{"id":5326,"date":"2026-07-03T11:42:00","date_gmt":"2026-07-03T10:42:00","guid":{"rendered":"https:\/\/services.nhslothian.scot\/maternity\/?page_id=5326"},"modified":"2026-07-03T11:45:15","modified_gmt":"2026-07-03T10:45:15","slug":"pregnancy-care-knowing-when-a-baby-is-not-growing-as-well-as-expected","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/maternity\/pregnancy-care-knowing-when-a-baby-is-not-growing-as-well-as-expected\/","title":{"rendered":"Pregnancy care: knowing when a baby is not growing as well as expected"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\"><strong>What this is about<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During your pregnancy, your midwife will do routine checks and take measurements of your stomach to understand how well your baby is growing. If these measurements suggest that your baby may not be growing as expected, you will be offered closer monitoring and, in some cases, planning for an early birth might be recommended.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>What we are doing:<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">At your first appointment, your midwife will ask you a few questions to help decide if you should be offered additional checks and scans. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">From 24 weeks of pregnancy your midwife will check how your baby is growing by measuring your bump with a tape measure at each appointment; this measurement is known as the Symphysis Fundal Height (SFH).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The measurement is recorded or \u2018plotted\u2019 on a paper chart in your blue notes, where you and your midwife can see if your baby is growing as expected.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You might see a sticker saying: \u201cMeasure, Plot, Where\u2019s the Dot?\u201d on your notes. This is to remind everybody of the importance of checking your baby\u2019s growth.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" href=\"https:\/\/services.nhslothian.scot\/maternity\/wp-content\/uploads\/sites\/62\/2026\/06\/Measure-Plot-Wheres-the-dot.png\" data-wpcp-wp-lb-image=\"1\"><img loading=\"lazy\" decoding=\"async\" width=\"425\" height=\"410\" src=\"https:\/\/services.nhslothian.scot\/maternity\/wp-content\/uploads\/sites\/62\/2026\/06\/Measure-Plot-Wheres-the-dot.png\" alt=\"Measure Plot, Where&apos;s the dot\" class=\"wp-image-5327\" style=\"width:290px;height:auto\" srcset=\"https:\/\/services.nhslothian.scot\/maternity\/wp-content\/uploads\/sites\/62\/2026\/06\/Measure-Plot-Wheres-the-dot.png 425w, https:\/\/services.nhslothian.scot\/maternity\/wp-content\/uploads\/sites\/62\/2026\/06\/Measure-Plot-Wheres-the-dot-300x289.png 300w\" sizes=\"auto, (max-width: 425px) 100vw, 425px\" \/><\/a><a href=\"https:\/\/services.nhslothian.scot\/maternity\/wp-content\/uploads\/sites\/62\/2026\/06\/Measure-Plot-Wheres-the-dot.png\" data-fancybox=\"wpcp-wp-img-5327\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/maternity\/wp-content\/uploads\/sites\/62\/2026\/06\/Measure-Plot-Wheres-the-dot-300x289.png\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>How this helps you<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If your midwife has any concerns about your baby\u2019s growth from this measurement, you will be offered an ultrasound scan within 72 hours. If the scan confirms that your baby is not growing as expected, your midwife and doctor will discuss with you what additional care can be offered.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Our progress<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>All community midwives have received enhanced training, and we know by looking at the data that this has improved care.<\/li>\n\n\n\n<li>We&#8217;ve made steady improvements in how well we track babies&#8217; growth during pregnancy. Adding a prompt to our electronic system made a real difference, and this was helped further by our &#8220;Measure, Plot, Where&#8217;s the Dot?&#8221; campaign.<\/li>\n\n\n\n<li>Thanks to this work, the percentage of babies born &#8216;small&#8217; at term and needing a lot of support has reduced steadily in NHS Lothian.\u00a0<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>What you can do<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Talk to your midwife about how they are measuring your baby\u2019s growth. You can also ask your midwife to explain what the measurements on the graph show and what they mean about your baby\u2019s development.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center\"><a href=\"https:\/\/services.nhslothian.scot\/maternity\/maternity-improvement-programme-easy-read\/\" data-type=\"link\" data-id=\"https:\/\/services.nhslothian.scot\/maternity\/maternity-improvement-programme-easy-read\/\">Click here to go back to the<br> Maternity Improvement Programme<\/a><\/h4>\n","protected":false},"excerpt":{"rendered":"<p>What this is about During your pregnancy, your midwife will do routine checks and take measurements of your stomach to understand how well your baby is growing. If these measurements suggest that your baby may not be growing as expected, you will be offered closer monitoring and, in some cases, planning for an early birth<\/p>\n","protected":false},"author":309,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_gspb_post_css":"","footnotes":""},"categories":[],"class_list":["post-5326","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"scottsamson","author_link":"https:\/\/services.nhslothian.scot\/maternity\/author\/scottsamson\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"What this is about During your pregnancy, your midwife will do routine checks and take measurements of your stomach to understand how well your baby is growing. If these measurements suggest that your baby may not be growing as expected, you will be offered closer monitoring and, in some cases, planning for an early birth","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/pages\/5326","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/users\/309"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/comments?post=5326"}],"version-history":[{"count":12,"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/pages\/5326\/revisions"}],"predecessor-version":[{"id":6022,"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/pages\/5326\/revisions\/6022"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/media?parent=5326"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/maternity\/wp-json\/wp\/v2\/categories?post=5326"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}