Definition of suspected large for gestational age fetus is when the fundal height measurement shows a 3 cm or greater discrepancy between measured and expected fundal height between 18 - 36 weeks.

The midwife should re-evaluate EDC (estimated date of conception), fetal size and position, quickening and the date the FHT (fetal heart tones) first auscultated, and amount of amniotic fluid.

With two consecutive large measurements, offer Ultrasound scan and/or refer to the client's health care provider to rule out other conditions.

MoonDragon's Birthing Guidelines Index

MoonDragon's Birthing Guidelines - Variations of Pregnancy