Racial/ethnic standards for fetal growth: the NICHD Fetal Growth Studies




Objective


Fetal growth is associated with long-term health yet no appropriate standards exist for the early identification of undergrown or overgrown fetuses. We sought to develop contemporary fetal growth standards for 4 self-identified US racial/ethnic groups.


Study Design


We recruited for prospective follow-up 2334 healthy women with low-risk, singleton pregnancies from 12 community and perinatal centers from July 2009 through January 2013. The cohort comprised: 614 (26%) non-Hispanic whites, 611 (26%) non-Hispanic blacks, 649 (28%) Hispanics, and 460 (20%) Asians. Women were screened at 8w0d to 13w6d for maternal health status associated with presumably normal fetal growth (aged 18-40 years; body mass index 19.0-29.9 kg/m 2 ; healthy lifestyles and living conditions; low-risk medical and obstetrical history); 92% of recruited women completed the protocol. Women were randomized among 4 ultrasonography schedules for longitudinal fetal measurement using the Voluson E8 (GE Healthcare, Milwaukee, WI). In-person interviews and anthropometric assessments were conducted at each visit; medical records were abstracted. The fetuses of 1737 (74%) women continued to be low risk (uncomplicated pregnancy, absent anomalies) at birth, and their measurements were included in the standards. Racial/ethnic-specific fetal growth curves were estimated using linear mixed models with cubic splines. Estimated fetal weight (EFW) and biometric parameter percentiles (5th, 50th, 95th) were determined for each gestational week and comparisons made by race/ethnicity, with and without adjustment for maternal and sociodemographic factors.


Results


EFW differed significantly by race/ethnicity >20 weeks. Specifically at 39 weeks, the 5th, 50th, and 95th percentiles were 2790, 3505, and 4402 g for white; 2633, 3336, and 4226 g for Hispanic; 2621, 3270, and 4078 g for Asian; and 2622, 3260, and 4053 g for black women (adjusted global P < .001). For individual parameters, racial/ethnic differences by order of detection were: humerus and femur lengths (10 weeks), abdominal circumference (16 weeks), head circumference (21 weeks), and biparietal diameter (27 weeks). The study-derived standard based solely on the white group erroneously classifies as much as 15% of non-white fetuses as growth restricted (EFW <5th percentile).


Conclusion


Significant differences in fetal growth were found among the 4 groups. Racial/ethnic-specific standards improve the precision in evaluating fetal growth.


Optimal fetal growth is recognized as a basic foundation for long-term health, while aberrations in growth may have implications for disease risk across the lifespan. While abnormal fetal growth, both restriction and overgrowth, is associated with fetal, infant, and child mortality and morbidity, it also has implications for reproductive disorders and later-onset chronic diseases. For example, girls born small-for-gestational age, a proxy for restricted fetal growth, are reported to have earlier onset and progression of puberty, and a higher incidence of diseases during pregnancy than unaffected girls. Other population-level data suggest a relation between diminished birth size and hypertension as well as other chronic disorders. These data support the early origins of health and disease research paradigms.


Despite the importance of adequate fetal growth for human beings, no US intrauterine standards for ultrasound-measured fetal growth exist. Unlike references that describe the gestational age distribution of birthweight for all fetuses, including growth-restricted preterm infants, ultrasonographic standards are purposefully developed to reflect optimal growth by restricting study populations to healthy women in optimum conditions at low risk for adverse pregnancy complications and then restricting to actual uncomplicated pregnancies with fetuses free of anomalies. The underlying assumption of a standard is that fetuses of low-risk pregnant women should grow to their fullest extent absent pregnancy complications associated with growth restriction or overgrowth, and that the distributions are not affected by secular trends in maternal intrinsic factors, such as obesity or advanced maternal age.


While many factors including race/ethnicity have been reported to be associated with suboptimal fetal growth, the absence of a fetal growth standard precludes a more complete interpretation of these findings. The need for an ultrasonographic standard is even more pressing given the changing sociodemographic and maternal clinical characteristics of US populations, including a higher percentages of births to older, non-white, and heavier mothers relative to earlier cohorts. In response, we designed the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Fetal Growth Studies. The overarching goal of this study was to establish a standard for fetal growth and size for gestational age and to address possible differences among non-Hispanic white, non-Hispanic black, Hispanic, and Asian or Pacific Islander singleton fetuses. We also assessed the racial/ethnic patterns for estimated fetal weight (EFW) and measured birthweight.


Materials and Methods


Study design and cohort selection


Using a prospective cohort design with longitudinal data collection, pregnant women were recruited from 12 participating US clinical sites from July 2009 through January 2013. Women underwent ultrasound screening (8w0d to 13w6d) to ensure valid gestational dating consistent with last menstrual period dating. Women were asked to self-identify their predominant race/ethnicity as non-Hispanic white, non-Hispanic black, Hispanic, and Asian or Pacific Islander. Hereafter, we refer to these groups as white, black, Hispanic, and Asian. Eligibility criteria included: aged 18-40 years; pregravid body mass index (BMI) 19.0-29.9 kg/m 2 ; viable singleton pregnancy; and planning to deliver at participating hospitals. Exclusion criteria were extensive to ensure pregravid women’s low-risk status: history of preterm, low birthweight (<2500 g), or macrosomic (>4000 g) neonate; history of stillbirth or neonatal death; medically assisted conception; cigarette smoking or illicit drug use in past 6 or 12 months, respectively; ≥1 daily alcoholic drinks; previous fetal congenital malformation; history of noncommunicable diseases (asthma requiring weekly medication, autoimmune disorders, cancer, diabetes mellitus, epilepsy or seizures requiring medication, hematologic disorders, hypertension, psychiatric disorders, renal disease, thyroid disease); or history of gravid diseases (gestational diabetes, severe preeclampsia/eclampsia, or hemolysis, elevated liver enzymes, low platelet count syndrome). From the targeted sample, 2334 (93%) women were enrolled including 614 white, 611 black, 649 Hispanic, and 460 Asian or Pacific Islander women with protocol completion rates of 93%, 92%, 93%, and 90%, respectively. Sample size was determined so that the 5th and 95th percentiles for each racial/ethnic group could be precisely estimated over gestation, and assuming a 10% attrition and 30% exclusion rate for women with pregnancy or neonatal complications. We estimated needing 600 women in each group to reach our estimate of 320 women; our high completion and lower than expected exclusion rate resulted in larger cohorts. Human subjects’ approval was obtained from all participating sites; women gave informed consent before data collection.


Data collection


Research nurses conducted in-person interviews with the women during prenatal visits to ascertain information on lifestyle and reproductive and medical history, followed by the completion of anthropometric assessments, including after delivery, using a standardized protocol. Recalled pregravid weight and self-reported height were used for the calculation of pregravid BMI (kg/m 2 ), given that women were already pregnant at enrollment. Women’s eligibility for their fetuses’ inclusion in the standard was verified with regard to compliance with the protocol, and absence of pregnancy or neonatal complications to ensure their pregnancies resulted in delivery of a healthy live-born infant.


Sonology


One comprehensive sonology center (Columbia University) was established to oversee the finalization, implementation, and oversight of the sonology protocol. All participating sonographers underwent ante hoc training and credentialing for quality control, and their measurement techniques were subject post hoc to rigorous quality assurance.


Following the baseline interview, women were randomized to 1 of 4 ultrasonography schedules. By design, this mixed longitudinal randomization scheme captured weekly fetal growth data without exposing women to weekly ultrasound examinations as follows:









































Group Visit 1 Visit 2 Visit 3 Visit 4 Visit 5
A 16 24 30 34 38
B 18 26 31 35 39
C 20 28 32 36 40
D 22 29 33 37 41


Each study visit was scheduled within ±1 week of the targeted gestational age to accommodate women’s availability. At each ultrasound exam, biometric measurements were performed using standard operating procedures and identical equipment (Voluson E8; GE Healthcare, Milwaukee, WI) using a transabdominal curved multifrequency volume transducer (real-time abdominal 4-8 MHz) and endovaginal multifrequency volume transducer (real-time intracavity 6-12 MHz). All measurements and images were captured in ViewPoint (GE Healthcare) and electronically transferred to the study’s imaging data coordination center. Longitudinal measurements were taken for biparietal diameter (BPD) (outer to inner), humerus length (HL), and femur length (FL) using the linear function and for head circumference (HC) and abdominal circumference (AC) using the ellipse function, with the intent of creating separate standards for each parameter. EFW was computed from HC, AC, and FL using a Hadlock formula. We also calculated the HC/AC ratio as an index of proportionality.


Statistical analysis


In the descriptive analysis, baseline and clinical data were compared for participants by women’s self-reported race/ethnicity. Significance ( P < .05) was determined using χ 2 or t tests for categorical and continuous data, respectively. All serial ultrasound data were used to estimate fetal growth relative to individual parameters, EFW and birthweight. Ultrasonography measurements (BPD, HC, AC, HL, FL), HC/AC, and EFW were log-transformed to stabilize variances across gestational ages and to improve normal approximations for the error structures.


The primary analysis was performed using linear mixed models with cubic splines for estimating racial/ethnic-specific fetal growth curves for size, methods that accounted for the variation across individual fetuses. Three-knot points (25th, 50th, 75th percentiles) were chosen at gestational ages that evenly split the distributions. Percentiles were estimated based on the assumed normal distribution of the random effects and error structure. Estimated curves (5th, 50th, and 95th percentiles) were determined across gestational age from the 15th to the 40th week and for each racial/ethnic group. For EFW and each individual anthropometric parameter, we tested for overall differences in the racial/ethnic-specific curves using a likelihood-ratio test. When the global test was significant (<.05 level), we tested for week-specific differences by race/ethnicity using Wald tests at each week of gestation. These tests were conducted on the estimated curves with and without adjustment for maternal characteristics: age, self-reported height and pregravid weight, parity, full-time employment/student status (yes/no), marital status (married/living as married vs not), health insurance (private/managed vs Medicaid/other), income, education, and infant sex (male/female). All covariates were treated as continuous unless otherwise stated. Annual income and education were analyzed categorically: income <$30,000, $30,000-39,999, $40,000-49,999, $50,000-74,999, $75,000-99,999, ≥$100,000; and education <high school, high school or equivalent, some college or associate degree, bachelor degree, and master or higher degree. We used multiple imputation (with 20 imputations) to account for missing covariate information measurements when performing covariate-adjusted tests for week-specific racial/ethnic differences in the fetal growth curves. We empirically assessed the validity of our statistical model to ensure it produced unbiased percentile estimates using simulation analysis, and compared different linear mixed models (ie, cubic splines, cubic polynomials, and second-order fractional polynomials) and individual-specific interpolation or smoothing methods.


