Is My 28-Week Fetus Weighing 936g Normal or Too Small? - Obstetrics and Gynecology

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At 28 weeks of pregnancy, the fetus weighs only 936 grams?


Hello, doctor: I would like to ask.
Yesterday, during my prenatal check-up at 28 weeks, the doctor said the fetal weight is approximately 936 grams, which is within the normal range.
However, when I got home and checked the maternal handbook, it states that the weight for 25-28 weeks is 1000-1200 grams.
So, at 28 weeks, with a weight of 936 grams, is this really considered normal? Is it slightly small or too small?

bb, 30~39 year old female. Ask Date: 2006/11/20

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: The following statistical data is for your reference: If we have 100 fetuses at 28 weeks of gestation sorted by weight from smallest to largest, the weight of the 90th percentile is approximately 1764 grams, the 75th percentile is approximately 1449 grams, the 50th percentile is approximately 1238 grams, the 25th percentile is approximately 1066 grams, and the 10th percentile is approximately 822 grams.
Generally, the acceptable range is between the 90th and 10th percentiles; weights above the 90th percentile are considered large for gestational age, while weights below the 10th percentile are considered small for gestational age.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2006/11/20

More Info


When evaluating fetal growth, it's essential to understand that fetal weight can vary significantly from one pregnancy to another. At 28 weeks of gestation, a fetal weight of 936 grams is indeed on the lower end of the normal range, which typically spans from about 1000 to 1200 grams. However, it is crucial to consider several factors before concluding whether this weight is concerning or not.

Firstly, fetal growth is assessed not only by weight but also by other parameters, including the measurement of the fetus's head circumference, abdominal circumference, and femur length. These measurements are taken during ultrasounds and help provide a more comprehensive picture of fetal growth and development. If these measurements are consistent with the gestational age, it may indicate that the fetus is growing appropriately, even if the weight is slightly below the average.

Secondly, the growth pattern of the fetus is also important. If the growth has been consistent over time and there are no signs of growth restriction, then a weight of 936 grams at 28 weeks may not be alarming. On the other hand, if there has been a significant drop in growth percentiles or if the fetus is not following its growth curve, this could be a cause for concern.

Additionally, maternal factors can influence fetal growth. Conditions such as gestational diabetes, hypertension, or placental insufficiency can affect how well the fetus grows. If the mother has any underlying health issues or if there are concerns about the placenta's function, these factors need to be evaluated by the healthcare provider.

It's also worth noting that fetal growth can be influenced by genetic factors. Some babies may simply be smaller due to hereditary reasons, and this can be perfectly normal. If both parents are smaller in stature, it is possible for the fetus to be smaller as well without any health implications.

In your case, since the ultrasound indicated a fetal weight of 936 grams, it would be advisable to follow up with your healthcare provider. They may recommend additional monitoring, such as more frequent ultrasounds, to ensure that the fetus continues to grow adequately. They might also assess the amniotic fluid levels and the placenta's condition to rule out any potential issues.

In conclusion, while a fetal weight of 936 grams at 28 weeks is slightly below the average range, it does not automatically indicate a problem. Continuous monitoring and a thorough evaluation by your healthcare provider will provide the best insight into your baby's growth and health. If you have any concerns or questions, do not hesitate to discuss them with your doctor, as they can provide personalized advice based on your specific situation.

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