
Biparietal diameter (BPD) is a measurement taken during pregnancy to assess the size of the fetus and estimate its gestational age. It is a standard procedure, with measurements taken during ultrasound scans. BPD is the distance between the two parietal bones on either side of the skull. A small BPD measurement could indicate intrauterine growth restriction or a flatter head. Typically, a BPD of 4.9cm is considered the average at 20 weeks, with some variation depending on the fetus's sex.
| Characteristics | Values |
|---|---|
| Average biparietal diameter at 20 weeks | 4.9cm |
| Biparietal diameter range at 20 weeks | 4.41cm-5.39cm |
| Average head circumference at 20 weeks | 17.5cm |
| Average abdominal circumference at 20 weeks | 14.9cm |
| Average femur length at 20 weeks | 3.2cm |
| Normal biparietal diameter growth range | Within 10th-90th percentile |
| Small biparietal diameter indication | Intrauterine growth restriction |
| Flatter head | |
| Microcephaly | |
| Zika virus exposure | |
| Abnormal head-to-abdomen ratio | |
| Abnormal head-to-femur ratio | |
| Short forehead | |
| Structural abnormalities | |
| Abnormal sulcation | |
| Holoprosencephaly | |
| Calcifications with infections |
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What You'll Learn

BPD is a basic biometric parameter to assess fetal size
Fetal biometry is a test to estimate the size of a fetus during pregnancy. It is a measurement of how a fetus is growing for its gestational age and whether there are signs of growth problems. Fetal biometric parameters are important because they compare the baby's size to its gestational age, helping to estimate how many weeks along the pregnancy is.
Biparietal diameter (BPD) is one of the basic biometric parameters used to assess fetal size. BPD is a measurement of the diameter of a developing baby's skull, from one parietal bone to the other. It is commonly used by doctors to estimate the gestational age of the fetus. Since the fetal head grows at a predictable rate during pregnancy, the BPD provides a reliable metric to determine how far along the pregnancy is.
BPD is usually taken during standard ultrasounds in pregnancy. The BPD measurement increases from roughly 2.4 centimeters at 13 weeks to approximately 9.5 centimeters when a fetus is at term. The mean average for fetal biometry measurements at around 20 weeks of gestation is 4.9cm for BPD. BPD, together with head circumference (HC), abdominal circumference (AC), and femur length (FL) are computed to produce an estimate of fetal weight.
BPD is also used to assess fetal development. Monitoring BPD over time allows doctors to assess the progress of fetal development. It is also used to diagnose fetal growth disorders, which can lead to pregnancy complications later on.
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BPD is useful in estimating gestational age and fetal weight
Biparietal diameter (BPD) is a fundamental biometric parameter used in prenatal ultrasound to evaluate fetal growth and development. BPD is a critical measurement for estimating gestational age and can also help identify fetal abnormalities. The BPD measurement is taken during standard ultrasounds in pregnancy, usually from early pregnancy to about week 20.
BPD is the diameter of the head, measuring how broad a baby's head is from one parietal bone to the other as it grows. The human skull consists of two parietal bones, one on the left side of the skull and the other on the right. The BPD measurement also gives an indication of how the baby's brain is growing.
BPD is best assessed along an axial plane that goes across the thalami and cavum septum pellucidum. The calvarium and cerebral hemispheres should seem similar when the transducer is placed perpendicular to the skull's central axis. The BPD measurement increases from roughly 2.4 centimeters at 13 weeks to approximately 9.5 centimeters when a fetus is at term. The normal range for BPD at 14 weeks is approximately 29.4mm, and by the 20th week of pregnancy, the normal range increases to around 49.4mm.
BPD is used in conjunction with other measurements, such as head circumference (HC), abdominal circumference (AC), and femur length (FL), to estimate fetal weight and gestational age. These measurements help paint an overall picture of the fetus's size and match it to what is considered typical for its age. While BPD is an important tool, it is just one aspect of fetal biometry, and other parameters should also be considered for a comprehensive evaluation of the fetus's size and well-being.
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BPD is measured through ultrasound imaging
BPD, or biparietal diameter, is a measurement taken through ultrasound imaging during pregnancy. Ultrasound examinations are a common procedure used to monitor the health and wellbeing of an unborn child. During an ultrasound, measurements are taken to ensure the baby is growing and developing appropriately. Biparietal diameter is one of several measurements used to estimate fetal weight and gestational age.