Lastly, to interpret findings in terms of clinical relevancy, we evaluated the degree of misclassification that would be introduced if the study-derived white standard was used for estimating fetal growth for all other racial/ethnic groups using methods grounded in normal probability theory. All analyses were implemented using SAS (version 9.4; SAS Institute Inc, Cary, NC) or R (version 3.1.2; http://www.R-project.org ).




Results


Among the 2334 enrolled women, 597 (25%) were excluded from the standard resulting in 1737 women and fetuses available for analysis ( Figure 1 ). Of women, 7% (n = 169) were lost to follow-up, while 356 (20%) were excluded for pregnancy complications or 4% (n = 72) for neonatal complications. Few significant differences were observed between indications for exclusion and race/ethnicity. Asian women were more likely to decline continued participation and to develop gestational diabetes, while black women developed more hypertension in pregnancy, and white women experienced more placental/umbilical cord complications in comparison with other racial/ethnic groups (data not shown).




Figure 1


Women enrolled and retained in the NICHD Fetal Growth Studies

Cohort recruitment, retention or exclusion and inclusion of fetuses in standard, Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies–singletons. Women enrolled and retained in final analysis of fetal growth standards.

Buck Louis. Racial/ethnic standards of fetal growth. Am J Obstet Gynecol 2015 .


Characteristics of women retained in the standard by race/ethnicity are presented in Table 1 . Mean (±SD) ages ranged from 25.5 ± 5.4 years for black to 26.9 ± 5.4 years for Hispanic, 30.3 ± 4.3 years for white, and 30.5 ± 4.4 years for Asian women, though all SD overlapped. A slight excess of white and Asian women were nulliparous in comparison with black and Hispanic women. Even within the proscribed BMI range, black women tended to be taller and heavier, while Hispanic women were shorter and heavier, and Asian women were shorter and lighter than their respective counterparts. Most women were not using contraception at the time of conception, and most were married and held jobs.



Table 1

Maternal characteristics upon enrollment in the NICHD Fetal Growth Studies




































































































































































































































































































































































































Characteristic Non-Hispanic white (n = 481) n (%) Non-Hispanic black (n = 426) n (%) Hispanic (n = 488) n (%) Asian/Pacific Islander (n = 342) n (%)
Native born United States
Yes 446 (93) 388 (91) 221 (45) 92 (27)
No 35 (7) 38 (9) 267 (55) 250 (73)
Age, y
<20 8 (2) 53 (12) 33 (7) 2 (1)
20–29 177 (37) 278 (65) 297 (61) 141 (41)
30–39 291 (60) 94 (22) 157 (32) 198 (58)
40–44 5 (1) 1 (<1) 1 (<1) 1 (<1)
Mean (±SD) 30.3 (4.3) 25.5 (5.4) 26.9 (5.4) 30.5 (4.4)
Self-reported height, cm
Quartile 1 (134.6–154.9) 46 (10) 42 (10) 126 (26) 91 (27)
Quartile 2 (157.5–160.0) 88 (18) 95 (22) 164 (34) 115 (34)
Quartile 3 (162.6–165.1) 116 (24) 135 (32) 113 (23) 71 (21)
Quartile 4 (167.6–188.0) 231 (48) 153 (36) 85 (17) 65 (19)
Mean (±SD) 165.7 (7.1) 164.4 (6.9) 160.0 (6.3) 160.4 (6.0)
Self-reported prepregnancy weight, kg
Quartile 1 [39.6–56.6] 80 (17) 67 (16) 117 (24) 164 (48)
Quartile 2 [56.7–63.6] 110 (23) 80 (19) 102 (21) 78 (23)
Quartile 3 [63.7–70.9] 152 (32) 118 (28) 143 (29) 56 (16)
Quartile 4 [71.0–122.6] 139 (29) 158 (37) 125 (26) 44 (13)
Mean (±SD) 63.5 (9.0) 65.0 (9.8) 62.0 (8.6) 57.0 (8.3)
BMI, kg/m 2
<19.0 11 (2) 5 (1) 5 (1) 10 (3)
19.0–24.9 350 (73) 269 (64) 293 (60) 285 (83)
25.0–29.9 119 (25) 147 (35) 186 (38) 46 (13)
≥30.0 1 (0) 1 (0) 3 (1) 1 (0)
Mean (±SD) 23.1 (2.8) 24.0 (3.1) 24.2 (2.8) 22.1 (2.5)
Parity [no. of births]
0 257 (53) 207 (49) 189 (39) 176 (52)
1 163 (33) 140 (33) 186 (38) 132 (39)
2 50 (10) 61 (14) 71 (15) 28 (8)
3 11 (2) 18 (4) 42 (9) 6 (2)
Mean (±SD) 1.3 (0.7) 1.5 (0.7) 1.6 (0.9) 1.25 (0.5)
Using birth control when became pregnant
Yes 24 (5) 61 (14) 75 (15) 20 (6)
No 457 (95) 365 (86) 412 (85) 322 (94)
Marital status
Never married 22 (5) 205 (48) 107 (22) 21 (6)
Married/living as married 452 (94) 205 (48) 357 (73) 313 (92)
Divorced/separated 6 (1) 15 (4) 24 (5) 8 (2)
Education
<High school 4 (1) 47 (11) 108 (22) 18 (5)
High school/GED 22 (5) 122 (29) 114 (23) 40 (12)
Some college/associate degree 88 (18) 153 (36) 181 (37) 67 (20)
College undergraduate 203 (42) 66 (16) 67 (14) 106 (31)
Postgraduate college 164 (34) 38 (9) 18 (4) 111 (33)
Annual family income
≤$29,999 17 (4) 180 (49) 157 (39) 43 (17)
$30,000–49,999 30 (7) 71 (19) 109 (27) 32 (12)
$50,000–74,999 59 (13) 33 (9) 55 (14) 33 (13)
$75,000–99,999 88 (19) 38 (10) 30 (7) 54 (21)
≥$100,000 270 (58) 47 (13) 54 (13) 96 (37)
Health insurance
Private/managed care 452 (94) 204 (48) 169 (35) 211 (62)
Medicaid; other 24 (5) 217 (51) 298 (61) 126 (37)
Self-pay 5 (1) 5 (1) 21 (4) 5 (2)
Currently paid jobs
0 89 (19) 141 (33) 221 (45) 132 (39)
1 345 (72) 260 (61) 257 (53) 202 (59)
≥2 47 (10) 25 (6) 10 (2) 8 (2)
Infant sex
Male 260 (54) 213 (50) 246 (50) 178 (52)
Female 221 (46) 213 (50) 242 (50) 164 (48)

All comparisons for each characteristic by race/ethnicity were significant at P < .0001 using χ 2 or t tests for categorical and continuous data, respectively.

BMI , body mass index, as estimated from self-reported height (m) and pregravid weight (kg) at enrollment; GED , General Educational Development.

Buck Louis. Racial/ethnic standards of fetal growth. Am J Obstet Gynecol 2015 .


Figure 2 presents the curves for EFW that include the 5th, 50th, and 95th percentiles. The curves differ significantly by race/ethnicity starting at 16 weeks’ gestation extending to delivery (global test P < .001). At 32 weeks, representing a time when an obstetrical ultrasound might be obtained to evaluate fetal growth, the 5th, 50th, and 95th EFW percentiles were 1615, 1958, and 2374 g for white; 1523, 1877, and 2313 g for Hispanic; 1514, 1836, and 2228 g for black; and 1508, 1831, and 2222 g for Asian fetuses, respectively ( P < .001). At approximately full term (39 weeks), 5th, 50th, and 95th percentiles for EFW were 2790, 3505, and 4402 g for white; 2633, 3336, and 4226 g for Hispanic; 2621, 3270, and 4078 g for Asian; and 2622, 3260, and 4053 g for black fetuses ( P < .001).




Figure 2


Estimated fetal weight by race/ethnicity and gestation, NICHD Fetal Growth Studies

Distribution of estimated fetal weight (EFW) by race/ethnicity and gestation, Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies–singletons. Estimated 5th, 50th, and 95th percentiles for fetal weight by maternal self-reported race/ethnicity, as estimated from linear mixed models with log-transformed outcomes and cubic splines.

GA , gestational age.

Buck Louis. Racial/ethnic standards of fetal growth. Am J Obstet Gynecol 2015 .


Figure 3 presents the distribution of racial/ethnic-specific curves for AC, BPD, HC, HL, FL, and HC/AC, along with P values for the differences in Figure 4 . Differences in AC paralleled EFW with the largest circumferences for whites and the lowest for blacks beginning at 16 weeks’ gestation through term. Significant differences in HC were detected at 21 weeks (in descending order): whites, Asians, Hispanics, and blacks (all pairwise comparisons were highly significant except between Asians and Hispanic groups). BPD demonstrated significant differences later (27 weeks) in pregnancy through term, similar to the pattern for HC. Conversely, significant differences in HL were detected early (10 weeks) and remained significant through term, as did differences in FL from 10-39 weeks, with the longest lengths observed for black fetuses. The HC/AC ratio was significantly higher for blacks than other groups commencing at ≈15 weeks. Data for percentiles (3rd, 5th, 10th, 50th, 90th, 95th, 97th) for all anthropometric measurements, HC/AC, and EFW for each racial/ethnic group are presented in Table 2 . All pairwise comparisons between racial/ethnic groups for all measurements are presented in Table 3 .




Figure 3


Fetal anthropometric measurements by race/ethnicity and gestation, NICHD Fetal Growth Studies

Distribution of fetal anthropometric measurements by race/ethnicity and gestation, Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies–singletons. Estimated 5th, 50th, and 95th percentiles for fetal anthropometric parameters by self-reported race/ethnicity, as estimated from linear mixed models with log-transformed outcomes and cubic splines.

AC , abdominal circumference; BPD , biparietal diameter; FL , femur length; GA , gestational age; HC , head circumference; HL , humerus length.

Buck Louis. Racial/ethnic standards of fetal growth. Am J Obstet Gynecol 2015 .



Figure 4


Statistical significance for fetal anthropometry and estimated fetal weight, NICHD Fetal Growth Studies

Distribution of statistical significance ( P values) for individual fetal anthropometric measurements and estimated fetal weight (EFW), by race/ethnicity and gestation, Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies–singletons. Distribution of P values by fetal anthropometric measurement and race/ethnicity.

