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What is EFW in pregnancy?

Published in Fetal Weight Estimation 1 min read

EFW in pregnancy stands for Estimated Fetal Weight.

Understanding Estimated Fetal Weight (EFW)

EFW is a calculation used during pregnancy to estimate the weight of the fetus. It is typically determined through ultrasound measurements of the fetus. These measurements usually include:

  • Head Circumference (HC)
  • Abdominal Circumference (AC)
  • Femur Length (FL)

According to the provided reference, after taking the indicated measurements, calculating the estimated fetal weight will indicate the corresponding percentile and a graphical representation.

How EFW is Calculated and Used

The doctor inputs these measurements into a formula, or uses a machine that has it pre-programmed, to arrive at the EFW. The EFW helps in:

  • Assessing Fetal Growth: EFW helps determine if the fetus is growing at a healthy rate.
  • Identifying Potential Problems: Significant deviations from the expected weight range can indicate potential growth restriction or macrosomia (excessive fetal size).
  • Guiding Delivery Decisions: EFW is a factor in deciding the mode and timing of delivery. For example, a very large EFW might influence the decision to perform a Cesarean section.