Fundal Height


Dear Midwife,
I just stepped into week 33 today. my mid-wife told me that the fundal height is not enough, so I've an appointment for ultrasound next week.

I tried to ask her the reasons and what can I do to help it grow.... she told me not to worry but I am, therefore I need your help.

Is it a serious problem? Can I do something to overcome this? y baby is moving and that makes me realize that he is healthy enough. I didn't have any problem so far and this is my first baby. I'd appreciate your suggestion!



There are many reasons why you might be measuring small, most of which are not serious problems. They include things like the position of the baby, the fact that the mom and/or the dad are genetically small, the amniotic fluid is low (drink buckets of water!), or that's just the way you carry the baby. However, in a very few cases, the baby actually isn't growing the way it should, and that's why your careful midwife is checking to be sure. Good luck!

--Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.