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Doctor insights on: Accuracy Of Fundal Height Measurement

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My midwife gave me a fundal height measurement of 21cm what does that mean?

My midwife gave me a fundal height measurement of 21cm what does that mean?

21 weeks: Fundal height is measured from the pubic bone to the top of the uterus. The number in centimeters usually correlates pretty well with the number of weeks of pregnancy. Ultrasound gives a more precise gestational age. Obstetricians measure fundal height regularly to make sure the fetus is growing as expected. ...Read more

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What is more accurate? Fundal height measurement or measuring the baby through an ultrasound? I'll be 24w tomorrow and haven't had my belly measured

What is more accurate? Fundal height measurement or measuring the baby through an ultrasound? I'll be 24w tomorrow and haven't had my belly measured

Baby growth: The fundal height is good for trending over the course of your pregnancy and fh is +/- 2-4 cm = weeks once past 20 weeks. Most doc's will start measuring fh at 20 or 24 week visit. U/s has a 10-15% error of calculating baby weight throughout pregnancy and assigning dates varies with gestational age. ...Read more

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What is fundal height?

What is fundal height?

Top of the uterus: Fundal height refers to the location of the top of your uterus. This is a quick and easy way to confirm that the uterus is growing normally. We start at the top of the pubic bone and use the tape measure to locate the top of the uterus. After 20 weeks this distance in centimeters roughly equals your gestational age. Ex: 28 CM fundal height = 28 weeks gestation. ...Read more

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How to measure fundal height?

How to measure fundal height?

Measuring tape: Use the centimeter side and measure from the middle of the pubic bone (place the zero there) to the top of the curve of the uterus. In general the number of centimeters is about the number of weeks once beyond about 15 weeks. ...Read more

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How do I know if my fundal height is right?

Plus/minus 2cm: The fundal height should not vary more than two centimeters from what your gestational age is at the time. Your doctor would probably order an ultrasound to assess the situation further it you are lagging behind or measuring ahead. ...Read more

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What should the fundal height be at 8 weeks (3rd child)?

What should the fundal height be at 8 weeks (3rd child)?

None: An 8 week uterus is usually not popping out of the pelvis yet - if you are thin then it may be palpable above the pubic bone. ...Read more

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Fundal height is 4 weeks more than my due date but baby measuring 2 weeks smaller than my due date, what does this mean?

It means little: Fundal height generally approximates but does not always correlate to the actual gestational age. The measurement that you describe, I am assuming, is an ultrasound that is also an approximation. ...Read more

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3rd u/s done @ 28w2d, at apt the next day was told growth & fluid were normal but my fundal height measured 33. Dr not concerned, what could this mean?

Probably not much: As long as us looks ok, and all evidence shows baby is healthy and growing, thats good. No test is 100% perfect and there are no 100% guarantees even with 1000s of tests or exams. Ask your doctor next time. Often the weeks gestation and fundal height dont match exactly. Everthing you reported here sounds ok. ...Read more

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Hi I have a fundal height of 21cm at 25wks, scan last week showed below average amnio fluid but bub fine. Help please so worried next app a week away!?

Hi I have a fundal height of 21cm at 25wks, scan last week showed below average amnio fluid but bub fine. Help please so worried next app a week away!?

Please call your: Ob they know you and exactly what the scan showed, and your OB should ahve discussed the scan with you already !it doesn't matter that your next appt is one week away, call your OB on the phone or move up your visit that is what any of my pts would do and i would expect them to do that, but they wouldn't ahve to as they would already know what is going on and what teh plan is call yourob. ...Read more

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When do doctors begin measuring fundal height? Is it reliable before 20 weeks?

When do doctors begin measuring fundal height? Is it reliable before 20 weeks?

20 weeks gestation: In clinical practice, recording the actual fundal height measurement from the palpable top of the uterus to the superior edge of the pubic symphysis is standard practice beginning around 20 weeks gestation. Most caregivers will record their patient's fundal height on every prenatal visit. Measuring the fundal height can be an indicator of proper fetal growth and amniotic fluid development. ...Read more

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30 week fundal height measuring 32 weeks , is something wrong ? Will baby come early ?

