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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.
From weeks 18 to 32, the number of centimeters of fundal height is just about equivalent to the weeks of gestation. Thus this measurement can help you assess fetal growth and estimate gestational age. After 32 weeks, it no longer reflects gestational age as the fetus is growing more in weight than in length.easuring fundal height. During the second trimester, the uterus becomes part of the abdomen, a development that makes it easy to assess fundal height. The duration of pregnancy at this time generally correlates with the height of the fundus above the symphysis pubis.