Interactive Fetal Biometry Calculator
Enter ultrasound biometry values in millimeters (mm). This tool estimates fetal weight using a commonly used Hadlock equation (HC + AC + FL model).
What is fetal biometry?
Fetal biometry is the set of ultrasound measurements used to assess fetal growth and development during pregnancy. Clinicians track these values over time to evaluate whether growth appears consistent with gestational age and expected patterns.
The most common measurements include head circumference (HC), abdominal circumference (AC), femur length (FL), and sometimes biparietal diameter (BPD). Together, these measurements support estimated fetal weight (EFW) and growth trend analysis.
How this fetal biometry calculator works
This calculator uses the Hadlock model based on HC, AC, and FL to estimate fetal weight. The formula works with centimeter units, so entered values in millimeters are converted automatically.
- Inputs used for EFW: HC, AC, FL
- Optional input: Gestational age (for simple comparison to a reference median table)
- Optional input: BPD (used for additional ratio display)
In addition to EFW, the calculator displays useful ratios such as HC/AC and FL/AC, which are often reviewed as part of broader fetal growth assessment.
Understanding the measurements
Head Circumference (HC)
HC represents fetal head size and is one of the core measurements in standard growth assessment. It is less sensitive to short-term nutritional changes than abdominal measures.
Abdominal Circumference (AC)
AC is strongly associated with fetal soft tissue and liver size. It contributes heavily to estimated fetal weight calculations and can be sensitive to growth restriction or overgrowth patterns.
Femur Length (FL)
FL reflects long-bone growth. While normal variation exists, FL becomes more informative when interpreted in combination with HC and AC rather than in isolation.
Biparietal Diameter (BPD)
BPD measures transverse head width. It is commonly used in dating and biometry profiles, but head shape variation can influence interpretation.
How to interpret calculator output responsibly
- Single measurements are limited: one scan provides a snapshot, not a trend.
- Serial growth is key: repeated scans over time are more informative than one value.
- Technique matters: probe angle, fetal position, and operator technique can affect numbers.
- Clinical context matters most: maternal history, placental function, Doppler findings, and symptoms are essential for medical decisions.
If a number seems high or low, do not panic based on a calculator alone. Discuss findings with a qualified obstetric provider who can interpret the complete clinical picture.
Limitations of fetal weight estimation
Estimated fetal weight is exactly that—an estimate. Even in expert settings, there is an expected margin of error. Differences of roughly 10% (and sometimes more) can occur between estimated and actual birth weight.
That does not make biometry unhelpful; it means results are best used for trend monitoring and risk planning, not absolute certainty.
Best practices when using online fetal growth tools
- Use measurements directly from your official ultrasound report.
- Confirm units (mm vs cm) before entering data.
- Avoid self-diagnosis based on a single value.
- Bring printed results to your prenatal appointment if helpful.
Quick FAQ
Is this calculator a diagnostic tool?
No. It is an educational calculator designed to help you understand reported ultrasound numbers.
Why is gestational age optional?
The EFW formula itself does not require gestational age. If entered, GA is only used here for a simple comparison to a reference median weight table.
Can this replace a sonographer or obstetrician?
No. Clinical interpretation requires professional training, standardized imaging technique, and full maternal-fetal context.