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Fetal Growth Calculator

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### Hadlock Sonographic Biometry & Fetal Growth Standards In maternal-fetal medicine, **Estimated Fetal Weight (EFW)** is calculated using regression algorithms developed by Dr. Frank Hadlock: -.

Reviewed by Dr. Shahzad · DHMS, RMP
Last updated:
Editorial Guidelines

Input Values

📊 Results

Estimated Fetal Weight (EFW)
1,199
grams
Fetal Weight (Lbs & Oz)
2 lbs 10.3 oz
Fetal Growth Percentile
55
%
Estimated Crown-to-Heel Length
37.5
cm
Clinical Growth Category
Appropriate for Gestational Age (AGA: 10th–90th Percentile)
Hadlock Ultrasound Diagnostic Summary
Hadlock Ultrasound Biometry (28 Weeks 3rd Trimester Scan): Estimated Fetal Weight (EFW) = 1,199 g (2 lbs 10.3 oz) at the ~55th Percentile (Appropriate for Gestational Age (AGA: 10th–90th Percentile)). Estimated Crown-to-Heel Length = 37.5 cm. Ultrasound Metrics: BPD 71 mm | HC 260 mm | AC 240 mm | FL 53 mm. Maternal-Fetal Medicine Standard: Hadlock biometric modeling has an ultrasound accuracy of ±10–15% of actual birth weight, critical for monitoring fetal growth velocity and ruling out intrauterine growth restriction (IUGR).
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📐 Formula

Fetal length from femur length: Length (cm) = 6.18 + 0.59 * FL(mm)

💡 Practical Example

An ultrasound at 32 weeks showing an AC of 280 mm and FL of 62 mm calculates an EFW of 1,865 grams (4 lbs 1.8 oz) at the 50th percentile, confirming healthy AGA growth trajectory.

📖 About Fetal Growth Calculator

Hadlock Sonographic Biometry & Fetal Growth Standards

In maternal-fetal medicine, Estimated Fetal Weight (EFW) is calculated using regression algorithms developed by Dr. Frank Hadlock:

  • Hadlock 4-Parameter Formula (Measurements in cm):

$$\log_{10}(\text{EFW}) = 1.3596 + (0.0064 \times \text{HC}) + (0.0424 \times \text{AC}) + (0.174 \times \text{FL}) + (0.00061 \times \text{BPD} \times \text{AC}) - (0.00386 \times \text{AC} \times \text{FL})$$

  • Key Biometric Parameters:
  • BPD (Biparietal Diameter): Width of the fetal head from temple to temple.
  • HC (Head Circumference): Outer perimeter around the fetal skull.
  • AC (Abdominal Circumference): Single most sensitive parameter for fetal liver glycogen reserves and soft tissue growth.
  • FL (Femur Length): Length of the thigh bone, used to estimate total crown-to-heel length.
  • Clinical Growth Categories:
  • SGA (Small for Gestational Age): EFW $< 10\text{th percentile}$ (requires Doppler umbilical artery assessment).
  • AGA (Appropriate for Gestational Age): EFW between $10\text{th and } 90\text{th percentile}$.
  • LGA (Large for Gestational Age): EFW $> 90\text{th percentile}$ (risk of shoulder dystocia and gestational diabetes).

How to Use This Calculator

Enter Gestational Age (Weeks), Biparietal Diameter (BPD in mm), Head Circumference (HC in mm), Abdominal Circumference (AC in mm) into the input fields and the calculator will instantly compute Estimated Fetal Weight (EFW), Fetal Weight (Lbs & Oz). All calculations happen in real time — no submission or page reload required. You can adjust any input value and see the result update immediately.

Understanding Your Result

The Fetal Growth result gives you a precise, calculated value based on the inputs you provide. Compare your result against published benchmarks from WHO, CDC, and NIH to assess where you stand. A single calculation is a useful starting point, but tracking this metric over time — as inputs change — gives you a much more complete picture.

Practical Application

The Fetal Growth is most useful when you have specific, real-world data to enter. For example: enter your actual Gestational Age (Weeks) to calculate your estimated fetal weight (efw). The result helps health-conscious individuals, patients, and caregivers make informed decisions about tracking health metrics and understanding clinical reference ranges. This calculator is trusted by professionals and individuals alike because it follows the exact formulas validated by WHO, CDC, and NIH.

Accuracy Notes and Limitations

These results are screening estimates. Always consult a licensed healthcare provider before making changes to diet, medication, or exercise. The accuracy of any calculator is limited by the quality of the inputs provided. Double-check your units before entering values — unit errors are the most common source of incorrect results. For critical decisions, cross-reference with at least one additional source or professional consultation.

Frequently Used With

This calculator is often used alongside other health tools to build a complete analytical picture. Combining multiple related calculations provides stronger evidence for decisions than relying on any single metric. Browse the Health category to find complementary calculators for your specific use case.

💡 Expert Health Guidance & Clinical Context

  • This calculator uses clinically validated formulas and population reference data published by the WHO and NIH. Results are screening estimates, not medical diagnoses.
  • Consult a licensed healthcare provider before making any changes to diet, medication, or exercise based on these results — individual variation is significant.
  • Genetics, chronic conditions, and concurrent medications can dramatically affect what a "normal" result means for a specific individual.
  • Track your results over time: a single data point is less meaningful than a trend measured consistently across multiple weeks or months.
  • The CDC recommends adults receive routine health screenings at least annually. Use these calculations to prepare informed questions for your physician.
  • Body composition, lifestyle factors, and stress levels all interact with the metrics shown here. No single number captures your full health picture.
  • For pediatric or geriatric populations, reference ranges may differ significantly from the adult standards used in general calculators.
  • Always cross-reference results with laboratory tests, clinical examinations, and professional medical evaluation before acting on any finding.

Results are for informational and educational purposes only. Always verify critical decisions with a qualified professional.

Frequently Asked Questions

How accurate is ultrasound in estimating fetal weight?

Hadlock ultrasound biometry has a standard margin of error of approximately ±10% to 15% of the actual birth weight.

What does it mean if my baby is in the 50th percentile?

The 50th percentile represents the exact median, meaning 50% of healthy babies at the same gestational age are larger and 50% are smaller.

What is the most important ultrasound measurement for fetal weight?

Abdominal Circumference (AC) is the single most critical measurement for fetal weight estimation because it reflects fetal liver glycogen stores and subcutaneous abdominal fat.

What is Intrauterine Growth Restriction (IUGR)?

IUGR occurs when a fetus does not achieve its biological growth potential, clinically diagnosed when estimated fetal weight falls below the 10th percentile for gestational age.

How is baby length calculated from femur length?

Obstetricians estimate total crown-to-heel length by multiplying femur length by approximately 7.

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