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Fundal height, or McDonald's rule, is a measure of the size of the uterus used to assess fetal growth and development during pregnancy. It is measured from the top of the mother's uterus to the top of the mother's pubic symphysis.
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The condition is defined by birth weight and/or length. [citation needed]Intrauterine growth restriction is generally diagnosed by measuring the mother's uterus, with the fundal height being less than it should be for that stage of the pregnancy.
During Tanner V, females stop growing and reach their adult height. Usually, this happens in their mid teens at 14 or 15 years for females. Males also stop growing and reach their adult height during Tanner V; usually this happens in their late teens at 16 to 17 years, [medical citation needed] but can be a lot later, even into the early 20s.
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It is important that the fundal height be measured and properly recorded to track proper fetal growth and the increasing development of amniotic fluid. The obstetrician, gynaecologist or midwife should also routinely ultrasound the patient—this procedure will also give an indication of proper fetal growth and amniotic fluid development.
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