Ultrasound technicians take this measurement while looking at the developing baby on a computer screen and using digital measuring tools. The BPD is the distance between the two sides of the skull, from one parietal bone to the other. Every human has two parietal bones, one on each side of the skull. The BPD measurement is usually taken during standard ultrasounds in pregnancy, typically from early pregnancy through about week 20.
The BPD measurement increases from roughly 2.4 centimetres at 13 weeks to approximately 9.5 centimetres when a fetus is at term. The average BPD at 20 weeks is 4.9 centimetres. The BPD is considered accurate for predicting gestational age within 10 to 11 days between weeks 12 and 26 of pregnancy. However, after week 20, the BPD becomes less accurate, and after week 26, it may be off by as much as three weeks.
The BPD measurement is useful alongside three other measurements: head circumference, abdominal circumference, and femur length. These measurements help estimate fetal weight and gestational age. The BPD measurement also provides insight into how the baby's brain is growing. Doctors look for the BPD measurement and other measurements to be within the normal range. If the BPD is smaller than usual, it could be a sign of intrauterine growth restriction or a flatter head. A larger BPD could indicate a health issue such as gestational diabetes.
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A small BPD could indicate intrauterine growth restriction
BPD, or biparietal diameter, is a measurement taken during standard ultrasound examinations to estimate the size of a fetus. It measures the distance between the two sides of a developing baby's skull, from one parietal bone to the other. The purpose of this measurement is to help doctors estimate the unborn baby's weight, gestational age, and overall well-being.
A small BPD can be an indication of intrauterine growth restriction, also known as fetal growth restriction (FGR). Fetal growth restriction is the second leading cause of perinatal morbidity and mortality. It is important to monitor fetal head growth in cases of a low BPD, as microcephaly may be a concern, especially if the mother has been exposed to the Zika virus.
The biparietal diameter is one of several measurements used to assess fetal growth, along with head circumference, abdominal circumference, and femur length. These measurements are compared to established percentiles to determine if the fetus is within a normal range for its gestational age. Most healthcare providers are not concerned unless a fetus measures less than the 10th percentile or higher than the 90th percentile.
It is important to note that a small BPD does not always indicate a problem. Fetal biometry measurements can vary due to factors such as the mother's nutritional status, race, parental height, fetal sex, and ethnicity. Accurate dating early in pregnancy is crucial for the diagnosis of IUGR, and serial ultrasounds at two- to three-week intervals may be necessary for identification.
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BPD is influenced by factors like abnormalities in head shape
The biparietal diameter (BPD) is a measurement of the diameter of a developing baby's skull, from one parietal bone to the other. BPD is one of several measurements used to estimate fetal weight and gestational age. The BPD measurement is usually taken during standard ultrasounds in pregnancy.
In addition to abnormal head shape, BPD can be influenced by other factors such as the position of the fetus in the womb. As the fetus descends, pressure shifts to the lower portions of the parietal bones, causing them to rotate inward and move upward, increasing the biparietal diameter. This molded state usually recovers within the first week after birth, with the typical cylindric head of a newborn resuming a rounded shape.
The accuracy of BPD measurements in predicting gestational age varies depending on the stage of pregnancy. Between 12 and 26 weeks, BPD can accurately predict gestational age within 10 to 11 days. However, after 26 weeks, the accuracy of BPD decreases, and it may be off by up to three weeks. Therefore, healthcare providers often use percentile values to compare fetuses with similar characteristics and determine if further tests are necessary.
Overall, while BPD is a useful tool in estimating gestational age and fetal weight, it is just one of many measurements considered during fetal assessments. Other measurements, such as head circumference and abdominal circumference, are also crucial in understanding the overall picture of fetal development.
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Frequently asked questions
A small BPD is when the measurement is smaller than what is considered the normal range.
The average biparietal diameter at 20 weeks is 4.9cm. However, this can vary depending on the fetus's gestational age.
A small BPD could be a sign of intrauterine growth restriction or that the fetus has a flatter head. It may also be an indication to monitor fetal head growth.
If your fetus's BPD measurement is smaller than usual, your doctor may recommend further tests to monitor fetal head growth and check for any potential issues.

























