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Understanding your ultrasound

How much does my baby weigh?

Type in the HC, AC, and FL measurements from your ultrasound report (in millimetres) and get an estimated fetal weight in grams and pounds, computed with the same published Hadlock formula most scanners use. Everything runs on your device — nothing is sent or saved.

Every ultrasound weight estimate carries a built-in ±10–15% margin — the EFW on your sonographer's report is the real number for your care.

Fetal weight calculator

Measurements stay on your device: nothing is sent, saved, or shared.

Copy the values from your ultrasound report, in millimetres (if your report shows centimetres, multiply by 10 — e.g. 32.4 cm is 324 mm). HC, AC, and FL are required; BPD is optional.

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How it works

How ultrasound turns three measurements into a weight

A scan can't put your baby on a scale, so it estimates. The sonographer measures the head circumference (HC), abdominal circumference (AC), and femur length (FL), and software combines them with a published regression formula — most commonly one of the Hadlock models from 1985, built by relating those measurements to actual birth weights. This tool applies the same published math: Hadlock's three-parameter model (formula C) from HC, AC, and FL, or the four-parameter model when you add BPD. Your millimetre entries are converted to centimetres internally, exactly as the formula expects.

The honest part: an EFW is a range wearing the costume of a number. The published error is roughly ±10–15%, so a "3,200 g" estimate near term genuinely means "very likely somewhere between about 2,700 and 3,700 g." That's why the result below shows the band, not just the midpoint — and why your provider cares much more about how the estimate moves between scans than about any single value.

HC — head circumference

The distance around the head, measured on a cross-section at a standard level. On your report it's usually listed in millimetres next to "HC".

AC — abdominal circumference

The distance around the belly at the level of the liver and stomach. It's the measurement weight estimates lean on most, and the hardest to take — which is a big part of the ±10–15% margin.

FL — femur length

The length of the thigh bone, the longest bone in the body. A stable, easy-to-measure anchor for the formula.

BPD — biparietal diameter (optional)

The width of the head from side to side. If your report lists it, add it: the four-measurement Hadlock model uses it alongside HC, AC, and FL.

For context

Typical estimated fetal weight, 24–42 weeks

Medians from the published Hadlock in-utero fetal growth standard, with a broad ±15% band around each — the same margin the weight estimate itself carries. These are middles of wide healthy ranges, not targets: half of all babies weigh less than the median and half weigh more. Your report's percentile (if it shows one) depends on exact dating and the growth chart your clinic uses, so we deliberately don't assign one here.

Median estimated fetal weight by gestational week, 24 to 42 weeks, from the Hadlock in-utero growth standard, with a broad plus-or-minus 15 percent band
Week Median EFW In lb & oz Broad band (±15%)
24 weeks 670 g 1 lb 8 oz 570–770 g
25 weeks 785 g 1 lb 12 oz 667–903 g
26 weeks 913 g 2 lb 0 oz 776–1,050 g
27 weeks 1,055 g 2 lb 5 oz 897–1,213 g
28 weeks 1,210 g 2 lb 11 oz 1,029–1,392 g
29 weeks 1,379 g 3 lb 1 oz 1,172–1,586 g
30 weeks 1,559 g 3 lb 7 oz 1,325–1,793 g
31 weeks 1,751 g 3 lb 14 oz 1,488–2,014 g
32 weeks 1,953 g 4 lb 5 oz 1,660–2,246 g
33 weeks 2,162 g 4 lb 12 oz 1,838–2,486 g
34 weeks 2,377 g 5 lb 4 oz 2,020–2,734 g
35 weeks 2,595 g 5 lb 12 oz 2,206–2,984 g
36 weeks 2,813 g 6 lb 3 oz 2,391–3,235 g
37 weeks 3,028 g 6 lb 11 oz 2,574–3,482 g
38 weeks 3,236 g 7 lb 2 oz 2,751–3,721 g
39 weeks 3,435 g 7 lb 9 oz 2,920–3,950 g
40 weeks 3,619 g 8 lb 0 oz 3,076–4,162 g
41 weeks 3,787 g 8 lb 6 oz 3,219–4,355 g
42 weeks 3,934 g 8 lb 11 oz 3,344–4,524 g

Source: Hadlock et al., Radiology 1991 (sonographic weight standard). Healthy babies fall above and below these bands — what matters clinically is the growth curve across scans, which only your provider can read.