AC , abdominal circumference; BPD , biparietal diameter; FL , femur length; GA , gestational age; HC , head circumference; HL , humerus length.

Buck Louis. Racial/ethnic standards of fetal growth. Am J Obstet Gynecol 2015 .


Table 2

Race/ethnic-specific percentiles for fetal anthropometric measurements by gestational age, NICHD Fetal Growth Studies











































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Gestational age, wk Percentile
3rd 5th 10th 50th 90th 95th 97th
Biparietal diameter, mm–white
10 10.4 10.6 10.9 12.1 13.5 13.9 14.2
11 13.4 13.6 14.0 15.5 17.2 17.7 18.0
12 16.6 16.9 17.4 19.2 21.1 21.7 22.1
13 20.0 20.3 20.9 22.9 25.2 25.9 26.3
14 23.3 23.7 24.3 26.7 29.2 30.0 30.5
15 26.6 27.1 27.7 30.3 33.0 33.9 34.4
16 29.8 30.3 31.0 33.7 36.7 37.6 38.2
17 32.8 33.3 34.1 37.0 40.1 41.0 41.7
18 35.8 36.3 37.1 40.1 43.4 44.3 45.0
19 38.7 39.2 40.0 43.2 46.6 47.6 48.3
20 41.6 42.2 43.0 46.3 49.8 50.9 51.5
21 44.6 45.2 46.1 49.4 53.1 54.1 54.9
22 47.6 48.2 49.1 52.6 56.3 57.4 58.2
23 50.5 51.2 52.1 55.7 59.6 60.7 61.5
24 53.5 54.1 55.1 58.9 62.8 64.0 64.8
25 56.4 57.1 58.1 61.9 66.0 67.2 68.0
26 59.3 60.0 61.0 65.0 69.2 70.4 71.2
27 62.1 62.8 63.9 68.0 72.3 73.5 74.4
28 64.8 65.5 66.7 70.8 75.3 76.6 77.5
29 67.4 68.2 69.4 73.6 78.2 79.6 80.4
30 70.0 70.7 71.9 76.4 81.0 82.4 83.3
31 72.4 73.2 74.4 78.9 83.7 85.2 86.1
32 74.6 75.4 76.7 81.4 86.3 87.7 88.7
33 76.7 77.6 78.8 83.6 88.6 90.1 91.1
34 78.6 79.5 80.8 85.6 90.8 92.3 93.3
35 80.3 81.2 82.5 87.4 92.7 94.2 95.2
36 81.7 82.6 84.0 89.0 94.3 95.9 96.9
37 83.0 83.9 85.3 90.3 95.7 97.3 98.3
38 84.1 85.0 86.3 91.5 96.9 98.5 99.5
39 85.0 85.9 87.3 92.4 97.9 99.5 100.6
40 85.7 86.6 88.0 93.3 98.8 100.4 101.5
Head circumference, mm–white
10 41.4 42.1 43.1 47.1 51.3 52.6 53.5
11 52.2 53.0 54.3 59.0 64.2 65.7 66.8
12 63.9 64.9 66.3 71.9 77.9 79.6 80.8
13 76.1 77.2 78.9 85.1 91.9 93.9 95.3
14 88.4 89.6 91.5 98.5 106.0 108.2 109.7
15 100.7 102.0 104.0 111.6 119.7 122.1 123.7
16 112.7 114.1 116.3 124.3 132.9 135.4 137.1
17 124.4 125.8 128.1 136.6 145.6 148.2 150.0
18 135.8 137.3 139.7 148.5 157.8 160.6 162.4
19 147.1 148.7 151.2 160.3 169.9 172.7 174.6
20 158.6 160.3 162.8 172.2 182.1 185.0 186.9
21 170.2 171.9 174.5 184.1 194.2 197.2 199.2
22 181.7 183.5 186.2 196.0 206.4 209.4 211.4
23 193.2 195.0 197.7 207.8 218.4 221.5 223.5
24 204.4 206.3 209.1 219.4 230.2 233.4 235.5
25 215.4 217.3 220.2 230.8 241.8 245.1 247.2
26 226.1 228.0 231.0 241.8 253.1 256.4 258.6
27 236.3 238.3 241.3 252.5 264.1 267.5 269.7
28 246.1 248.1 251.3 262.7 274.7 278.2 280.5
29 255.3 257.4 260.7 272.5 284.8 288.4 290.8
30 264.0 266.2 269.5 281.8 294.5 298.2 300.7
31 272.1 274.3 277.8 290.4 303.7 307.5 310.0
32 279.5 281.8 285.4 298.5 312.2 316.2 318.8
33 286.2 288.6 292.3 305.9 320.1 324.2 326.9
34 292.1 294.6 298.5 312.5 327.2 331.5 334.3
35 297.3 299.8 303.8 318.4 333.6 338.0 341.0
36 301.7 304.3 308.5 323.5 339.2 343.8 346.9
37 305.4 308.2 312.4 327.9 344.2 348.9 352.1
38 308.6 311.4 315.8 331.8 348.5 353.4 356.7
39 311.2 314.1 318.6 335.1 352.4 357.4 360.8
40 313.4 316.4 321.0 338.0 355.8 361.1 364.5
Abdominal circumference, mm–white
10 30.5 31.1 32.1 35.8 40.0 41.3 42.1
11 38.8 39.6 40.8 45.4 50.5 52.0 53.0
12 48.1 49.0 50.4 55.9 61.9 63.8 65.0
13 58.1 59.2 60.9 67.2 74.2 76.3 77.7
14 68.7 69.9 71.8 79.0 86.9 89.3 90.9
15 79.7 81.0 83.2 91.2 99.9 102.6 104.3
16 90.8 92.3 94.7 103.4 112.9 115.8 117.7
17 102.0 103.6 106.2 115.6 125.8 128.9 131.0
18 113.2 114.9 117.6 127.7 138.6 141.8 144.0
19 124.4 126.2 129.1 139.7 151.2 154.6 156.9
20 135.6 137.6 140.6 151.7 163.7 167.3 169.7
21 146.8 148.9 152.0 163.6 176.2 179.9 182.4
22 157.9 160.0 163.3 175.4 188.4 192.3 194.8
23 168.9 171.0 174.4 187.0 200.5 204.5 207.1
24 179.6 181.8 185.4 198.4 212.3 216.4 219.2
25 190.1 192.4 196.1 209.6 224.0 228.2 231.0
26 200.4 202.8 206.6 220.6 235.5 239.9 242.8
27 210.5 213.0 217.0 231.4 246.9 251.5 254.5
28 220.5 223.1 227.2 242.3 258.4 263.1 266.3
29 230.5 233.2 237.5 253.2 270.0 274.9 278.2
30 240.5 243.4 247.8 264.3 281.8 287.0 290.4
31 250.5 253.5 258.2 275.4 293.8 299.3 302.9
32 260.3 263.4 268.4 286.5 305.9 311.6 315.4
33 269.9 273.2 278.4 297.5 318.0 324.0 328.0
34 279.2 282.7 288.1 308.3 329.9 336.3 340.5
35 288.0 291.7 297.5 318.8 341.6 348.3 352.8
36 296.4 300.2 306.3 328.8 352.9 360.1 364.8
37 304.0 308.1 314.5 338.2 363.7 371.2 376.2
38 310.9 315.2 321.9 346.9 373.8 381.8 387.0
39 316.8 321.4 328.4 354.7 383.0 391.4 397.0
40 321.7 326.4 333.8 361.4 391.2 400.1 406.0
Femur length, mm–white
10 1.7 1.8 1.9 2.4 3.0 3.2 3.3
11 2.9 3.1 3.2 4.0 5.0 5.3 5.5
12 4.7 4.9 5.1 6.3 7.7 8.2 8.5
13 6.9 7.1 7.5 9.1 11.0 11.6 12.0
14 9.5 9.8 10.3 12.3 14.8 15.5 16.0
15 12.4 12.8 13.4 15.8 18.7 19.6 20.2
16 15.3 15.8 16.5 19.3 22.5 23.5 24.2
17 18.3 18.8 19.6 22.6 26.1 27.2 28.0
18 21.1 21.7 22.5 25.7 29.5 30.6 31.4
19 23.9 24.5 25.4 28.7 32.6 33.7 34.5
20 26.7 27.3 28.2 31.7 35.6 36.8 37.5
21 29.5 30.1 31.0 34.6 38.5 39.7 40.5
22 32.3 32.9 33.8 37.4 41.3 42.5 43.3
23 35.0 35.6 36.5 40.1 44.0 45.2 46.0
24 37.5 38.2 39.1 42.7 46.6 47.8 48.5
25 40.0 40.6 41.6 45.2 49.1 50.2 51.0
26 42.3 43.0 43.9 47.5 51.4 52.6 53.4
27 44.6 45.2 46.2 49.8 53.7 54.9 55.7
28 46.7 47.3 48.3 52.0 56.0 57.2 57.9
29 48.7 49.3 50.4 54.1 58.2 59.4 60.2
30 50.6 51.3 52.4 56.3 60.4 61.7 62.5
31 52.5 53.2 54.3 58.4 62.7 64.0 64.8
32 54.4 55.1 56.2 60.4 64.9 66.2 67.1
33 56.1 56.9 58.1 62.4 67.0 68.4 69.3
34 57.8 58.6 59.8 64.3 69.1 70.5 71.4
35 59.4 60.2 61.5 66.1 71.0 72.5 73.4
36 60.9 61.7 63.0 67.7 72.8 74.3 75.3
37 62.3 63.1 64.4 69.3 74.5 76.0 77.0
38 63.5 64.4 65.7 70.6 75.9 77.5 78.5
39 64.6 65.4 66.8 71.8 77.2 78.8 79.9
40 65.4 66.3 67.7 72.8 78.3 79.9 81.0
Humerus length, mm–white
10 1.8 1.9 2.0 2.5 3.1 3.3 3.4
11 3.2 3.3 3.5 4.2 5.2 5.5 5.7
12 5.0 5.2 5.5 6.6 8.0 8.5 8.8
13 7.4 7.6 8.0 9.6 11.5 12.1 12.5
14 10.1 10.4 10.9 12.9 15.3 16.0 16.5
15 13.0 13.3 14.0 16.3 19.1 20.0 20.6
16 15.9 16.3 17.0 19.7 22.8 23.8 24.5
17 18.6 19.1 19.9 22.8 26.2 27.2 27.9
18 21.2 21.7 22.5 25.6 29.1 30.2 30.9