30 week fundal height measuring 32 weeks , is something wrong ? Will baby come early ?

Nonspecific: If your dates are good stick with 30 weeks. If not so sure split the difference 31 weeks. The fundal height is subject to interpretation and not specific. It is just a general idea. ...Read more

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Should fundal height match gestational age from lmp? I.E. If 28 weeks from lmp, fundal height should be approx 28 cm

Within 3 wks: This is a rough guideline that obstetricians follow after 20wks. A three week discrepancy is acceptable and if greater, should prompt need for ultrasound evaluation. ...Read more

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My 1st us match my LMP but 2nd us (end of 1st trimester) and onwards us and my fundal height makes my LMP 1 week before my actual lmp, please suggest?

Normal: Ultrasound is more accurate compared to measurement of the fundal height. The first trimester ultrasound will be more accurate in dating the pregnancy than the second trimester ultrasound in most cases. ...Read more

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Diagnosed my baby fetal macrsomia. I'm 33wks+5 and fundal height measuring 37 wks. Ultrasound at 2 wks ahead. Have no risk factors. Should I worry?

Diagnosed my baby fetal macrsomia. I'm 33wks+5 and fundal height measuring 37 wks. Ultrasound at 2 wks ahead. Have no risk factors. Should I worry?

Macrosomia: Every baby grows at slightly different rates. U/S measurements are "dated" on an average growth rate, so any given time may be larger or smaller than average, but still be normal. Sometimes, the U/S may be correct, but since bleeding can occur with pregnancy, you may just have gotten pregnant a month earlier than you calculated. ...Read more

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I am 36 weeks. Ultrasound showed 6lbs1oz. My fundal height is measuring behind at 35 cm. It's been perfect until now. Is this normal when baby drops?

I am 36 weeks. Ultrasound showed 6lbs1oz. My fundal height is measuring behind at 35 cm. It's been perfect until now. Is this normal when baby drops?

Yes: Ultrasounds and fundal heights can only "guess" at weights and gestational age unless done serially. once the baby drops into the pelvis generally at 36 weeks gestation the fundal heights are "iffy". ...Read more

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Should your fundal height measure to gestational age or fetal age? I.E. If 25 weeks from LMP should it be 25cm?

Not specific: Depends on the womon. There is a period of time during the pregnanacy when fundal height is predicatble for gestational age, but not necessarily at 25 weeks. ...Read more

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At 10 weeks i measured 14 weeks in fundal height. My bladder was full at the time, how much would that affect how big my uterus measured?

At 10 weeks i measured 14 weeks in fundal height. My bladder was full at the time, how much would that affect how big my uterus measured?

Yes: It may have affected the measurement. I would wait until my next check. If you are still measuring more, i would suggest asking for a sonogram because your dates may be off. ...Read more

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Fundal height? Im measuring right 18 cms at 18 weeks but i don't understand why the top of my uterus is 2cms above belly button. By charts thats 24week

Fundal height? Im measuring right 18 cms at 18 weeks but i don't understand why the top of my uterus is 2cms above belly button. By charts thats 24week

Not accurate.: Fundal height assessment is "poor man's" ultrasound to assess fetal growth. It is notoriously inaccurate and depends on maternal weight for height, fibroids, amniotic fluid volume, lordosis of the maternal spine and experience of the examining prenatal care provider. I would not read too much into it and rather rely on the ultrasound measurements at any time. ...Read more

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Mother is obese52 lb weight gain, has GD, Pre-eclampsia, male infant, EFA at 35W4D, 8lbs. Fundal height 4 weeks ahead. C-section or vaginal??

Mother is obese52 lb weight gain, has GD, Pre-eclampsia, male infant, EFA at 35W4D, 8lbs.  Fundal height 4 weeks ahead. C-section or vaginal??

Trial of labor: There is no right or wrong answer. A trial of labor with timely c/section if there is inadequate progress of cervical dilatation would be a reasonable approach. ...Read more