Because of the increasing prenatal use of high-resolution ultrasonogra
phy to assess fetal growth and because growth aberration is one of the
principal manifestations of abnormal intrauterine development, a more
precise definition of normal growth is desirable. Our data set from a
utopsies of fetuses/neonates (50-4,000 g), collected with systematic a
ttention to precision of measurement, is analyzed and presented. Previ
ous computations of fetal growth curves appear to overstate the variat
ion about the mean. Through the identification and exclusion of outlie
rs and the use of appropriate curve fitting techniques, the problem of
overestimation of variation about the mean has been largely eliminate
d. The new growth standards we present can be used to assess aberratio
n from proportional growth and correlate it with gestational circumsta
nces and particular morphological features of the fetus. (C) 1994 Wile
y-Liss, Inc.