Read this before you worry

One estimate is a snapshot, not a verdict

Ultrasound weight estimates miss by ±10–15% routinely — near term, that's close to a pound in either direction. A baby estimated "small" or "big" on one scan is often simply a baby measured on one day, at one angle, with a formula that has a known margin. If this tool's output differs from your report, the sonographer's report is the real number: it was computed from the exact measurements your clinic recorded.

Growth is a curve, not a point. Providers judge it by comparing estimates across scans on a chart matched to your dating — something no single calculation can do. So skip the labels entirely and take one question to your next visit: "What does my baby's growth curve show?" If your provider ever wants a closer look, that's a routine part of prenatal care, not a cause for alarm on its own.

Sources

Where this comes from

The weight formulas are Hadlock's, published in the American Journal of Obstetrics & Gynecology in 1985 and still the most widely used EFW models in ultrasound software today. The week-by-week medians come from Hadlock's 1991 in-utero fetal growth standard. We apply the published math and its published error margin — we don't invent our own, and we don't assign percentiles or growth labels.

Medically Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team

Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →

4 Sources

Data & references

EasySTD is an information and comparison directory, not a healthcare provider. This tool is general information based on published formulas and reference data: it is not medical advice, a diagnosis, or a growth assessment, and it does not create a doctor-patient relationship. The EFW on your sonographer's report is the number that counts — discuss what it means with your provider.

Good to Know

Fetal weight estimates: frequently asked questions

How accurate EFW really is, what the measurements mean, why your report may differ slightly, and what to ask your provider.

How accurate is an estimated fetal weight from ultrasound?

Less precise than people expect, and that's true of every scanner and every formula — not just this tool. Ultrasound estimates weight indirectly, from measurements of the head, abdomen, and femur, and the published Hadlock models carry an inherent error of roughly ±10–15% even in experienced hands. Near term that can mean the real birth weight is several hundred grams — close to a pound — above or below the estimate. That's why clinicians read EFW as a range and pay far more attention to the trend across scans than to any single number. Treat the result here the same way: a ballpark, not a weight on a scale.

What do HC, AC, FL, and BPD mean on my report?

They're the four standard biometry measurements. HC is head circumference, the distance around the head. AC is abdominal circumference, the distance around the belly at the level of the liver — the measurement that influences the weight estimate most. FL is femur length, the thigh bone. BPD is biparietal diameter, the side-to-side width of the head. Most US reports list them in millimetres (some in centimetres — 1 cm is 10 mm), often alongside a gestational-age equivalent for each. This tool needs HC, AC, and FL, and can also use BPD if your report includes it.

Why doesn't this result exactly match the EFW on my ultrasound report?

Small differences are expected. There are several published Hadlock models (and other formulas entirely, like Shepard or INTERGROWTH), and different ultrasound machines are configured with different ones. Rounding matters too: a measurement recorded as 33.4 mm versus 33 mm shifts the output slightly, and some software averages multiple takes of each measurement before computing. If the gap is small — a few percent — that's formula and rounding noise. Whatever the difference, the number your sonographer reported is the real one for your care: it was computed from the exact measurements your clinic recorded and is the figure your provider tracks.

My estimate is above or below the median for my week — is something wrong?

Not by itself. The medians in the table are just the middle of a wide healthy range — half of all babies weigh less than the median and half weigh more, and perfectly healthy babies sit well above and below the broad bands shown here. On top of that, the estimate itself carries a ±10–15% margin, which alone can move a baby from one side of the median to the other. A single snapshot also can't show the thing that actually matters clinically: growth over time. So don't attach a label to one number — ask your provider what your baby's growth curve shows across scans. That conversation, not this calculator, is the real answer.

Which formula does this calculator use?

The Hadlock regression models published in the American Journal of Obstetrics & Gynecology in 1985, which remain the most widely used EFW formulas in the world. With HC, AC, and FL, it applies the three-parameter model: log10 EFW = 1.326 − 0.00326·AC·FL + 0.0107·HC + 0.0438·AC + 0.158·FL, with measurements in centimetres (your millimetre entries are converted automatically). If you also enter BPD, it switches to Hadlock's four-parameter model, which uses all four measurements. The week-by-week medians in the reference table come from Hadlock's 1991 in-utero fetal growth standard.

Is what I enter here private?

Yes. This calculator runs entirely in your browser: the measurements you type are converted and computed on your own device and are never sent to a server, stored, or shared — close the tab and they're gone. We treat pregnancy data as sensitive by design, so there is nothing to delete and no account involved. The result is general educational information based on published formulas; it isn't medical advice or a diagnosis, and it can't replace the sonographer's report or the provider who reads it.

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