Fundal height is generally defined as the distance from the pubic bone to the top of the uterus measured in centimeters. After the first 16 weeks of pregnancy, your fundal height measurement often matches the number of weeks you've been pregnant. For example, if you're 27 weeks pregnant, your health care provider would expect your fundal height to be about 27 centimeters.
It isn't unusual, however, for your fundal height to measure somewhat smaller or larger than expected. This might happen if you:
- Have a high body mass index
- Have a full bladder
- Are carrying twins or other multiples
In other cases, fundal height that measures smaller or larger than expected — or increases more or less quickly than expected — could indicate conditions such as:
- Slow fetal growth (intrauterine growth restriction)
- Rapid fetal growth
- Too little amniotic fluid (oligohydramnios)
- Too much amniotic fluid (polyhydramnios)
- Uterine fibroids
- A baby prematurely descending into the pelvis or settling into a breech or other unusual position
Depending on the circumstances, your health care provider might recommend an ultrasound or other tests to determine what's causing the unusual measurements.
Remember, fundal height is only a tool for gauging fetal growth and gestational age — it's not an exact science. Typically, fundal height measurements offer reassurance of a baby's steady growth. If you're concerned about your fundal height measurements, ask your health care provider for details.
May 09, 2014
- Figueras F, et al. Intrauterine growth restriction: New concepts in antenatal surveillance, diagnosis, and management. American Journal of Obstetrics and Gynecology. 2011;204:288.
- Jehan I, et al. Dating gestational age by last menstrual period, symphysis-fundal height, and ultrasound in urban Pakistan. International Journal of Gynecology and Obstetrics. 2010;110:231.
- Morse K, et al. Fetal growth screening by fundal height measurement. Best Practice & Research Clinical Obstetrics and Gynaecology. 2009;23:809.
- Gibbs RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2008. http://www.danforthsobgyn.com. Accessed Dec. 19, 2013.
- Peter JR, et al. Symphysial fundal height (SFH) measurement in pregnancy for detecting abnormal fetal growth. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008136.pub2/abstract. Accessed Dec. 19, 2013.