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Obstetric Calculators and Antenatal Assessment

Published October 11, 2026 · Last updated October 11, 2026

Pregnancy dating and fetal assessment tools: EDD and gestational age, Hadlock estimated fetal weight, the Bishop score, the biophysical profile, ACOG preeclampsia and HELLP criteria, magnesium sulfate dosing, obstetric blood loss, gestational weight gain, and the Edinburgh Postnatal Depression Scale.

Obstetric calculations are bound to dates and gestational windows: the correct tool depends on how far along the pregnancy is, and several are repeated at every visit so that change can be tracked. The library covers dating, fetal assessment, labour readiness, hypertensive disorders, haemorrhage, weight gain, and perinatal mood screening.

This guide groups those calculators by the task each performs.

Dating the pregnancy: EDD and gestational age

The estimated date of delivery calculator applies the conventional Naegele approach, adding 280 days to the first day of the last menstrual period, while recognising that ACOG guidance supports ultrasound-based dating when it differs by a defined margin. The gestational age calculator converts weeks and days into the decimal and weeks-plus-days forms used in antenatal records.

Fetal size and wellbeing: Hadlock EFW and the biophysical profile

The Hadlock four-parameter model estimates fetal weight from head and abdominal measurements and femur length; it is an estimate with an acknowledged margin of error. The biophysical profile scores fetal wellbeing from breathing, movement, tone, amniotic fluid volume, and the non-stress test.

Labour readiness: the Bishop score

The Bishop score grades cervical readiness for induction of labour from dilatation, effacement, station, consistency, and position. A higher score predicts a more favourable cervix for induction.

Hypertensive disorders: preeclampsia, HELLP, and magnesium

The preeclampsia criteria calculator applies the ACOG definition — new-onset hypertension after 20 weeks with proteinuria or end-organ dysfunction — and counts severe features. The HELLP criteria assess hemolysis, elevated liver enzymes, and low platelets. Magnesium sulfate dosing supports seizure prophylaxis in severe preeclampsia and eclampsia.

Haemorrhage, weight gain, and mood: EBL, IOM weight gain, and EPDS

The obstetric estimated blood loss calculator supports quantification by the gravimetric method or the hematocrit-based method. The gestational weight gain tool applies the IOM 2009 recommendations stratified by pre-pregnancy BMI. The Edinburgh Postnatal Depression Scale screens for perinatal depression.

Acting on obstetric numbers

Because these tools are calibrated to specific gestational windows and populations, the gestational age range for which a tool was validated should always be confirmed before it is applied. The outputs inform management alongside clinical findings, laboratory results, and the woman's own circumstances.

Calculators in this guide

Related guides

References

  • ACOG Committee Opinion No. 700: Methods for estimating the due date. Obstet Gynecol. 2017;129(5):e150-e154.
  • Hadlock FP, et al. Am J Obstet Gynecol. 1985;151(3):333-337.
  • Bishop EH. Pelvic scoring for elective induction. Obstet Gynecol. 1964;24:266-268.
  • Manning FA, et al. Am J Obstet Gynecol. 1981;140(3):289-294.
  • ACOG Practice Bulletin No. 222: Gestational hypertension and preeclampsia. Obstet Gynecol. 2020;135(6):e237-e260.
  • Sibai BM, et al. Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome). Am J Obstet Gynecol. 1993;169(4):1000-1006.
  • Institute of Medicine and National Research Council. Weight Gain During Pregnancy: Reexamining the Guidelines. The National Academies Press; 2009.
  • Zuspan FP. Treatment of severe preeclampsia and eclampsia. Clin Obstet Gynecol. 1966;9(4):954-972.
  • Pritchard JA. The use of the magnesium ion in the management of eclamptogenic toxemias. Surg Gynecol Obstet. 1955;100(2):131-140.
  • ACOG Committee Opinion No. 794: Quantitative blood loss in obstetric hemorrhage. Obstet Gynecol. 2019;134(6):e150-e156.
  • Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-786.