19 23.7 24.2 25.0 28.2 31.8 32.9 33.6
20 26.1 26.6 27.5 30.8 34.4 35.5 36.2
21 28.5 29.1 29.9 33.2 36.9 38.0 38.7
22 30.9 31.4 32.3 35.6 39.2 40.3 41.1
23 33.1 33.7 34.6 37.9 41.5 42.6 43.3
24 35.3 35.9 36.7 40.0 43.6 44.7 45.4
25 37.3 37.9 38.8 42.1 45.7 46.8 47.5
26 39.3 39.8 40.7 44.0 47.6 48.7 49.4
27 41.1 41.6 42.5 45.9 49.5 50.6 51.3
28 42.8 43.4 44.3 47.6 51.3 52.4 53.1
29 44.4 45.0 45.9 49.4 53.1 54.2 54.9
30 45.9 46.5 47.5 51.0 54.8 55.9 56.7
31 47.4 48.0 49.0 52.6 56.5 57.7 58.4
32 48.8 49.5 50.5 54.2 58.2 59.4 60.2
33 50.2 50.9 51.9 55.7 59.8 61.1 61.9
34 51.5 52.2 53.2 57.2 61.4 62.7 63.5
35 52.7 53.4 54.5 58.6 62.9 64.2 65.1
36 53.9 54.6 55.8 59.9 64.4 65.7 66.6
37 55.0 55.7 56.9 61.1 65.7 67.0 67.9
38 56.0 56.7 57.9 62.2 66.9 68.3 69.2
39 56.8 57.6 58.8 63.2 67.9 69.3 70.2
40 57.4 58.2 59.4 63.9 68.7 70.2 71.1
Estimated fetal weight, g–white
10 23 23 25 29 35 37 38
11 31 32 33 39 46 48 49
12 42 43 45 52 60 63 65
13 55 57 59 68 78 82 84
14 72 73 76 88 101 105 108
15 92 94 98 113 129 135 138
16 116 119 124 143 164 170 175
17 146 150 156 179 205 213 219
18 181 186 193 222 255 265 272
19 222 228 237 273 313 325 334
20 271 278 289 332 381 396 407
21 327 335 349 401 460 479 491
22 391 401 417 479 551 573 588
23 464 476 495 569 654 681 698
24 546 560 583 671 771 803 824
25 638 655 682 785 903 940 964
26 741 760 791 911 1050 1092 1121
27 854 876 912 1052 1212 1262 1295
28 977 1003 1045 1205 1391 1449 1487
29 1111 1141 1188 1373 1587 1653 1697
30 1255 1289 1343 1555 1799 1875 1926
31 1409 1447 1509 1750 2029 2116 2174
32 1571 1615 1686 1958 2276 2374 2441
33 1741 1790 1869 2178 2537 2649 2724
34 1914 1969 2058 2404 2809 2936 3021
35 2086 2148 2247 2634 3088 3230 3326
36 2254 2323 2432 2862 3368 3527 3635
37 2413 2489 2609 3084 3645 3822 3942
38 2562 2645 2777 3299 3918 4114 4246
39 2701 2790 2934 3505 4186 4402 4548
40 2826 2924 3080 3702 4450 4688 4850
Head circumference/abdominal circumference–white
10 1.219 1.231 1.250 1.317 1.388 1.409 1.422
11 1.209 1.220 1.238 1.304 1.373 1.393 1.406
12 1.194 1.206 1.223 1.287 1.354 1.374 1.387
13 1.177 1.188 1.205 1.267 1.333 1.352 1.365
14 1.158 1.168 1.185 1.246 1.310 1.329 1.341
15 1.138 1.148 1.165 1.224 1.286 1.305 1.317
16 1.118 1.128 1.144 1.202 1.263 1.281 1.293
17 1.099 1.109 1.125 1.182 1.241 1.259 1.270
18 1.083 1.092 1.108 1.163 1.222 1.239 1.250
19 1.068 1.078 1.093 1.148 1.205 1.222 1.233
20 1.057 1.066 1.081 1.135 1.192 1.209 1.220
21 1.047 1.057 1.072 1.126 1.182 1.199 1.210
22 1.040 1.049 1.064 1.118 1.174 1.191 1.202
23 1.034 1.043 1.058 1.112 1.168 1.185 1.196
24 1.028 1.037 1.052 1.106 1.163 1.180 1.190
25 1.023 1.032 1.047 1.101 1.158 1.175 1.186
26 1.017 1.027 1.042 1.096 1.154 1.171 1.182
27 1.011 1.021 1.036 1.091 1.149 1.166 1.177
28 1.004 1.013 1.029 1.084 1.143 1.160 1.171
29 0.995 1.004 1.020 1.076 1.135 1.152 1.164
30 0.984 0.994 1.009 1.066 1.126 1.143 1.155
31 0.972 0.982 0.997 1.055 1.115 1.133 1.144
32 0.958 0.968 0.984 1.042 1.103 1.121 1.133
33 0.944 0.954 0.970 1.028 1.090 1.109 1.121
34 0.928 0.938 0.955 1.014 1.077 1.095 1.108
35 0.912 0.922 0.939 0.999 1.063 1.082 1.094
36 0.896 0.906 0.923 0.984 1.049 1.068 1.081
37 0.880 0.890 0.907 0.969 1.036 1.055 1.068
38 0.865 0.876 0.893 0.956 1.024 1.044 1.057
39 0.851 0.862 0.880 0.945 1.014 1.035 1.048
40 0.839 0.851 0.869 0.935 1.007 1.029 1.043
Biparietal diameter, mm–black
10 10.3 10.5 10.8 11.9 13.3 13.7 13.9
11 13.3 13.5 13.9 15.4 17.0 17.5 17.8
12 16.5 16.8 17.3 19.1 21.0 21.6 22.0
13 19.9 20.3 20.8 22.8 25.1 25.7 26.2
14 23.3 23.7 24.3 26.6 29.1 29.8 30.3
15 26.5 27.0 27.6 30.2 32.9 33.7 34.3
16 29.7 30.1 30.9 33.6 36.5 37.4 38.0
17 32.7 33.1 33.9 36.8 39.9 40.8 41.5
18 35.6 36.1 36.9 39.9 43.2 44.2 44.8
19 38.5 39.0 39.9 43.0 46.5 47.5 48.1
20 41.4 42.0 42.9 46.2 49.7 50.8 51.5
21 44.4 45.0 45.9 49.3 53.0 54.1 54.8
22 47.3 47.9 48.9 52.5 56.3 57.4 58.2
23 50.2 50.8 51.8 55.5 59.5 60.7 61.5
24 53.1 53.7 54.8 58.6 62.7 63.9 64.7
25 55.9 56.6 57.6 61.6 65.8 67.0 67.9
26 58.6 59.3 60.4 64.5 68.8 70.1 71.0
27 61.3 62.0 63.1 67.3 71.8 73.1 74.0
28 63.8 64.6 65.8 70.1 74.7 76.1 77.0
29 66.4 67.1 68.3 72.8 77.5 78.9 79.9
30 68.8 69.6 70.8 75.4 80.2 81.7 82.6
31 71.0 71.8 73.1 77.8 82.8 84.3 85.3
32 73.1 74.0 75.3 80.1 85.2 86.7 87.7
33 75.0 75.9 77.2 82.1 87.4 88.9 89.9
34 76.7 77.6 79.0 84.0 89.3 90.8 91.9
35 78.2 79.1 80.4 85.5 90.9 92.5 93.6
36 79.4 80.3 81.7 86.8 92.3 93.9 95.0
37 80.5 81.4 82.8 88.0 93.5 95.2 96.2
38 81.4 82.3 83.8 89.1 94.7 96.3 97.4
39 82.4 83.3 84.7 90.1 95.8 97.4 98.5
40 83.3 84.2 85.7 91.2 97.0 98.7 99.8
Head circumference, mm–black
10 40.6 41.2 42.2 46.1 50.3 51.6 52.4
11 51.7 52.5 53.7 58.4 63.6 65.1 66.1
12 63.6 64.5 66.0 71.6 77.6 79.4 80.6
13 75.9 77.0 78.7 85.1 92.0 94.0 95.4
14 88.3 89.5 91.4 98.5 106.2 108.5 110.0
15 100.5 101.8 103.9 111.6 120.0 122.4 124.1
16 112.3 113.7 116.0 124.2 133.1 135.7 137.5
17 123.7 125.3 127.6 136.4 145.7 148.5 150.3
18 135.0 136.6 139.1 148.2 157.9 160.8 162.7
19 146.3 148.0 150.6 160.0 170.1 173.1 175.0
20 157.7 159.4 162.1 171.9 182.3 185.3 187.3
21 169.1 170.9 173.6 183.7 194.3 197.4 199.5
22 180.4 182.2 185.0 195.3 206.2 209.4 211.5
23 191.5 193.3 196.2 206.8 217.9 221.2 223.3
24 202.3 204.2 207.2 218.0 229.3 232.7 234.8
25 212.8 214.8 217.8 228.9 240.4 243.8 246.1
26 223.0 225.0 228.1 239.4 251.2 254.7 257.0
27 232.8 234.8 238.0 249.6 261.7 265.2 267.5
28 242.2 244.3 247.5 259.4 271.7 275.4 277.7
29 251.1 253.3 256.6 268.8 281.5 285.2 287.6
30 259.6 261.8 265.2 277.7 290.8 294.6 297.1
31 267.4 269.7 273.2 286.1 299.6 303.5 306.1
32 274.6 276.9 280.6 293.9 307.8 311.9 314.6
33 280.9 283.4 287.2 300.9 315.3 319.5 322.3
34 286.5 289.0 292.9 307.1 322.0 326.3 329.2
35 291.1 293.7 297.7 312.4 327.8 332.3 335.2
36 294.9 297.6 301.7 316.9 332.8 337.5 340.5
37 298.1 300.9 305.2 320.8 337.3 342.1 345.3
38 300.9 303.8 308.2 324.4 341.4 346.4 349.7
39 303.5 306.5 311.1 327.8 345.4 350.6 354.0
40 306.1 309.2 313.9 331.3 349.7 355.1 358.6
Abdominal circumference, mm–black
10 30.8 31.4 32.4 35.9 39.7 40.9 41.7
