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Not accurate.: Fundal height assessment is poor man's ultrasound to assess fetal growth. It is notoriously inaccurate and depends on maternal weight for height, fibroids, amniotic fluid volume, lordosis of the maternal spine and experience of the examining prenatal care provider.ormal: Ultrasound is more accurate compared to measurement of the fundal height. The first trimester ultrasound will be more accurate in dating the pregnancy than the second trimester ultrasound in most cases. ...Read more.
Starting at about 20 weeks, at each of your prenatal visits, your healthcare practitioner will measure your fundal height â the distance from your pubic bone to the top of your uterus. This measurement allows your practitioner to assess your baby's size, growth rate, and position.or example, at 20 weeks, your fundal height should be about 18 to 22 centimeters. Measuring large for dates means your fundal height is more than 2 centimeters larger than expected for your stage of pregnancy, based on your due date. Your practitioner will probably schedule an ultrasound to find out why.