and work upwards in the same column Please place sticker (if available) otherwise write in space provided. 94 Age post-term in calendar months 99.6
th 94cm
to find the weekly dates needed for the preterm
92 6 months 92
date boxes until birth gestation is reached. For 98th
Name: ____________________________________________
expected date per fortnight on the 2 weeks to 6
months chart, work downwards in the same 90 to 2 years 90
91st
column from EDD (or DOB for term infants). NHS / CHI No:
In a leap year: working downwards: move one
column to the left at the end of February; working
upwards: move one column to the right as you
Low Birthweight Hospital No:
88
86
75th
88
86
50th
move from March to February.
Growth Chart 84 84

h
Working upwards, when you pass January, start Date of Birth: 25th

t
again at the bottom of the calendar, one 82 82

g
column to the right ➩ 9th
EDD:

n
Royal College of 80 80
Paediatrics and 2nd

le
Week Day Month
Child Health Gestation: __________weeks __________days 78 78
1 1 2 3 4 5 6 7 0.4th
January

76 -3 SD 76
2 8 9 10 11 12 13 14
6th
99.
3 15 16 17 18 19 20 21 New users need to be taught how to use this chart. A fact Which children is this chart suitable for? 74 74
8th
9 -4 SD
4 22 23 24 25 26 27 28 sheet and powerpoint can be downloaded free from This chart has been designed for plotting growth measurements of 72 72
1 s t
9
www.growthcharts.rcpch.ac.uk preterm and/or low birthweight infants from birth to the age of 2
5 29 30 31 1 2 3 4
February

70 h 70cm
75t -5 SD
6 years, after which the UK-WHO 0-4 years charts can be used. For
5 6 7 8 9 10 11 Plotting instructions 68 50t
h
53cm
healthy preterm babies born at or after 32 weeks gestation the
7 12 13 14 15 16 17 18
From birth until 2 weeks after the expected date of delivery (EDD) 25th
UK-WHO 0-4 years charts can be used from birth, unless there is 66 52
8 19 20 21 22 23 24 25 plot measurements on the 23-42 weeks gestation chart. From 9th
need for detailed growth assessment. The chart is also suitable for 64 51
9 26 27 28 1 2 3 4 EDD plus 2 weeks (42 weeks gestation) plot measurements on the 2nd 99.6th
term neonates or young infants requiring close monitoring.
March

h
10 5 6 7 8 9 10 11 2 weeks to 6 months chart. 62 0.4t 98th 50
D
-3 S
11 12 13 14 15 16 17 18 A specialist growth chart for low birthweight 60 91st 49
Gestational correction is always required when plotting babies born -4 S
D

head
12 19 20 21 22 23 24 25
preterm (before 37 completed weeks of gestation). Do not apply The special features of this chart include: 58 75th 48
13 26 27 28 29 30 31 1
any gestational correction for term babies (37-42 completed weeks • A ‘date box’ system to assist accurate calculation of gestational age -5 SD 50th
56cm th 47
14 2 3 4 5 6 7 8 99.6
of gestation). If desired the chart may also be used to look up • Large scale for detailed monitoring
April

25th
46cm 98th 46
15 9 10 11 12 13 14 15 relative size for gestation but always plot birth data for term • Low reading (SD) lines to allow assessment of very small infants 9th
16 16 17 18 19 20 21 22 babies at term (40 weeks). 45 91st 45
2nd
17 23 24 25 26 27 28 29 The three charts display data from two sources: 44 75th 44
Calculating age and gestational age from dates is difficult and 0.4th
18 30 1 2 3 4 5 6 1. 23-42 weeks gestation. This chart is based on reanalysed 43 50th 43
mistakes are common. Although the chart can be plotted in the -3 SD
25th
May

19 7 8 9 10 11 12 13 conventional way, this chart provides date boxes which will allow UK1990 data and illustrates the size at birth of UK infants born 42 42
20 14 15 16 17 18 19 20 you to move directly from dates to gestational age and reduce the at 23-42 weeks gestation around 1990 1. The 23-42 weeks 9th -4 SD

gestation chart does not describe how preterm infants grow 41 41

21 21 22 23 24 25 26 27 risk of error. To do this effectively, when first used the chart needs 2nd
to be prepared as below. after birth because it shows only birth measurements of infants 40 -5 SD
40cm
22 28 29 30 31 1 2 3 0.4th
born at different gestational ages. The weight of many babies -3 SD
39 16.0kg
June

