Biparietal diameter
Updates to Article Attributes
Biparietal diameter (BPD) is one of the basic biometric parameters used to assess fetal size. BPD together with head circumference (HC), abdominal circumference (AC), and femur length (FL) are computed to produce an estimate of fetal weight. In the second trimester this may be extrapolated to an estimate of gestational age and an estimated due date (EDD).
Measurement technique
The BPD should be measured on an axial plane that traverses the thalami, and cavum septum pellucidum. The transducer must be perpendicular to the central axis of the head, and thus the hemispheres and calvaria should appear symmetric.
The calipers should be placed onat the:
- outer edge of the near
cavalrialcalvarial walland - inner edge of the far calvarial wall
.
Interpretation
BPD has been shown to be accurate in predicting gestational age from 14 to 20 weeks2. The variability increases after this time. BPD may also be influenced by factors such as abnormalitisabnormalities of head shape, breech presentation, or multiple gestations.Head circumference (HC) may be a more reliable measurement if there is variant head shape 4.
-<p><strong>Biparietal diameter (BPD)</strong> is one of the basic <a href="/articles/fetal-biometric-parameters">biometric parameters</a> used to assess fetal size. BPD together with head circumference (HC), abdominal circumference (AC) and femur length (FL) are computed to produce an estimate of fetal weight. In the second trimester this may be extrapolated to an estimate of gestational age and an estimated due date (EDD).</p><h5>Measurement technique</h5><p>The BPD should be measured on an axial plane that traverses the thalami, and cavum septum pellucidum. The transducer must be perpendicular to the central axis of the head, and thus the hemispheres and calvaria should appear symmetric. </p><p>The calipers should be placed on the outer edge of the near cavalrial wall and inner edge of the far calvarial wall. </p><h5>Interpretation</h5><p>BPD has been shown to be accurate in predicting gestational age from 14 to 20 weeks<sup>2</sup>. The variability increases after this time. BPD may also be influenced by factors such as abnormalitis of head shape, breech presentation, or multiple gestations.</p>- +<p><strong>Biparietal diameter (BPD)</strong> is one of the basic <a href="/articles/fetal-biometric-parameters">biometric parameters</a> used to assess fetal size. BPD together with head circumference (HC), abdominal circumference (AC), and femur length (FL) are computed to produce an estimate of fetal weight. In the second trimester this may be extrapolated to an estimate of gestational age and an estimated due date (EDD).</p><h5>Measurement technique</h5><p>The BPD should be measured on an axial plane that traverses the thalami, and cavum septum pellucidum. The transducer must be perpendicular to the central axis of the head, and thus the hemispheres and calvaria should appear symmetric. </p><p>The calipers should be placed at the:</p><ul>
- +<li>outer edge of the near calvarial wall</li>
- +<li>inner edge of the far calvarial wall</li>
- +</ul><h5>Interpretation</h5><p>BPD has been shown to be accurate in predicting gestational age from 14 to 20 weeks <sup>2</sup>. The variability increases after this time. BPD may also be influenced by factors such as abnormalities of head shape, breech presentation, or multiple gestations. <a title="Head circumference" href="/articles/head-circumference">Head circumference (HC)</a> may be a more reliable measurement if there is variant head shape <sup>4</sup>.</p>
References changed:
- 4. AIUM practice guideline for the performance of obstetric ultrasound examinations. J Ultrasound Med. 2013;32 (6): 1083-101. <a href="http://dx.doi.org/10.7863/ultra.32.6.1083">doi:10.7863/ultra.32.6.1083</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/23716532">Pubmed citation</a><span class="auto"></span>
Tags changed:
- ultrasound
- fetal head