11 39.2 39.9 41.1 45.3 50.0 51.4 52.4
12 48.5 49.3 50.6 55.7 61.2 62.9 64.0
13 58.4 59.4 60.9 66.8 73.1 75.1 76.3
14 68.8 69.9 71.6 78.2 85.5 87.6 89.0
15 79.4 80.7 82.6 89.9 97.9 100.3 101.9
16 90.1 91.5 93.7 101.7 110.4 113.0 114.7
17 100.9 102.3 104.7 113.3 122.7 125.5 127.3
18 111.5 113.1 115.6 124.9 134.8 137.8 139.8
19 122.2 123.9 126.6 136.4 146.9 150.1 152.2
20 132.8 134.6 137.4 147.8 158.9 162.2 164.4
21 143.2 145.1 148.1 159.0 170.7 174.2 176.5
22 153.5 155.4 158.5 170.0 182.3 185.9 188.3
23 163.4 165.5 168.8 180.8 193.6 197.4 199.9
24 173.1 175.3 178.7 191.3 204.7 208.7 211.4
25 182.6 184.9 188.5 201.6 215.7 219.9 222.6
26 191.9 194.3 198.1 211.8 226.6 230.9 233.8
27 201.2 203.7 207.6 222.0 237.5 242.0 245.1
28 210.4 213.0 217.2 232.3 248.5 253.3 256.5
29 219.8 222.6 226.9 242.8 259.9 264.9 268.3
30 229.4 232.3 236.8 253.6 271.6 276.9 280.4
31 239.0 242.1 246.8 264.5 283.5 289.1 292.8
32 248.5 251.7 256.8 275.4 295.4 301.3 305.3
33 257.8 261.2 266.5 286.1 307.2 313.4 317.6
34 266.6 270.2 275.8 296.4 318.6 325.2 329.5
35 274.9 278.6 284.5 306.1 329.4 336.4 340.9
36 282.7 286.6 292.7 315.4 339.8 347.1 351.9
37 290.1 294.2 300.6 324.3 349.9 357.5 362.5
38 297.3 301.6 308.3 333.1 359.9 367.9 373.1
39 304.6 309.1 316.0 342.0 370.1 378.5 384.0
40 312.0 316.7 324.0 351.3 380.9 389.7 395.6
Femur length, mm–black
10 1.7 1.8 1.9 2.4 3.1 3.3 3.4
11 3.1 3.2 3.4 4.2 5.3 5.7 5.9
12 4.9 5.1 5.4 6.7 8.3 8.8 9.2
13 7.3 7.6 8.0 9.8 12.0 12.7 13.1
14 10.0 10.4 10.9 13.2 16.0 16.9 17.4
15 12.9 13.3 14.0 16.8 20.0 21.1 21.8
16 15.8 16.3 17.1 20.2 23.9 25.1 25.8
17 18.6 19.2 20.0 23.4 27.4 28.7 29.5
18 21.3 21.9 22.8 26.4 30.6 31.9 32.8
19 24.0 24.6 25.6 29.4 33.7 35.0 35.9
20 26.7 27.4 28.4 32.3 36.7 38.0 38.9
21 29.5 30.1 31.2 35.1 39.6 40.9 41.8
22 32.2 32.8 33.9 37.9 42.3 43.7 44.6
23 34.8 35.5 36.6 40.6 45.0 46.3 47.2
24 37.4 38.1 39.2 43.2 47.6 48.9 49.8
25 39.9 40.6 41.7 45.6 50.0 51.3 52.2
26 42.3 43.0 44.1 48.0 52.3 53.6 54.5
27 44.6 45.3 46.4 50.3 54.6 55.9 56.7
28 46.8 47.5 48.6 52.5 56.8 58.1 58.9
29 49.0 49.7 50.7 54.7 59.0 60.3 61.1
30 51.1 51.8 52.9 56.9 61.2 62.5 63.4
31 53.1 53.8 54.9 59.0 63.4 64.7 65.6
32 55.0 55.7 56.9 61.1 65.6 66.9 67.8
33 56.8 57.6 58.7 63.0 67.7 69.0 69.9
34 58.5 59.3 60.5 64.9 69.6 71.0 72.0
35 60.0 60.8 62.1 66.6 71.5 72.9 73.9
36 61.4 62.2 63.5 68.2 73.2 74.7 75.6
37 62.8 63.6 64.9 69.7 74.8 76.3 77.3
38 64.0 64.9 66.2 71.1 76.4 77.9 79.0
39 65.3 66.2 67.5 72.6 78.0 79.6 80.6
40 66.5 67.4 68.8 74.1 79.7 81.4 82.5
Humerus length, mm–lack
10 2.0 2.1 2.2 2.6 3.1 3.2 3.3
11 3.6 3.7 3.9 4.5 5.3 5.6 5.7
12 5.7 5.9 6.1 7.1 8.3 8.6 8.9
13 8.3 8.6 8.9 10.3 11.8 12.3 12.6
14 11.3 11.6 12.0 13.7 15.7 16.3 16.7
15 14.4 14.7 15.2 17.2 19.5 20.2 20.7
16 17.3 17.7 18.3 20.6 23.1 23.9 24.4
17 20.1 20.5 21.1 23.6 26.3 27.1 27.7
18 22.6 23.1 23.7 26.3 29.2 30.0 30.6
19 25.1 25.5 26.2 28.9 31.9 32.8 33.4
20 27.5 28.0 28.7 31.5 34.5 35.4 36.0
21 29.8 30.3 31.1 33.9 37.0 38.0 38.6
22 32.0 32.5 33.3 36.3 39.5 40.4 41.1
23 34.2 34.7 35.5 38.5 41.8 42.8 43.5
24 36.1 36.7 37.5 40.7 44.0 45.1 45.7
25 38.0 38.6 39.4 42.7 46.2 47.2 47.9
26 39.7 40.3 41.2 44.6 48.2 49.3 50.0
27 41.4 42.0 42.9 46.4 50.1 51.2 52.0
28 42.9 43.6 44.5 48.1 52.0 53.2 53.9
29 44.4 45.1 46.1 49.8 53.9 55.1 55.9
30 45.9 46.6 47.6 51.5 55.7 56.9 57.8
31 47.4 48.1 49.2 53.2 57.5 58.8 59.6
32 48.8 49.5 50.6 54.7 59.2 60.5 61.4
33 50.1 50.9 52.0 56.2 60.8 62.2 63.1
34 51.4 52.2 53.3 57.7 62.3 63.7 64.7
35 52.6 53.3 54.5 59.0 63.7 65.2 66.1
36 53.7 54.5 55.7 60.2 65.0 66.5 67.5
37 54.8 55.5 56.8 61.4 66.3 67.8 68.8
38 55.8 56.6 57.9 62.6 67.7 69.2 70.2
39 56.9 57.8 59.1 63.9 69.1 70.7 71.7
40 58.1 59.0 60.3 65.4 70.9 72.5 73.6
Estimated fetal weight, g–black
10 22 22 24 28 34 35 37
11 30 31 33 38 45 47 48
12 42 43 45 52 60 62 64
13 56 57 59 68 78 81 83
14 73 74 77 89 101 105 108
15 93 96 99 114 130 135 138
16 118 121 126 144 164 171 175
17 147 151 157 180 206 214 219
18 182 186 194 222 254 264 271
19 222 228 236 271 311 323 331
20 268 275 286 328 376 391 401
21 321 329 342 393 451 469 481
22 381 390 406 467 536 558 572
23 448 460 478 550 633 658 676
24 524 538 559 644 742 772 792
25 609 625 650 749 864 899 923
26 703 722 751 867 1000 1041 1069
27 807 828 863 996 1151 1199 1231
28 921 946 985 1139 1317 1372 1409
29 1044 1073 1118 1294 1498 1562 1604
30 1178 1210 1262 1463 1695 1768 1816
31 1321 1358 1416 1644 1908 1990 2045
32 1472 1513 1579 1836 2135 2228 2290
33 1629 1676 1749 2038 2373 2478 2548
34 1789 1841 1923 2244 2619 2737 2816
35 1948 2005 2096 2452 2868 2999 3087
36 2101 2164 2264 2655 3115 3259 3356
37 2249 2317 2427 2855 3359 3517 3624
38 2394 2468 2587 3054 3605 3779 3896
39 2541 2621 2751 3260 3863 4053 4182
40 2693 2781 2922 3479 4142 4352 4494
Head circumference/abdominal circumference–black
10 1.182 1.195 1.215 1.291 1.372 1.395 1.411
11 1.183 1.196 1.217 1.291 1.371 1.394 1.409
12 1.178 1.191 1.211 1.285 1.363 1.386 1.401
13 1.167 1.180 1.200 1.273 1.350 1.372 1.387
14 1.153 1.166 1.185 1.257 1.332 1.355 1.369
15 1.137 1.149 1.169 1.239 1.313 1.335 1.350
16 1.120 1.132 1.151 1.220 1.293 1.315 1.329
17 1.104 1.116 1.134 1.202 1.274 1.295 1.309
18 1.089 1.101 1.119 1.186 1.257 1.278 1.292
19 1.077 1.088 1.107 1.173 1.244 1.265 1.278
20 1.067 1.079 1.097 1.163 1.233 1.254 1.268
21 1.060 1.071 1.089 1.155 1.226 1.246 1.260
22 1.053 1.065 1.083 1.149 1.219 1.240 1.254
23 1.048 1.060 1.078 1.144 1.215 1.235 1.249
24 1.043 1.055 1.073 1.140 1.210 1.231 1.245
25 1.038 1.050 1.068 1.135 1.206 1.227 1.241
26 1.033 1.045 1.063 1.130 1.201 1.223 1.236
27 1.026 1.038 1.056 1.124 1.196 1.217 1.231
28 1.018 1.030 1.048 1.116 1.188 1.210 1.224
29 1.008 1.020 1.038 1.106 1.179 1.200 1.214
30 0.996 1.008 1.026 1.095 1.167 1.189 1.203
31 0.982 0.994 1.013 1.081 1.154 1.176 1.190
32 0.968 0.980 0.998 1.067 1.140 1.162 1.176
33 0.952 0.964 0.983 1.052 1.125 1.147 1.161
34 0.937 0.949 0.967 1.036 1.110 1.131 1.146
35 0.921 0.933 0.951 1.020 1.094 1.116 1.130
36 0.905 0.917 0.935 1.005 1.079 1.101 1.115
37 0.889 0.901 0.919 0.989 1.064 1.086 1.101
