Fetal growth screening by fundal height measurement.
Fundal height assessment is an inexpensive method for screening for fetal growth restriction. It has had mixed results in the literature, which is likely to be because of a wide variety of methods used. A standardised protocol of measurement by tape and plotting on customised charts is presented, which in routine practice has shown to be able to significantly increase detection rates, while reducing unnecessary referral for further investigation. Fundal height measurement needs to be part of a comprehensive protocol and care pathway, which includes serial assessment, referral for ultrasound biometry and additional investigation by Doppler as required.
Morse
Kate
K
West Midlands Perinatal Institute, Birmingham B6 5RQ, UK.
Williams
Amanda
A
Gardosi
Jason
J
D000886:Anthropometry; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D009929:Organ Size; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000379:methods*; D012016:Reference Values; D012017:Referral and Consultation; D012680:Sensitivity and Specificity; D014599:Uterus / Q000033:anatomy & histology*