The chart above demonstrates normal growth by serial standardised fundal height (SFH) measurements.

More information can be obtained by clicking on the relevant plot which will in turn open the tooltip. This will allow you to review the findings to create a plan of care for the mother.

In the absence of any additional concerns, a referral for scan would not be indicated in this example.

Slow growth is highlighted to the user in GROW 2.0 with a red plot. By opening the tooltip, you can review the findings to support with creation of your plan of care.

If using a printed chart, growth velocity assessments can be calculated using the growth rate calculator: https://growthrate2.perinatal.org.uk

Slow growth is highlighted to the user in GROW 2.0 with a red plot. By opening the tooltip, you can review the findings to support with creation of your plan of care.

If using a printed chart, growth velocity assessments can be calculated using the growth rate calculator: https://growthrate2.perinatal.org.uk/

The chart above demonstrates the first Standardised Fundal Height (SFH) measurement plotting <10th centile. In this situation, it is recommended that a referral is made for USS within 72 hours. If the Estimated Fetal Weight (EFW) plots between the 10th- 90th centile, you can be reassured regarding fetal size and return to the SFH pathway using your last SFH measurement as your baseline. If the EFW plots <10th centile, the recommendation would be to remain on the serial scanning pathway.

A first SFH measurement above the 90th centile itself is not an indication for referral, as it usually does not reflect a large baby. The most important indicator is whether subsequent measurements will show normal accelerated growth (see next).

This chart demonstrates a normal pattern of growth. Women should be reassured that fundal height measurements are of the uterus and all its contents. They are not intended to predict the fetal size but to assess with serial measurements that the growth velocity is normal. Serial SFH plots above the 90th centile do not require referral for scan, unless there are other concerns e.g. polyhydramnios, or accelerated growth (see next example).