🤰 Fetal Weight Calculator (EFW from Ultrasound)

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📘 About the Fetal Weight (EFW)

Ultrasound reports list the baby's measurements: biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL). Machines combine them into an estimated fetal weight (EFW) using Hadlock's formulas — this calculator does the same.

Add the gestational age to see the approximate percentile: below the 10th is called small for gestational age (SGA) and above the 90th large for gestational age (LGA). Scan estimates have a margin of about ±15%.

🧮 Formula

Hadlock 4
log₁₀ EFW = 1.3596 − 0.00386·AC·FL + 0.0064·HC + 0.00061·BPD·AC + 0.0424·AC + 0.174·FL

Where

  • All measurements in cm (the calculator converts from mm)
  • EFW in grams

✏️ Worked examples

32-week scan: BPD 82, HC 296, AC 280, FL 62 mm

You enter
BPD (biparietal diameter)82 mm
HC (head circumference)296 mm
AC (abdominal circumference)280 mm
FL (femur length)62 mm
Gestational Age32 weeks
+ days0 days
You get
Estimated fetal weight (EFW)1,928 g (1.93 kg · 4.25 lb)
Formula usedHadlock 4 (BPD, HC, AC, FL)
Percentile for 32 weeks (approx.)46th percentile
Average weight at this stage1,953 g
AssessmentAppropriate for gestational age (10th–90th)
Typical margin of error±289 g (ultrasound estimates are within about ±15%)

EFW 1,928 g (1.93 kg · 4.25 lb); 46th percentile.

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AC 330 mm, FL 72 mm at 37 weeks

You enter
AC (abdominal circumference)330 mm
FL (femur length)72 mm
Gestational Age37 weeks
+ days0 days
You get
Estimated fetal weight (EFW)3,102 g (3.1 kg · 6.84 lb)
Formula usedHadlock 2 (AC, FL)
Percentile for 37 weeks (approx.)58th percentile
Average weight at this stage3,028 g
AssessmentAppropriate for gestational age (10th–90th)
Typical margin of error±465 g (ultrasound estimates are within about ±15%)

EFW 3,102 g (3.1 kg · 6.84 lb).

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❓ Frequently asked questions

How accurate is estimated fetal weight?

Usually within ±15% of the birth weight; accuracy is lower for very small or very large babies.

What is a normal fetal weight at 32 weeks?

About 1.95 kg on average (Hadlock 50th percentile), with a normal range of roughly 1.65–2.3 kg.

What do BPD, HC, AC and FL mean?

Biparietal diameter (head width), head circumference, abdominal circumference and femur (thigh bone) length.

My scan says the baby is small — what next?

Your doctor may repeat scans every 2–3 weeks and check blood flow (Doppler) to make sure the baby is growing well.