A fundal height measurement might be less accurate however if you have a body mass index of 30 or higher obesity or have a history of fibroids. If you dont have measuring tape or a ruler handy use the old traditional method of using your fingers. Symphysis fundal height also known as the fundal height measurement of the symphysis fundal height sfh is a common screening method used to estimate the gestational age and fetal growth after 24 weeks gestation. Doctors begin measuring fundal height at around week 20 of your pregnancy and at every prenatal appointment until your baby is born. Midwives recorded sfh into the antenatal record to the nearest round number ie. If greater than or equal to 05 the fundal height measurement was rounded up and if less than 05 was rounded down and only at that point it was compared with the us gestation for patient care.
The sfh is measured using a tape placed over the mothers abdomen. In the first trimester ultrasound is helpfully for confirming your estimated due date by measuring your babys crown to rump length or the distance between the top of the babys head to his bottom. Saq 102 104 identify possible causes of abnormal fundal height measurements and take the appropriate actions. The width of one finger in the fundal height is roughly equivalent to one week of gestation time. 102 know how to measure fundal height using the finger method and a soft measuring tape. Ultrasound can also be used to help estimate your babys weight.
Saq 101 103 interpret fundal height measurements to assess normal fetal growth in relation to gestational age. For example a 20 week old pregnancy should have a fundal height of about 16 24 cm. Slow fetal growth intrauterine growth restriction. A fundal height that measures smaller or larger than expected or increases more or less quickly than expected could indicate.