38 0.873 0.885 0.904 0.974 1.049 1.072 1.087
39 0.857 0.869 0.888 0.959 1.035 1.058 1.073
40 0.841 0.854 0.873 0.945 1.022 1.045 1.060
Biparietal diameter, mm–Hispanic
10 10.2 10.4 10.7 12.0 13.5 13.9 14.2
11 13.1 13.3 13.8 15.4 17.1 17.7 18.0
12 16.2 16.5 17.0 18.9 21.1 21.7 22.1
13 19.5 19.8 20.4 22.6 25.1 25.8 26.3
14 22.7 23.2 23.8 26.3 29.1 29.9 30.4
15 26.0 26.4 27.2 29.9 32.9 33.8 34.4
16 29.1 29.6 30.4 33.3 36.6 37.5 38.2
17 32.1 32.6 33.4 36.6 40.0 41.0 41.7
18 35.0 35.5 36.4 39.7 43.3 44.4 45.1
19 37.8 38.4 39.4 42.8 46.5 47.6 48.4
20 40.8 41.4 42.3 45.9 49.8 50.9 51.7
21 43.7 44.4 45.4 49.1 53.1 54.2 55.0
22 46.7 47.4 48.4 52.2 56.3 57.5 58.4
23 49.7 50.4 51.4 55.3 59.6 60.8 61.7
24 52.6 53.3 54.4 58.5 62.8 64.1 64.9
25 55.6 56.3 57.4 61.5 65.9 67.3 68.1
26 58.4 59.1 60.3 64.5 69.0 70.4 71.3
27 61.2 62.0 63.1 67.5 72.1 73.4 74.3
28 63.9 64.7 65.9 70.3 75.0 76.4 77.3
29 66.5 67.3 68.5 73.0 77.8 79.3 80.2
30 69.0 69.8 71.0 75.7 80.6 82.0 83.0
31 71.3 72.2 73.4 78.1 83.1 84.6 85.6
32 73.5 74.4 75.7 80.4 85.5 87.0 88.0
33 75.5 76.4 77.7 82.6 87.8 89.3 90.3
34 77.3 78.2 79.5 84.5 89.8 91.3 92.3
35 78.8 79.7 81.1 86.1 91.5 93.1 94.1
36 80.2 81.1 82.5 87.6 93.0 94.6 95.7
37 81.3 82.2 83.6 88.8 94.4 96.0 97.1
38 82.4 83.3 84.7 90.0 95.6 97.3 98.4
39 83.3 84.3 85.7 91.1 96.8 98.5 99.6
40 84.3 85.3 86.8 92.2 98.0 99.8 100.9
Head circumference, mm–Hispanic
10 38.7 39.5 40.7 45.5 50.8 52.4 53.5
11 49.2 50.2 51.7 57.5 64.0 65.9 67.2
12 60.7 61.8 63.6 70.5 78.0 80.3 81.8
13 72.7 74.0 76.1 83.9 92.5 95.1 96.8
14 84.9 86.4 88.7 97.4 106.9 109.8 111.7
15 97.0 98.6 101.2 110.6 121.0 124.1 126.2
16 108.9 110.6 113.3 123.5 134.5 137.8 140.0
17 120.4 122.2 125.1 135.8 147.4 150.9 153.2
18 131.7 133.6 136.6 147.7 159.8 163.3 165.7
19 142.9 144.9 148.0 159.5 171.9 175.6 178.0
20 154.2 156.2 159.4 171.3 184.0 187.8 190.2
21 165.6 167.7 170.9 183.1 196.1 199.9 202.4
22 176.9 179.0 182.4 194.8 208.0 211.9 214.5
23 188.1 190.3 193.8 206.4 219.8 223.8 226.4
24 199.2 201.4 204.9 217.7 231.3 235.4 238.0
25 209.9 212.2 215.8 228.8 242.6 246.7 249.4
26 220.4 222.7 226.3 239.6 253.6 257.7 260.4
27 230.5 232.8 236.5 250.0 264.2 268.4 271.1
28 240.1 242.5 246.3 260.0 274.4 278.7 281.4
29 249.3 251.8 255.6 269.5 284.3 288.6 291.4
30 258.0 260.5 264.4 278.7 293.7 298.1 301.0
31 266.1 268.6 272.6 287.2 302.6 307.1 310.1
32 273.5 276.1 280.2 295.2 310.9 315.6 318.6
33 280.2 282.9 287.1 302.5 318.6 323.4 326.5
34 286.1 288.9 293.2 309.0 325.6 330.4 333.6
35 291.2 294.1 298.5 314.6 331.7 336.7 339.9
36 295.5 298.4 302.9 319.5 337.0 342.1 345.5
37 299.0 302.0 306.6 323.6 341.6 346.8 350.3
38 301.9 305.0 309.7 327.1 345.5 350.9 354.4
39 304.3 307.4 312.3 330.1 348.9 354.5 358.1
40 306.2 309.4 314.4 332.7 352.0 357.7 361.4
Abdominal circumference, mm–Hispanic
10 30.5 31.2 32.2 35.9 40.1 41.3 42.2
11 38.7 39.4 40.6 45.2 50.3 51.8 52.8
12 47.7 48.6 50.1 55.5 61.5 63.4 64.6
13 57.5 58.5 60.2 66.6 73.6 75.7 77.1
14 67.8 69.0 70.9 78.2 86.2 88.6 90.2
15 78.5 79.8 82.0 90.1 99.1 101.8 103.5
16 89.3 90.8 93.2 102.2 112.0 115.0 116.9
17 100.2 101.9 104.5 114.2 124.9 128.1 130.2
18 111.1 112.9 115.7 126.2 137.6 141.0 143.3
19 121.9 123.8 126.8 138.0 150.2 153.8 156.2
20 132.8 134.8 138.0 149.8 162.6 166.4 169.0
21 143.5 145.6 149.0 161.4 174.9 178.9 181.6
22 154.0 156.3 159.8 172.8 186.9 191.1 193.9
23 164.4 166.7 170.4 184.0 198.7 203.1 206.0
24 174.5 177.0 180.8 195.0 210.2 214.8 217.8
25 184.5 187.0 191.0 205.7 221.6 226.3 229.4
26 194.2 196.9 201.0 216.3 232.8 237.7 240.9
27 203.9 206.6 211.0 226.9 244.0 249.1 252.4
28 213.5 216.4 220.9 237.5 255.3 260.5 264.0
29 223.3 226.3 231.0 248.2 266.8 272.3 275.9
30 233.2 236.3 241.2 259.3 278.7 284.4 288.2
31 243.1 246.4 251.5 270.4 290.8 296.8 300.8
32 253.0 256.4 261.8 281.6 303.0 309.3 313.5
33 262.5 266.1 271.8 292.6 315.0 321.7 326.1
34 271.7 275.5 281.4 303.2 326.8 333.8 338.5
35 280.2 284.2 290.4 313.3 338.1 345.4 350.3
36 288.0 292.2 298.7 322.7 348.8 356.5 361.6
37 295.2 299.6 306.4 331.6 358.9 367.1 372.5
38 301.9 306.4 313.6 340.0 368.7 377.2 382.9
39 308.1 312.9 320.3 348.0 378.1 387.1 393.1
40 313.9 318.9 326.7 355.8 387.5 397.0 403.3
Femur length, mm–Hispanic
10 1.7 1.7 1.9 2.4 3.0 3.2 3.4
11 2.9 3.0 3.2 4.0 5.1 5.4 5.6
12 4.6 4.8 5.1 6.3 7.9 8.3 8.7
13 6.8 7.1 7.5 9.2 11.2 11.9 12.3
14 9.4 9.7 10.2 12.4 15.0 15.8 16.4
15 12.2 12.6 13.2 15.8 18.9 19.9 20.6
16 15.0 15.5 16.3 19.2 22.8 23.9 24.6
17 17.9 18.4 19.2 22.5 26.3 27.6 28.4
18 20.6 21.2 22.1 25.6 29.6 30.9 31.7
19 23.3 23.9 24.9 28.5 32.7 34.0 34.9
20 26.1 26.7 27.7 31.4 35.7 37.0 37.9
21 28.9 29.5 30.5 34.3 38.6 39.9 40.8
22 31.6 32.2 33.2 37.1 41.4 42.7 43.5
23 34.3 34.9 35.9 39.8 44.0 45.3 46.1
24 36.9 37.5 38.5 42.3 46.5 47.8 48.6
25 39.4 40.0 41.0 44.8 48.9 50.1 51.0
26 41.7 42.4 43.4 47.1 51.2 52.4 53.2
27 44.0 44.7 45.7 49.4 53.4 54.6 55.4
28 46.2 46.9 47.9 51.6 55.5 56.7 57.5
29 48.3 49.0 50.0 53.7 57.7 58.9 59.7
30 50.4 51.1 52.1 55.8 59.9 61.1 61.9
31 52.4 53.1 54.1 58.0 62.1 63.3 64.1
32 54.3 55.0 56.1 60.0 64.2 65.4 66.3
33 56.1 56.8 57.9 62.0 66.3 67.6 68.4
34 57.8 58.5 59.6 63.8 68.2 69.6 70.4
35 59.3 60.0 61.2 65.5 70.1 71.4 72.3
36 60.7 61.4 62.6 67.0 71.7 73.1 74.0
37 61.9 62.7 63.9 68.5 73.3 74.7 75.7
38 63.1 63.9 65.2 69.8 74.8 76.2 77.2
39 64.3 65.1 66.4 71.2 76.2 77.7 78.7
40 65.5 66.3 67.6 72.5 77.8 79.3 80.4
Humerus length, mm–Hispanic
10 1.7 1.8 1.9 2.4 3.0 3.2 3.3
11 3.1 3.2 3.4 4.2 5.1 5.5 5.7
12 4.9 5.1 5.4 6.6 8.1 8.5 8.8
13 7.3 7.5 8.0 9.6 11.6 12.2 12.6
14 10.0 10.3 10.9 12.9 15.4 16.2 16.8
15 12.9 13.3 13.9 16.4 19.3 20.2 20.9
16 15.7 16.1 16.9 19.7 23.0 24.0 24.7
17 18.4 18.9 19.7 22.7 26.2 27.3 28.0
18 20.9 21.4 22.2 25.4 29.1 30.2 30.9
19 23.3 23.8 24.7 28.0 31.7 32.8 33.6
20 25.7 26.3 27.1 30.5 34.2 35.3 36.1
21 28.1 28.7 29.5 32.9 36.6 37.8 38.5
22 30.4 31.0 31.9 35.2 39.0 40.1 40.8
23 32.7 33.2 34.1 37.5 41.2 42.3 43.0
24 34.8 35.4 36.3 39.6 43.3 44.4 45.1
25 36.9 37.4 38.3 41.6 45.2 46.3 47.0
26 38.8 39.4 40.2 43.6 47.1 48.2 48.9
27 40.6 41.2 42.1 45.4 49.0 50.0 50.7
28 42.3 42.9 43.8 47.1 50.7 51.8 52.5
