Doctor insights on:
Measuring Large Fundal Height
Fundal height is 4 weeks more than my due date but baby measuring 2 weeks smaller than my due date, what does this mean?
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
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
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
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
Fundal height? I'm 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 that's 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
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
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?
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
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
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, that's 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 don't match exactly. Everthing you reported here sounds ok. ...Read more
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
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
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
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??
Hi, am 27yrs old, with one child, it was recently discovered that I have exophytic fundal fibroid, measuring 20.5cm, with mild symptom. Can you please?
Antero-fundal intramural myoma with subserous component measuring 5.9 x4.8 cm. What does it mean? Do I have the chance to give birth?
Yes: The fibroid is located in the wall of the uterine musculature just under the outer uterine surface. It may not interfere with pregnancy implantation or cause miscarriage/premature delivery unless in grows very large during a pregnancy. If you are not pregnant now consider fibroid removal. ...Read more
I'm 36 years old and my scan showed a fundal intramural fibroid measuring 35x28x32mm as well as endometrial polyps. Should I have both removed?
Maybe: If you are having symptoms of bleeding and or frequency in urination then they should be removed. If you are trying to conceive then you definitely need to have a discussion with your GYN too. You may not need surgery as you may be a candidate for other ways to remove fibroids other than surgery. Go to your doc. ...Read more
Hi mam, I am 30 years old...we are trying for a baby. I am having fundal subserosal fibroid measuring 12 x 13 mm....my periods are regular at 28 days?
And your question?: Unclear question as it is a statement of facts only. ...Read more
uterus mildly prominent measuring 10.0 x 4.1 x 6.7 cm. Right fundal region there is a 1.5 x 1.3 x 1.9 cm hypoechoic mass small amount of free fluid?
I hav a myoma uteri (im w/ sm & ss measuring 3.6x3.8x3.4cm @ anterior fundal area. Uterus is anteverted (8.2x5.1x4.6cm), cervix 2.7x2.4x2.4cm. Wt wil I do?
Fibroid uterus: You're describing a medium size fibroid which may or may not need anything done. It depends entirely on whether it's causing any symptoms or not. About 50% of women have fibroids and most don't know it. Usually they cause no trouble at all. But sometimes they can cause abnormal bleeding, various pain, trouble getting pregnant, etc. ...Read more
I am 47 and having 12-20d cycles, bloating, pressure (decreased pain sensation d/t SCI) and new GI sx. On US 2 large hyperechoic fundal masses.
Cycles, masses?: Hi~ sorry, but a very badly written question so I'm guessing here, but it sounds like you have 2 FIBROIDS in the UTERINE fundus ~ causing MENORRHAGIA ~ go and see an OB GYN to help out here Thanks! ...Read more
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