23 4 5 6 7 8 9 10 th
Use date boxes for speedy and accurate calculation of age. born before 32 weeks, particularly the sickest and most 99.6
24 11 12 13 14 15 16 17 immature, may fall by two centile spaces in the early days. 38 -4 SD 15.5
25 18 19 20 21 22 23 24 For preterm infants 2. 2 weeks to 6 months corrected age and 6 months to 2 37 15.0
-5 SD
26 25 26 27 28 29 30 1 1. If expected date of delivery (EDD) is not known, plot birthweight years corrected age charts. These charts are derived from the 36 98th 14.5
27 2 3 4 5 6 7 8 at the exact gestational age and then calculate the date of the UK-WHO 0-4 years growth charts and use World Health
July

next completed week (e.g. for date of birth (DOB) 24/2/09 at 27 Organization (WHO) data on healthy, non-deprived breastfed 35 14.0
28 9 10 11 12 13 14 15
weeks +3 days gestation, date at 28 weeks gestation will be children of mothers who did not smoke 2. These charts do not 34cm 13.5
29 16 17 18 19 20 21 22
91st
28/2/09). Then write in the date (day and month only) at each reflect the usual growth of the preterm infant population.
30 23 24 25 26 27 28 29 13.0kg 13.0
completed week of gestation, using the calendar (left) as a However individual infants who have remained well should
31 30 31 1 2 3 4 5
guide, until EDD is reached. follow the trajectory indicated by the centile lines at their 12.5 12.5
August

32 6 7 8 9 10 11 12 75th
corrected age. 12.0 12.0
TER

see instructions.
birth Gestational age in weeks
33 13 14 15 16 17 18 19
27 / 28 29 30 31 32 33 34 35 36 37 38 39 40 4 For babies born at or after 32 weeks gestation, correction should 11.5 11.5
<

t
34
28 stop at 1 year and this change should be clearly marked. After the 50th
/2 7D/M
/3 14D/M
/3 21D/M
/3 2D/M
8/3 4D/M
/4 1D/M
1 /4 18D/M
/4 25/4 2D/M
/5 9D/M
/5 16D/M
20 21 22 23 24 25 26
/5 23
EDD
/5

h
M D/M D/M D/M D h
D/M 11.0 .6t 11.0
age of 2 years all gestational correction should stop and plotting 99

g
35 27 28 29 30 31 1 2
September

i
should be on the UK-WHO 0-4 years chart. 10.5 10.5

e
36 3 4 5 6 7 8 9 2. If EDD is known, write into the date box marked EDD then work 25th

w
h
37 10 11 12 13 14 15 16 backwards on the 23-42 weeks chart, writing in the date (day 10.0 98t 10.0
and month only) using the calendar (left) as a guide, for each
Measuring
38 17 18 19 20 21 22 23 9.5 9th 9.5
completed week of gestation until birth gestation is reached. Remove all clothing, including caps or bonnets, boots and nappy. 91s
t
39 24 25 26 27 28 29 30
9.0 2nd
9.0
Weight: Use class III electronic scales.
40 1 2 3 4 5 6 7 Use the calendar to fill in date boxes before starting plotting.
October November December

h
8.5 75t 8.5
41 8 9 10 11 12 13 14 Length: Use length board or mat. Do not use measuring tape.
0.4th
For all infants Head circumference: Use non-stretchable tape. 8.0 8.0
42 15 16 17 18 19 20 21 50th -3 SD

43 22 23 24 25 26 27 28 After 42 weeks gestation use the 2 weeks to 6 months chart. Anyone who takes measurements should be suitably trained or 7.5 7.5
25th
44 29 30 31 1 2 3 4 Mark the expected date of each completed fortnight after EDD supervised by someone competent. For further information and 7.0 -4 SD
7.0
(or DOB for term infants) in the boxes at the bottom of the chart, training materials see www.growthcharts.rcpch.ac.uk 9th
45 5 6 7 8 9 10 11 6.5 6.5
-5 SD
using the calendar (left) as a guide, and use these to identify the 2nd
46 12 13 14 15 16 17 18
gestationally corrected age. This is a new chart which is still being evaluated and any 6.0 6.0
47 19 20 21 22 23 24 25 0.4th
feedback will be appreciated, via the feedback form on 5.5 -3 SD 5.5
48 26 27 28 29 30 1 2 Date boxes from 6 months are per calendar month. www.growthcharts.rcpch.ac.uk Date boxes on this page are per calendar month.
49 3 4 5 6 7 8 9 5.0 -4 SD To complete, use the EDD day. e.g. If EDD = 23/1/10, 5.0
On the 6 months to 2 years chart the date boxes are per calendar References enter 23/7/10 at 6m, 23/8 at 7m, 23/9 at 8m, etc.
50 10 11 12 13 14 15 16 4.5 -5 SD 4.5
month (4.33 weeks). These dates can be calculated using the day 1. Cole TJ, Freeman JV, Preece MA. British 1990 growth reference centiles for weight, height,
51 17 18 19 20 21 22 23 body mass index and head circumference fitted by maximum penalized likelihood. 4.0kg Age post-term in calendar months 4.0kg
of the EDD (or DOB for a term infant). If a child’s EDD was 23/1/10 Stat.Med. 1998;17:407-29.
52 24 25 26 27 28 29 30 2. WHO Child Growth Standards www.who.int/childgrowth/en 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
then mark 23/7/10 in the 6 month box, 23/8 in the 7 month box,
Once you reach the end of the year (working 23/9 in the 8 month box, etc. © DH Copyright 2009
downwards) start again at the top, one column
to the left ➩ Expected
D/M/Y D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M D/M date at age