Growth Chart Calculator

WHO and CDC references

Premature Baby Growth Chart

Premature babies require a specialized growth chart — not the standard WHO baby growth chart used for full-term infants. This premature baby growth chart is based on the Fenton 2013 preterm growth reference, which covers gestational ages from 22 to 50 weeks. Enter your preemie's gestational age and measurements below to check weight, length, and head circumference percentiles.

If you need the adjustment step first, open the corrected age calculator.

  • ✓ Fenton 2013 preterm growth chart (22-50 weeks)
  • ✓ Weight, length, and head circumference percentiles
  • ✓ Corrected age transition guidance included

Fenton calculator

Premature Baby Growth Calculator

Baby's Sex

Enter the gestational age at the time of measurement. For example, if your baby was born at 28 weeks and is now 6 weeks old, enter 34 weeks.

Weight
Length
Head Circumference

Fenton Preterm Growth Chart Reference Table

Switch between weight, length, and head circumference, then compare boys and girls using the same Fenton 2013 source. The table supports metric and imperial viewing without reloading data.

Boys Fenton 2013 Weight-for-Gestational-Age

P3 / P10 / P50 / P90 / P97 reference rows in g

Source: Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatrics. 2013;13:59.
GAP3P10P50P90P97
22 weeks390430500590650
24 weeks510570680810900
26 weeks68077093011201250
28 weeks9001020125015201700
30 weeks11501310162019802220
32 weeks14501660206025302840
34 weeks18002060257031603550
36 weeks22002510313038404310
38 weeks25802940366044905040
40 weeks29003300410050305640
42 weeks30503470431052905930
44 weeks31503580445054606120
50 weeks33503810474058206520

What Is the Fenton Growth Chart?

The Fenton growth chart preterm reference is designed specifically for premature babies and follows gestational age rather than the post-birth month system used for full-term infants. The Fenton 2013 preterm growth reference covers about 22 to 50 weeks gestational age and was revised from international datasets by Tanis Fenton and colleagues. Because the chart extends beyond the due date window, it helps clinicians and families bridge the earliest preterm period before the later transition to standard infant growth charts.

Fenton Chart vs WHO Chart — Which to Use for Preemies?

Fenton 2013WHO 0-24 months
Age range22-50 weeks GA0-24 months (term)
Best forPreterm infantsFull-term infants
Age inputGestational ageChronological / corrected age
TransitionAt ~40-50 weeks GAAfter 50 weeks GA
StandardPreterm referenceInternational growth standard

Fenton chart vs WHO chart preemie decisions mostly depend on whether the baby is still in the late gestational-age window. Many NICU and follow-up programs use Fenton until around term or shortly after, then switch to WHO for infant follow-up. The exact handoff can vary, but corrected age becomes the key input once the baby is being plotted on standard infant charts.

How to Plot Your Preemie's Growth Using Corrected Age

Two-step approach for premature baby growth tracking:

Step 1 (Birth to ~50 weeks GA): Use Fenton chart → input gestational age at measurement

Step 2 (After ~50 weeks GA / ~10 weeks after due date): Switch to WHO chart → input corrected age

Example: Baby born at 28 weeks, now 16 weeks old → gestational age = 44 weeks → use Fenton chart

The simplest answer to how to use growth chart for premature baby follow-up is to separate the early preterm phase from the later infant phase. Use the corrected age calculator when you are ready to leave the Fenton window and move into the standard infant chart system.

What Is a Normal Growth Percentile for a Premature Baby?

Discuss with your care team if a measurement stays below P10.

On a premature baby growth percentile normal range chart, many clinicians pay special attention to the P10 to P90 band. Values below P10 can suggest small for gestational age, while values above P90 can suggest large for gestational age. SGA preemie interpretation still depends on the overall story, because single measurements can move with fluid changes, illness, or scale differences. The repeated trend is usually more informative than one isolated percentile. For birth-only context, compare this with the newborn weight percentile guide.

When Premature Babies Catch Up in Growth

Typical catch-up growth timeline:

• Weight: Most preemies catch up by 2-3 years corrected age

• Length/Height: Most catch up by 3-4 years corrected age

• Head circumference: Most catch up by 12-18 months corrected age

• Earlier gestational age usually means longer catch-up time

Premature baby catch up growth is often uneven. Some babies recover weight first, others gain head growth first, and some very preterm infants take longer into childhood before size differences narrow. If you are tracking head growth closely, the head circumference calculator can help alongside this Fenton page.

Medical disclaimer

Preterm growth chart interpretation should be paired with clinical follow-up. NICU course, feeding history, fluid balance, and corrected age can all change what one percentile means for an individual baby.

Frequently Asked Questions

These FAQs cover which chart to use, what normal preterm ranges look like, how catch-up growth works, and how to move from Fenton to the later infant chart. For broader questions, see the growth chart FAQ.

For babies still in the preterm transition window, the Fenton chart is usually the right starting chart because it is built around gestational age rather than months after birth. After about 40 to 50 weeks gestational age, many clinicians transition to the WHO infant chart and start plotting by corrected age.

Editorial Review

Content is maintained by our editorial team and reviewed against primary WHO and CDC growth references. Last reviewed site-wide on March 18, 2026.