29 43.9 44.5 45.4 48.8 52.5 53.6 54.3
30 45.4 46.0 47.0 50.4 54.2 55.3 56.0
31 46.9 47.5 48.5 52.0 55.9 57.0 57.8
32 48.2 48.9 49.9 53.6 57.5 58.7 59.5
33 49.5 50.2 51.2 55.0 59.1 60.3 61.1
34 50.8 51.5 52.5 56.4 60.6 61.9 62.7
35 51.9 52.6 53.7 57.7 62.1 63.3 64.2
36 53.0 53.7 54.8 58.9 63.4 64.7 65.6
37 54.0 54.7 55.9 60.1 64.6 66.0 66.9
38 54.9 55.7 56.8 61.1 65.8 67.2 68.1
39 55.8 56.6 57.8 62.2 66.9 68.3 69.2
40 56.6 57.4 58.6 63.1 68.0 69.4 70.4
Estimated fetal weight, g–Hispanic
10 19 20 21 26 31 33 34
11 28 28 30 36 42 44 46
12 38 39 41 48 57 59 61
13 51 53 55 64 75 79 81
14 68 70 73 85 98 103 106
15 88 90 94 109 127 133 136
16 112 115 120 140 162 169 174
17 141 145 151 176 204 213 219
18 175 180 188 218 254 265 272
19 215 221 230 268 312 325 334
20 260 268 279 325 379 395 407
21 313 322 336 391 456 476 489
22 372 383 400 466 544 568 584
23 440 453 473 551 643 672 691
24 516 531 555 647 755 789 812
25 601 619 646 755 882 921 948
26 696 716 749 875 1023 1069 1100
27 801 825 862 1009 1180 1234 1270
28 917 944 987 1156 1353 1415 1457
29 1043 1074 1123 1316 1543 1614 1662
30 1178 1214 1270 1490 1749 1830 1885
31 1324 1364 1428 1677 1971 2063 2126
32 1478 1523 1595 1877 2209 2313 2384
33 1638 1688 1769 2086 2460 2577 2657
34 1801 1857 1947 2301 2719 2851 2940
35 1963 2025 2125 2518 2983 3130 3229
36 2120 2189 2298 2731 3245 3408 3517
37 2269 2344 2463 2937 3502 3681 3802
38 2410 2491 2621 3138 3756 3953 4086
39 2545 2633 2774 3336 4011 4226 4372
40 2675 2770 2923 3534 4273 4510 4670
Head circumference/abdominal circumference–Hispanic
10 1.142 1.158 1.184 1.278 1.379 1.409 1.429
11 1.148 1.163 1.188 1.278 1.375 1.404 1.424
12 1.146 1.161 1.184 1.272 1.365 1.393 1.412
13 1.138 1.153 1.176 1.260 1.350 1.377 1.394
14 1.127 1.141 1.163 1.244 1.331 1.356 1.373
15 1.113 1.127 1.148 1.226 1.309 1.333 1.350
16 1.098 1.111 1.132 1.206 1.286 1.310 1.325
17 1.083 1.096 1.115 1.187 1.264 1.287 1.301
18 1.069 1.081 1.100 1.170 1.244 1.265 1.280
19 1.057 1.069 1.088 1.155 1.227 1.248 1.262
20 1.048 1.060 1.078 1.143 1.213 1.234 1.247
21 1.041 1.052 1.070 1.134 1.203 1.223 1.236
22 1.035 1.046 1.064 1.127 1.195 1.215 1.228
23 1.031 1.042 1.059 1.122 1.188 1.208 1.221
24 1.026 1.037 1.054 1.117 1.183 1.203 1.216
25 1.022 1.033 1.050 1.112 1.179 1.198 1.211
26 1.017 1.028 1.045 1.108 1.174 1.194 1.206
27 1.011 1.022 1.039 1.102 1.169 1.188 1.201
28 1.003 1.014 1.031 1.095 1.162 1.182 1.195
29 0.993 1.004 1.022 1.086 1.154 1.174 1.187
30 0.981 0.992 1.010 1.074 1.143 1.163 1.177
31 0.968 0.979 0.997 1.062 1.131 1.152 1.165
32 0.953 0.964 0.982 1.048 1.118 1.139 1.153
33 0.937 0.949 0.967 1.034 1.105 1.126 1.140
34 0.921 0.933 0.951 1.019 1.091 1.113 1.127
35 0.905 0.917 0.936 1.004 1.078 1.100 1.114
36 0.890 0.902 0.920 0.990 1.065 1.087 1.102
37 0.874 0.886 0.905 0.976 1.052 1.075 1.090
38 0.859 0.871 0.891 0.963 1.041 1.064 1.079
39 0.844 0.857 0.877 0.950 1.030 1.053 1.069
40 0.830 0.842 0.863 0.938 1.019 1.044 1.060
Biparietal diameter, mm–Asian
10 10.0 10.2 10.5 11.8 13.3 13.8 14.1
11 12.9 13.2 13.6 15.2 17.0 17.6 17.9
12 16.1 16.4 16.9 18.9 21.0 21.7 22.1
13 19.4 19.8 20.4 22.6 25.1 25.9 26.4
14 22.8 23.2 23.9 26.4 29.2 30.1 30.6
15 26.1 26.6 27.3 30.1 33.1 34.1 34.7
16 29.3 29.8 30.6 33.6 36.9 37.8 38.5
17 32.4 32.9 33.7 36.9 40.3 41.4 42.1
18 35.3 35.8 36.7 40.0 43.6 44.7 45.4
19 38.1 38.7 39.6 43.1 46.8 47.9 48.6
20 41.0 41.6 42.6 46.1 49.9 51.1 51.8
21 44.0 44.6 45.6 49.2 53.1 54.3 55.1
22 47.0 47.6 48.6 52.3 56.4 57.6 58.4
23 49.9 50.6 51.6 55.5 59.6 60.8 61.6
24 52.9 53.6 54.7 58.6 62.8 64.1 64.9
25 55.9 56.6 57.7 61.7 66.0 67.3 68.1
26 58.8 59.5 60.6 64.7 69.1 70.4 71.3
27 61.6 62.4 63.5 67.7 72.2 73.5 74.3
28 64.4 65.1 66.3 70.6 75.1 76.5 77.3
29 67.0 67.8 69.0 73.3 78.0 79.3 80.2
30 69.5 70.3 71.5 76.0 80.7 82.1 83.0
31 71.9 72.7 73.9 78.5 83.3 84.7 85.6
32 74.1 74.9 76.2 80.8 85.7 87.2 88.1
33 76.2 77.0 78.3 83.0 88.0 89.5 90.4
34 78.0 78.9 80.2 85.0 90.1 91.6 92.6
35 79.7 80.6 81.9 86.8 92.0 93.5 94.5
36 81.2 82.1 83.5 88.5 93.7 95.3 96.3
37 82.6 83.5 84.8 89.9 95.3 96.8 97.9
38 83.7 84.6 86.0 91.1 96.6 98.2 99.2
39 84.6 85.5 87.0 92.1 97.7 99.3 100.3
40 85.3 86.2 87.7 93.0 98.6 100.2 101.3
Head circumference, mm–Asian
10 39.9 40.6 41.7 45.9 50.4 51.8 52.7
11 50.6 51.5 52.8 57.8 63.3 64.9 66.0
12 62.2 63.2 64.8 70.6 77.0 78.9 80.2
13 74.3 75.4 77.2 83.9 91.1 93.3 94.7
14 86.6 87.9 89.9 97.3 105.3 107.7 109.3
15 98.9 100.3 102.5 110.5 119.2 121.8 123.5
16 110.9 112.4 114.7 123.3 132.6 135.3 137.1
17 122.6 124.2 126.6 135.6 145.3 148.1 150.0
18 133.9 135.6 138.1 147.5 157.4 160.4 162.3
19 145.1 146.8 149.4 159.0 169.3 172.3 174.3
20 156.4 158.1 160.8 170.7 181.1 184.2 186.2
21 167.8 169.6 172.3 182.4 193.0 196.1 198.1
22 179.3 181.1 183.9 194.0 204.8 208.0 210.0
23 190.7 192.5 195.3 205.7 216.6 219.7 221.8
24 201.9 203.8 206.6 217.1 228.1 231.3 233.5
25 212.9 214.8 217.7 228.3 239.5 242.7 244.9
26 223.6 225.5 228.4 239.2 250.5 253.8 256.0
27 233.8 235.8 238.8 249.7 261.2 264.5 266.7
28 243.6 245.6 248.6 259.8 271.5 274.9 277.1
29 252.8 254.8 257.9 269.3 281.3 284.7 287.0
30 261.3 263.4 266.6 278.3 290.6 294.1 296.5
31 269.2 271.3 274.7 286.7 299.3 303.0 305.4
32 276.4 278.6 282.1 294.5 307.5 311.3 313.8
33 282.9 285.2 288.8 301.7 315.2 319.1 321.7
34 288.8 291.2 294.9 308.3 322.3 326.4 329.0
35 294.0 296.5 300.3 314.2 328.8 333.0 335.8
36 298.5 301.1 305.0 319.5 334.7 339.1 342.0
37 302.3 304.9 309.0 324.1 339.8 344.4 347.5
38 305.2 308.0 312.2 327.8 344.2 349.0 352.1
39 307.3 310.1 314.5 330.7 347.7 352.7 355.9
40 308.3 311.3 315.9 332.6 350.3 355.4 358.8
Abdominal circumference, mm–Asian
10 30.9 31.5 32.4 36.0 40.0 41.2 42.0
11 39.2 39.9 41.1 45.4 50.1 51.6 52.5
12 48.4 49.2 50.6 55.7 61.3 63.0 64.1
13 58.3 59.3 60.9 66.8 73.3 75.2 76.5
14 68.8 70.0 71.8 78.4 85.7 87.9 89.4
15 79.7 81.0 83.0 90.4 98.5 100.9 102.5
16 90.8 92.2 94.3 102.5 111.3 113.9 115.6
17 101.8 103.3 105.7 114.5 123.9 126.8 128.6
18 112.9 114.5 117.0 126.3 136.4 139.4 141.4
19 123.8 125.5 128.1 138.0 148.7 151.8 153.9
