Crown-Rump Length (CRL): What Your Baby's First Measurement Reveals

One of the most exciting parts of your early pregnancy scan is seeing how your baby is growing, and that’s where the crown-rump length (CRL) plays a key role. This simple measurement from the top of your baby’s head to the bottom of their buttocks gives a clear picture of how your pregnancy is progressing right from the start.

Pregatips.com
newborn crown rump length
Seeing your baby for the first time on an ultrasound is a moment you’ll never forget. Even at just a few millimetres long, it’s amazing to realise a whole little life is beginning inside you. One of the first things doctors measure at this stage is the crown-rump length (CRL).

CRL helps your doctor see how your baby is growing, figure out exactly how far along you are, and even estimate your due date. It’s a simple check that gives big reassurance.

What Is Crown-Rump Length?

Crown-rump length stands for the distance measured from the crown of the baby’s head to the rump, which is the bottom of their buttocks. This measurement focuses only on the main body of the embryo, so it doesn’t include the arms, legs, or yolk sac.

Doctors measure it using an ultrasound, usually in millimetres or centimetres. It’s a key way to see how the embryo is growing and developing during the first trimester.

When Is the Best Time to Measure Crown-Rump Length?

You’ll usually have your baby’s crown-rump length measured as early as 5 or 6 weeks into pregnancy, and it’s a reliable way to check growth all the way up to the end of the first trimester. In the very early weeks, doctors often use a transvaginal ultrasound to get a clearer view. After that, an abdominal ultrasound usually works just fine.

As your baby grows bigger and starts to stretch out, this measurement becomes less accurate. So doctors begin using other markers to track development, like the head size or the length of the thigh bone.

Why Crown-Rump Length is Important for Dating Your Pregnancy

Getting the timing of your pregnancy right is really important, and crown-rump length is considered the most reliable way to do this in the first trimester. It helps doctors figure out your gestational age and estimate your due date, usually with just a 3 to 5-day margin of error.

This is especially helpful if your periods are irregular or you’re unsure exactly when conception happened. Knowing the timing accurately makes sure all your prenatal tests and screenings happen when they should.

How Doctors Take the Crown-Rump Length Measurement

During the scan, the technician looks at your baby from the side and uses digital tools called callipers to measure from the crown to the rump. Sometimes the baby’s position, your body shape, or even little movements can make the reading a bit challenging. That’s why a repeat scan might be recommended if the results seem unusual. It’s not uncommon for measurements to be slightly off, but follow-up scans help get the accurate numbers.

What Are the Typical Crown-Rump Length Sizes Week by Week?

Crown-rump length grows steadily in early pregnancy. Before 6 weeks, it is often less than a centimetre. By the end of the first trimester, it can reach over 8 centimetres, or 80 millimetres.

Every baby develops at their own pace, but here’s a rough idea of what to expect week by week:
  • At 6 weeks: around a few millimetres to 1 centimetre.
  • At 7 weeks: typically 10 to 15 millimetres.
Each week after that, it grows by several millimetres until around 13 weeks, when it reaches close to 70 to 80 millimetres.

What Happens if the Crown-Rump Length Seems Abnormal

If the crown-rump length does not match what is expected based on your dates, it might just mean the pregnancy is dated wrong. Perhaps ovulation happened later or earlier than thought.

A smaller-than-expected CRL could point to later implantation, but growth restriction is rarely a worry this early in a healthy pregnancy. However, if it is much smaller and paired with other issues like no heartbeat after 7 millimetres, it may signal pregnancy loss or chromosomal concerns. This needs further tests, such as nuchal translucency screening.

A larger CRL might indicate the pregnancy is further along, or even multiples that have not been spotted yet. In rare cases, it could be linked to conditions like a molar pregnancy. The most important thing doctors watch is growth over time. If there’s no increase between scans taken 7 to 10 days apart, it may suggest the pregnancy isn’t viable.

Crown-rump length is just one part of checking on your baby in early pregnancy, but it gives a good idea of growth and timing. If the numbers look a bit off, don’t worry. A follow-up scan in a week or so usually clears things up. Meanwhile, focus on rest, eating well, and keeping in touch with your doctor.

Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.


FAQs on Crown-Rump Length (CRL): What Your Baby's First Measurement Reveals


  1. Can crown-rump length detect abnormalities?
    No, CRL mainly shows how the baby is growing. If the measurement is much different from expected, doctors may do more checks.
  2. Can crown-rump length indicate the exact moment of conception?
    No, CRL estimates gestational age based on growth, but it cannot pinpoint the exact day of conception.
Disclaimer: Medically approved by Dr Aastha Gupta, Senior IVF Consultant & Fertility Expert, Delhi IVF, New Delhi