Fetal Growth Examples

The following examples illustrate some of the main concepts in the use of customised charts.

For further information, please attend one of our workshops, listed in the diary or contact us

SGA – small for gestational age ​
FGR – fetal growth restriction
​SFH – standardised fundal height (measured from fundus to symphysis)​
EFW – estimated fetal weight, by ultrasound ​
GROW – gestation related optimal weight (customised charts) ​
GAP – growth assessment protocol

Normal Growth

Under Construction

Slow Growth - SFH

Under Construction, please see GAP Guidance

Slow Growth - EFW

Under Construction, please see GAP Guidance

First SFH plot above 90th Centile

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A first SFH measurement above the 90th centile itself is not an indication for referral, as it usually does not reflect a large baby. The most important indicator is whether subsequent measurements will show normal accelerated growth (see next).

Serial plots above 90th centile

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This chart demonstrates a normal pattern of growth. Women should be reassured that fundal height measurements are of the uterus and all its contents. They are not meant to predict the size or weight of the baby, but to assess with serial measurements that it is growing well. An individual fundal height measurement above the 90th  centile does not require referral for scan, unless there are other concerns e.g. polyhydramnios, or accelerated growth (see next slide).

Accelerated or excessive growth

Under Construction, please see GAP Guidance