20 134.6 136.4 139.2 149.6 160.8 164.1 166.3
21 145.3 147.2 150.2 161.1 172.8 176.3 178.6
22 155.9 157.9 161.0 172.4 184.6 188.2 190.6
23 166.2 168.3 171.5 183.4 196.2 200.0 202.5
24 176.3 178.4 181.8 194.3 207.6 211.5 214.1
25 186.1 188.4 191.9 204.9 218.8 222.9 225.6
26 195.7 198.1 201.8 215.4 229.9 234.2 237.0
27 205.2 207.6 211.5 225.8 241.0 245.5 248.4
28 214.5 217.1 221.2 236.1 252.1 256.8 259.9
29 223.9 226.7 230.9 246.7 263.4 268.4 271.7
30 233.4 236.3 240.8 257.3 275.0 280.3 283.7
31 242.8 245.8 250.5 268.0 286.7 292.3 295.9
32 252.0 255.2 260.2 278.7 298.5 304.3 308.2
33 260.9 264.3 269.6 289.1 310.1 316.3 320.4
34 269.5 273.1 278.7 299.3 321.4 328.0 332.3
35 277.6 281.4 287.3 309.0 332.4 339.3 343.9
36 285.2 289.2 295.4 318.3 342.9 350.3 355.1
37 292.4 296.6 303.1 327.2 353.2 360.9 366.0
38 299.4 303.7 310.6 335.9 363.2 371.4 376.8
39 306.2 310.7 317.9 344.5 373.4 382.0 387.7
40 312.9 317.7 325.2 353.3 383.8 392.9 398.9
Femur length, mm–Asian
10 1.6 1.7 1.8 2.2 2.6 2.8 2.9
11 2.9 3.0 3.2 3.8 4.6 4.8 5.0
12 4.7 4.9 5.1 6.1 7.2 7.6 7.8
13 7.0 7.3 7.6 8.9 10.5 11.0 11.3
14 9.8 10.0 10.5 12.2 14.2 14.8 15.3
15 12.7 13.1 13.6 15.7 18.1 18.8 19.3
16 15.7 16.1 16.8 19.1 21.9 22.7 23.3
17 18.7 19.1 19.8 22.4 25.4 26.3 26.9
18 21.4 21.9 22.6 25.4 28.5 29.5 30.1
19 24.1 24.6 25.3 28.2 31.5 32.4 33.1
20 26.7 27.2 28.0 31.0 34.3 35.3 36.0
21 29.4 29.9 30.7 33.8 37.1 38.1 38.8
22 32.1 32.6 33.4 36.5 39.9 40.9 41.5
23 34.7 35.2 36.0 39.1 42.5 43.6 44.2
24 37.2 37.7 38.6 41.7 45.1 46.2 46.8
25 39.6 40.2 41.0 44.2 47.7 48.7 49.4
26 42.0 42.5 43.4 46.6 50.1 51.2 51.8
27 44.2 44.8 45.7 49.0 52.5 53.5 54.2
28 46.3 46.9 47.8 51.2 54.8 55.9 56.6
29 48.4 49.0 49.9 53.4 57.1 58.2 58.9
30 50.4 51.0 51.9 55.5 59.3 60.4 61.1
31 52.3 52.9 53.9 57.5 61.4 62.6 63.4
32 54.1 54.7 55.7 59.5 63.5 64.7 65.5
33 55.8 56.5 57.5 61.4 65.6 66.8 67.6
34 57.5 58.1 59.2 63.2 67.5 68.8 69.6
35 59.0 59.8 60.9 65.0 69.4 70.7 71.5
36 60.6 61.3 62.4 66.7 71.2 72.5 73.4
37 62.0 62.7 63.9 68.3 72.9 74.2 75.1
38 63.3 64.1 65.3 69.7 74.5 75.9 76.8
39 64.5 65.3 66.6 71.1 76.0 77.4 78.3
40 65.6 66.4 67.7 72.4 77.4 78.9 79.9
Humerus length, mm–Asian
10 1.8 1.8 1.9 2.3 2.8 3.0 3.1
11 3.2 3.3 3.4 4.1 4.8 5.1 5.2
12 5.1 5.2 5.5 6.4 7.6 7.9 8.2
13 7.5 7.7 8.1 9.4 10.9 11.4 11.7
14 10.3 10.6 11.0 12.7 14.6 15.2 15.6
15 13.3 13.6 14.1 16.1 18.4 19.1 19.6
16 16.2 16.6 17.2 19.4 22.0 22.8 23.3
17 19.0 19.4 20.0 22.5 25.3 26.1 26.7
18 21.5 22.0 22.6 25.2 28.1 29.0 29.5
19 23.9 24.3 25.0 27.7 30.6 31.5 32.1
20 26.2 26.6 27.4 30.0 33.0 33.9 34.5
21 28.5 28.9 29.7 32.4 35.4 36.3 36.9
22 30.7 31.2 31.9 34.7 37.7 38.6 39.2
23 32.9 33.4 34.1 36.9 39.9 40.8 41.4
24 35.0 35.5 36.3 39.1 42.1 43.0 43.6
25 37.0 37.5 38.3 41.2 44.2 45.2 45.8
26 38.9 39.4 40.2 43.1 46.3 47.2 47.8
27 40.6 41.2 42.0 45.0 48.3 49.2 49.9
28 42.3 42.8 43.7 46.8 50.1 51.1 51.8
29 43.8 44.4 45.3 48.5 52.0 53.0 53.7
30 45.3 45.8 46.8 50.1 53.7 54.8 55.5
31 46.6 47.2 48.2 51.6 55.4 56.5 57.2
32 47.9 48.5 49.5 53.1 57.0 58.2 58.9
33 49.1 49.8 50.8 54.5 58.6 59.7 60.5
34 50.3 51.0 52.0 55.9 60.1 61.3 62.1
35 51.5 52.2 53.3 57.3 61.5 62.8 63.6
36 52.7 53.4 54.5 58.6 63.0 64.3 65.1
37 53.8 54.5 55.6 59.8 64.3 65.6 66.5
38 54.8 55.5 56.7 60.9 65.5 66.9 67.8
39 55.7 56.4 57.6 61.9 66.6 68.0 68.9
40 56.4 57.1 58.3 62.7 67.5 68.9 69.8
Estimated fetal weight, g–Asian
10 18 19 20 24 30 31 33
11 26 27 28 34 41 43 44
12 36 38 39 47 55 58 60
13 50 51 53 63 74 77 79
14 66 68 71 83 97 101 104
15 86 88 92 108 125 131 135
16 110 113 118 138 160 167 172
17 139 143 149 173 202 211 216
18 172 177 185 215 250 261 269
19 211 217 227 264 307 321 330
20 257 264 275 320 373 389 400
21 308 317 331 385 447 467 480
22 367 378 394 458 532 556 571
23 434 446 466 541 628 656 674
24 509 524 546 634 737 769 790
25 594 611 637 740 859 896 921
26 690 709 740 859 997 1040 1069
27 796 818 853 990 1149 1199 1232
28 913 938 978 1136 1318 1375 1413
29 1039 1068 1114 1293 1501 1566 1609
30 1175 1208 1260 1463 1698 1772 1821
31 1318 1355 1414 1642 1908 1991 2047
32 1467 1508 1574 1830 2129 2222 2284
33 1620 1667 1740 2026 2360 2464 2534
34 1778 1829 1911 2229 2600 2717 2795
35 1938 1995 2085 2438 2851 2980 3067
36 2100 2162 2262 2653 3111 3255 3352
37 2259 2327 2437 2869 3376 3536 3644
38 2408 2483 2604 3077 3637 3814 3933
39 2539 2621 2752 3269 3884 4078 4210
40 2643 2731 2873 3434 4105 4318 4462
Head circumference/abdominal circumference–Asian
10 1.198 1.209 1.227 1.293 1.362 1.382 1.395
11 1.192 1.203 1.221 1.284 1.350 1.370 1.383
12 1.181 1.192 1.209 1.271 1.336 1.355 1.368
13 1.167 1.178 1.194 1.255 1.319 1.338 1.351
14 1.150 1.161 1.177 1.238 1.301 1.319 1.332
15 1.132 1.143 1.159 1.219 1.281 1.300 1.312
16 1.115 1.125 1.141 1.200 1.262 1.280 1.292
17 1.098 1.108 1.124 1.182 1.243 1.261 1.273
18 1.082 1.092 1.108 1.166 1.226 1.244 1.256
19 1.068 1.078 1.094 1.152 1.212 1.230 1.242
20 1.057 1.068 1.083 1.141 1.201 1.219 1.231
21 1.049 1.059 1.075 1.133 1.194 1.211 1.223
22 1.042 1.053 1.069 1.127 1.188 1.206 1.218
23 1.037 1.047 1.063 1.122 1.184 1.202 1.214
24 1.032 1.043 1.059 1.118 1.181 1.199 1.211
25 1.028 1.038 1.055 1.115 1.178 1.197 1.209
26 1.023 1.033 1.050 1.111 1.175 1.194 1.207
27 1.017 1.028 1.044 1.106 1.171 1.191 1.203
28 1.009 1.020 1.037 1.100 1.166 1.185 1.198
29 1.000 1.011 1.028 1.091 1.159 1.178 1.191
30 0.989 1.000 1.017 1.081 1.149 1.169 1.182
31 0.976 0.987 1.005 1.069 1.138 1.158 1.172
32 0.962 0.974 0.991 1.057 1.126 1.147 1.160
33 0.948 0.959 0.977 1.043 1.114 1.135 1.148
34 0.933 0.945 0.963 1.030 1.101 1.123 1.136
35 0.919 0.931 0.949 1.017 1.089 1.111 1.125
36 0.905 0.916 0.935 1.004 1.077 1.099 1.114
37 0.890 0.902 0.921 0.990 1.065 1.087 1.102
38 0.874 0.886 0.905 0.976 1.052 1.075 1.090
39 0.857 0.870 0.889 0.960 1.038 1.061 1.076
40 0.839 0.851 0.871 0.943 1.022 1.046 1.061

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May 5, 2017 | Posted by in GYNECOLOGY | Comments Off on Racial/ethnic standards for fetal growth: the NICHD Fetal Growth Studies

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