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Fetal Weight Estimator

Estimate fetal weight using the Hadlock formula based on ultrasound biometry (BPD, HC, AC, FL). The Hadlock formula is the most widely used method with accuracy of ยฑ15% of actual birth weight.

Concept Fundamentals
ยฑ15%
Hadlock Accuracy
BPD, HC, AC, FL
Parameters
10th-90th %ile
Normal Range

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Key values and context for this tool: โ€ข Hadlock Accuracy: ยฑ15% โ€ข Parameters: BPD, HC, AC, FL โ€ข Normal Range: 10th-90th %ile

Key values
ยฑ15%
Hadlock Accuracy
Key value
BPD, HC, AC, FL
Parameters
Key value
10th-90th %ile
Normal Range
Key value

Ready to run the numbers?

Why: Calculate estimated fetal weight from ultrasound measurements using Hadlock formula.

How: Enter your values in the calculator fields below, keep units consistent, then run the calculation to see results and any step-by-step work shown on this page.

Run the calculator when you are ready.

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Sample Scenarios

๐Ÿ“… 20 Weeks

Mid-pregnancy anatomy scan โ†’ ~300g

๐Ÿ“… 28 Weeks

Third trimester growth check โ†’ ~1050g

๐Ÿ“… 32 Weeks

Growth scan - normal โ†’ ~1750g

๐Ÿ“… 36 Weeks

Near term assessment โ†’ ~2725g

๐Ÿ“… 40 Weeks

Full term assessment โ†’ ~3735g

๐Ÿ“ AC Only

Minimal input (Hadlock 1) โ†’ basic estimate

Enter Ultrasound Measurements

For informational purposes only โ€” not medical advice. Consult a healthcare professional before acting on results.

Understanding Estimated Fetal Weight

Estimated Fetal Weight (EFW) is calculated from ultrasound measurements using validated formulas. All estimates have approximately ยฑ15% margin of error.

BPD

Biparietal Diameter โ€” Head width

HC

Head Circumference

AC

Abdominal Circumference โ€” Most predictive

FL

Femur Length

Growth Categories by Percentile

SGA (<10th percentile)

Small for Gestational Age โ€” May need additional monitoring

AGA (10th-90th percentile)

Appropriate for Gestational Age โ€” Normal growth range

LGA (>90th percentile)

Large for Gestational Age โ€” Screen for gestational diabetes

When is EFW Measured?

18-22 Weeks: Anatomy Scan

Detailed evaluation of fetal anatomy and baseline growth

28-32 Weeks: Growth Check

Third trimester assessment, especially if high-risk

36+ Weeks: Delivery Planning

Assessment for delivery considerations

Hadlock Formula Accuracy

Hadlock 4-parameter formula (BPD, HC, AC, FL) is the most widely used method with ยฑ15% accuracy. More parameters generally improve precision.

log10(EFW) = 1.3596 + 0.0064ร—HC + 0.0424ร—AC + 0.174ร—FL + 0.00061ร—BPDร—AC - 0.00386ร—ACร—FL

Factors Affecting EFW Accuracy

  • Operator skill and experience
  • Fetal position and movement
  • Maternal BMI (obesity reduces accuracy)
  • Gestational age (late third trimester less accurate)

Clinical Implications

EFW guides prenatal care, delivery planning, and screens for growth restriction (IUGR) or macrosomia. Always discuss results with your healthcare provider.

Normal Weight Ranges by Gestational Age

Average (50th percentile) fetal weights: 20w ~300g, 28w ~1050g, 32w ~1750g, 36w ~2725g, 40w ~3735g. The 10th-90th percentile range is considered normal.

When to Seek Further Evaluation

Consult your provider if EFW is below 10th or above 90th percentile, or if growth velocity changes significantly between scans.

Disclaimer

This calculator provides estimates only. All ultrasound weight estimates have approximately ยฑ15% margin of error. This tool does not replace professional medical advice.

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