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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.
Women are 4-5 times more likely to develop a clot during pregnancy and in the postpartum period than when they are not pregnant. [25] Hypercoagulability in pregnancy likely evolved to protect women from hemorrhage at the time of miscarriage or childbirth. In developing countries, the leading cause of maternal death is still hemorrhage. [25]
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Research published in 2006 by Barnhart et al., gave the following mean dimensions, based on MRI scans of 28 women: [1] Mean length from cervix to introitus: 6.3 cm (2.5 in). Mean width: at the proximal vagina: 3.3 cm (1.3 in); at the pelvic diaphragm: 2.7 cm (1.1 in); at the introitus: 2.6 cm (1.0 in)
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.
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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.