24

28

GIRLS

29

25

26

31

32

33

34

35

36

37

38

39

40

41

Gestational age in weeks

23 to 42 weeks
gestation
24

30

h
t
g
len

99.6th
98th

91st
75th

99.6th

22cm
32cm
31

30
29

2nd

th
98

th
50

3.4

-4

16cm
2000g
1800
1600

400

D/M

th
75

36

th
50

64

25th

33

th
0.4
-3 S

9th

62

2nd
0.4th
-3 SD

d
a
he

2.0

6.0

1.8

5.5

1.6

-4 SD

56cm

-5 SD

46cm
45
44

75th

43

50th

42
41

9th

40

2nd

0.4th
-3 SD

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

EDD
D/M

D/M

Length/Height
Location

Measurement 2
Recording Date
Weight
Head Circumference
Length/Height
Location
Health worker name

Measurement 3
Recording Date
Weight
Length/Height
Location
Health worker name

Measurement 4
Recording Date
Weight
Head Circumference

37
36cm

-5 SD

Location
Health worker name

Measurement 5
Recording Date
Weight

10.0kg

Head Circumference
Length/Height

9.5

Location
Health worker name

98th

9.0

Measurement 6
Recording Date

91st

8.5

7.5

e
w

th
.6
99

th
98

Length/Height
Location
Health worker name

Measurement 7

50th

t
h
ig

Weight
Head Circumference

7.0
25th

6.5
9th

6.0

2nd

5.5
0.4th
-3 SD

5.0

Recording Date
Weight
Head Circumference
Length/Height
Location
Health worker name

Measurement 8
Recording Date
Weight
Head Circumference
Length/Height

4.5

-4 SD

th
75

Location
Health worker name

th
50

4.0

4.0

-5 SD

th
25

3.0

Length/Height

2.5

Health worker name

th
0.4

Location

S
-3

-4 S

2.0

-5 S

Corrected age post-term in weeks (calendar months

1.5kg

0.0kg
42

1
2

2
5

10

11

12

3
13

Date boxes on this page are

once per fortnight.

15

16

17

5
18

Measurement 10
Recording Date
Weight

4
14

2.0kg

19

20

21

22

23

24

25

6
26

Head Circumference

D/M

Health worker name

D/M

Weight
Head Circumference

d
2n

2.5

Measurement 9
Recording Date

3.5

9th

0.2

26

Weight

Length/Height

38

st
91

0.4

25

39

8.0

4.5

Recording Date

Head Circumference

25th

D
-5 S

5.0

1.4

24

60
58

-4 SD

6.5

2.2

Measurement 1

Health worker name

91st

7.0

2.4

SD
-3

Gestational age in weeks

66

th
99.6

2nd

Data Recording

Head Circumference

7.5

th
0.4

For preterm infants, before starting plotting

fill in the date boxes for speedy and accurate
calculation of gestational and corrected age.
Work backwards from EDD or forwards from
DOB and gestation using calendar on flap.

68

50th

9th

34

26
6
70cm

98th

th
25

3.0

-4 SD

0g
23

37

0.6

200

2.6

S
-4

25
99.6th

st
91

0.8

-3 SD

24

98th

h
98t

3.5

0.4th

23

99.6th

6th
99.

1.0

2nd

22
5

75th

d
2n

h
.6t
99
h
t
98
st
91
h
75t
h
t
0
5
25th
9th

600

21

h
t
g
len

D
-5 S

30cm

1.2

800

20

8.0kg

1200
1000

19

31

3.0

TERM

UK-WHO Chart 2009

DH Copyright 2009
Harlow Printing Limited Tel: 0191 455 4286 www.healthforallchildren.co.uk

1400

18
4

2.8

t
h
g
i
e
w

SD

17

32

3.2

9th

16

D
-4 S

th
25

h
4t
0.

D
-4 S

3.8
3.6

15

D
-3 S

35
th
75

d
2n

17

38

4.0

h
9t

S
-3

4.4
4.2

th
25

18

39cm

14

75th

42cm

4.6

13
3

2nd
h
0.4t

48

st
91

th
50

19

50

4.8

12

9th

46

h
.6t
99

th
75

20

52

5.0kg

st
91

21

33

44

th
98

22

54

31cm

28

23

34

11

91st

6th
99.
h
t
98
t
s
1
9
h
t
5
7
h
50t
h
25t

56

SD
-4

th
.6
99

10

Corrected age post-term in weeks (calendar months

62

37

32

th
0.4
-3 S

64

35

9th

d
a
e

58

25th

-4 SD

24

66

50th

-3 SD

25

68

8
2

2 weeks to
6 months

36

75th

0.4th

60

91st

9th
2nd

26

70

98th

25th

GIRLS

72cm

38cm

50th

27

42
54cm
52
50
48
46
44cm

56cm
54
52
50
48
46
44
42
40
38
36
34
32
30
28
26
24

Length/Height
Location

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

D/M

When you get to the top of calendar (when

working upwards from EDD) start again at the
bottom in the same column.
Day
4

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

27

28

29

30

31

10

11

12

13

14

15

17

18

19

20

21

22

23

24

25

26

27

28

29

30

10

11

12

13

16

17

Hospital No:

