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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Midwife measurement accuracy.

5 replies

beeboo92 · 21/03/2024 16:39

I've just come back from my 25 week scan and been manually measured for the first time. Apparently my baby is way above the centile lines and is measuring 4 weeks bigger than it is.
At the 3 scans I've had baby has been bang on perfect in size. My last one was 5 weeks a go but how accurate is the measuring tape usually? Because I'm now petrified I've got a giant growing in there (that I must say is well hidden because my bump isn't big at all, even the midwife commented how small and 'cute' it is).

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Herpesvirologist · 21/03/2024 16:56

Don't panic! I measured 3cm ahead at my last midwife appointment and was immediately sent for a growth scan. The baby was 55th percentile (and had been 50th the scan before that). This week. I only measured 1cm ahead (so three weeks growth but only one cm gain) and the midwife wasn't bothered. Within-operator measurements (same midwife, same woman, same day) can be 1cm different but between-operator measurements can be up to 7.5cm different (different midwife, same woman same day)! I looked this all up last time because I was cheesed off with being stressed out for nothing.

The sonographer told me it was probably just how the baby was lying & so not to worry in future. I've also been told I have a neat bump, that somehow measures whale sized! So I've stopped paying attention to my fundal height tbh...

fr4zzledmum · 21/03/2024 16:58

Honestly, measurements from midwives or scans need to be taken with a pinch of salt.

My bump with my first apparently was measuring small, so sent for a growth scan only to be told they were measuring baby at an estimated 10.5lbs! My DD ended up being 7lb 10oz full term.

Strawberry06 · 21/03/2024 17:02

Honestly I wouldn't worry about it at all. I always measured 2 weeks ahead so was always sent for growth scans where baby followed a lovely trajectory of being just under 90th centile every time.

I remember when I had my 38 week appointment it was a completely different midwife and she measured me at 43 weeks! I was lying way further back than I usually had been as well. I knew it was all wrong!

I would pay no attention to the fundal measurment at all at the end of the day it's a person with a tape measure and so many factors can affect it.

XenaTheWarriorPrincess · 21/03/2024 20:34

It's wildly inaccurate and definitely not something to stress over. The only reason ita still done is because it's the only indicator a midwife has for growth and the alternative would be to scan everyone every 2 weeks, which they don't have the resources for.

Worse case is you get a growth scan, which is usually nice and reassuring. Even the scans aren't that accurate though, there's something like a 20% margin of error on the scan, the tape measurement is probably only marginally more accurate than a wild guess 😅 so even if the scan comes back too big/too small, still take it with a pinch of salt.

I just had a growth scan today due to reduced movements yesterday, baby is estimated 6lb 4oz at 34+4, which is a tad large buy the tape measurement was a bit small.

JRTfan · 21/03/2024 21:46

I wasn't measured at my 25 week appointment so I guess some trusts don't do it..she checked the heartbeat and had a feel but no measuring.

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