23 weeks gestation to 2 years corrected age

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

26

27

28

29

30

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10

11

12

July

25

June

Plotting instructions
From birth until 2 weeks after the expected date of delivery (EDD)
plot measurements on the 23-42 weeks gestation chart. From
EDD plus 2 weeks (42 weeks gestation) plot measurements on the
2 weeks to 6 months chart.
Gestational correction is always required when plotting babies born
preterm (before 37 completed weeks of gestation). Do not apply
any gestational correction for term babies (37-42 completed weeks
of gestation). If desired the chart may also be used to look up
relative size for gestation but always plot birth data for babies
born between 37-42 completed weeks at 40 weeks.
9

Calculating gestational, post-menstrual and corrected age from

dates is difficult and mistakes are common. Although the chart can
be plotted in the conventional way, this chart provides date boxes
which will allow you to move directly from dates to gestational age
and reduce the risk of error. To do this effectively, when first used
the chart needs to be prepared as below.
Before starting plotting use the calendar to fill in date
boxes. Then use the date boxes for speedy and accurate
calculation of age.
For preterm infants
1. If expected date of delivery (EDD) is not known, plot birthweight
at the exact gestational age and then calculate the date of the
next completed week (e.g. for date of birth (DOB) 24/2/09 at 27
weeks +3 days gestation, date at 28 weeks gestation will be
28/2/09). Then write in the date (day and month only) at each
completed week of gestation, using the calendar (left) as a
guide, until EDD is reached.
DOB and gestation using calendar on flap.

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

October November December

15

September

14

Once you reach the end of the year start again at

the top, in the same column.

<

August

13

birth

D/M

28

Gestational age in weeks

29

30

31

32

33

34

35

36

37

13

14

15

16

17

18

19

20

21

22

84

EDD:

82

38

39

40

EDD
28
8/3 4D/M
D/M
D/M
/4 11D/M
/4 18D/M
/4 25
/4 2D/M
/5 9D/M
/5 16D/M
/2 7D/M
/5 23
/3 14D/M
/3 21D/M
/3 2D/M
/5
D/M

41

2. If EDD is known, write into the date box marked EDD then work
backwards on the 23-42 weeks chart, writing in the date (day
and month only) using the calendar (left) as a guide, for each
completed week of gestation until birth gestation is reached.
The date boxes are weekly on page 1 (23-42 weeks)
Fortnightly on page 2 (2 weeks to 6 months)
Per Calendar month on page 3 (6-24 months)

For preterm infants this chart is wholly gestationally

corrected, using the date box method. Unlike the UK-WHO
A4 chart the arrow drawn back method should not be
used. New users need to be taught how to use this chart.
A fact sheet and powerpoint can be downloaded free from
www.growthcharts.rcpch.ac.uk

Which children is this chart suitable for?

This chart has been designed for plotting growth measurements of
preterm infants from birth to the age of 2 years post-menstrual age.
The chart is also suitable for term neonates or young infants
requiring close monitoring. After this the UK-WHO 0-4 years charts
can be used. For healthy preterm babies born at or after 32 weeks
gestation the UK-WHO 0-4 years charts can be used from birth,
unless there is a need for detailed growth assessment.

A specialist growth chart for low birthweight

The special features of this chart include:
A date box system to assist accurate calculation of gestational age
Large scale for detailed monitoring
Low reading (SD) lines to allow assessment of very small infants

91st

h
t
g
n
le

72
70
68
66

78
0.4th

76

-3 SD

74
-4 SD

72
70cm

-5 SD

53cm
52
99.6th

51

98th

50

91st

49

D
-3 S

60
D
-4 S

58

head

-5 SD

56cm

th
99.6

46cm

98th

45

91st

44

75th

75th

48

50th

47

25th

46

9th

45

2nd

44

0.4th

50th

43

43

-3 SD

25th

42

42
-4 SD

9th

41

2nd
-5 SD

0.4th
-3 SD

39
38

40cm
16.0kg

th
99.6

15.5

-4 SD

37

15.0

-5 SD

98th

36

14.5
14.0

35
34cm

13.5

91st

13.0

13.0kg

12.5

12.5
75th

12.0
11.5

10.5
h
98t

9.5

t
91s

9.0
8.5
8.0

After 42 weeks post-menstrual age use the 2 weeks to 6 months

chart. Mark the expected date of each completed fortnight after
EDD (or DOB for term infants) in the boxes at the bottom of the
chart, using the calendar (left) as a guide, and use these to identify
the gestationally corrected age.

Head circumference: Use non-stretchable tape.

7.5

h
75t

12.0
11.5

t
h
g
i
e
w

h
.6t
99

11.0

Length: Use length board or mat. Do not use measuring tape.

DH Copyright 2009

80

2nd

h
0.4t

Weight: Use class III electronic scales.

References
1. Cole TJ, Freeman JV, Preece MA. British 1990 growth reference centiles for weight, height,
body mass index and head circumference fitted by maximum penalized likelihood.
Stat.Med. 1998;17:407-29.
2. WHO Child Growth Standards www.who.int/childgrowth/en
3. Engle WA; American Academy Of Pediatrics. Age Terminology During The Perinatal Period:
Policy Statement Pediatrics 2004 114:1362-4.

82

9th

64

10.0

This is a new chart which is still being evaluated and any

feedback will be appreciated, via the feedback form on
www.growthcharts.rcpch.ac.uk

25th

62

1. 23-42 weeks gestation. This chart is based on reanalysed

UK1990 data and illustrates the size at birth of UK infants born
at 23-42 weeks gestation around 1990 1. The 23-42 weeks
gestation chart does not describe how preterm infants grow
after birth because it shows only birth measurements of infants
born at different gestational ages. The weight of many babies
born before 32 weeks, particularly the sickest and most
immature, may fall by more than two centile spaces in the early
days.

Anyone who takes measurements should be suitably trained or

supervised by someone competent. For further information and
training materials see www.growthcharts.rcpch.ac.uk

86
84

9th
2nd

For all infants

On the 6 months to 2 years chart the date boxes are per calendar
month (4.33 weeks). These dates can be calculated using the date
in the EDD box. If a childs EDD was 23/1/10 then mark 23/7/10 in
the 6 month box, 23/8 in the 7 month box, 23/9 in the 8 month
box, etc. By age 6 months the data box date may be up to 2 days
different from the calendar months date. This is not a problem, but
the calendar month date should be used from 6 months. If day error
is >2 days then a mistake has been made in dating the boxes.

6th
99.
h
t
98
t
s
91
h
t
5
7
h
50t
h
t
5
2

74

41

Remove all clothing, including caps or bonnets, footwear and

nappy.

88

50th

78

40

Measuring

92
90

75th

24
94cm

98th

76

The three charts display data from two sources:

2. 2 weeks to 6 months corrected age and 6 months to 2

years corrected age charts. These charts are derived from the
UK-WHO 0-4 years growth charts and use World Health
Organization (WHO) data on healthy, non-deprived breastfed
children of mothers who did not smoke 2. These charts do not
reflect the usual growth of the preterm infant population.
However individual infants who have remained well should
follow the trajectory indicated by the centile lines at their
corrected age.

23
th
99.6

Corrected age post-term in calendar months

80

27

12

6 months
to 2 years

86

Date of Birth:

Gestation: __________weeks __________days

May

9
16

April

26

March

February

January

15

NHS / CHI No:

Month

14

92
90

11

88

TER

Week

Neonatal and Infant

Close Monitoring
Growth Chart

Name: ____________________________________________

10

GIRLS

94

50th

11.0
10.5

25th

10.0
9th

9.5
9.0

2nd

8.5
0.4th

50th

8.0

-3 SD

7.5

25th

-4 SD

7.0

7.0

9th

6.5

6.5

-5 SD

2nd

6.0

6.0

0.4th

5.5

-3 SD

5.0

-4 SD

4.5

-5 SD

Date boxes on this page are per calendar month.

To complete, use the EDD day. e.g. If EDD = 23/1/10,
enter 23/7/10 at 6m, 23/8 at 7m, 23/9 at 8m, etc.

Corrected age post-term in calendar months

4.0kg
6

10

11

12

13

14

15

16

17

18

5.5
5.0
4.5
4.0kg

19

20

21

22

23

UK-WHO NICMA4G

GIRLS UKWHO

96cm
Please place sticker (if available) otherwise write in space provided.

24

D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y D/M/Y

Sept. 12

Find the expected date of delivery (EDD) on the

calendar and work upwards in the same column
to find the weekly dates needed for the preterm
date boxes until birth gestation is reached. For
fortnightly dates on the 2 weeks to 6 months
chart, work downwards in the same column from
EDD (or DOB for term infants).
If DOB or EDD is 31st December use 30th
December; in a leap year use 28th February for
29th February. The date box date at 6 months may
differ from the calendar months date by up to 2
days, if the error exceeds 2 days then the boxes
are dated wrongly.

Manufacture 4

Instructions