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User Guide

Last updated September 23, 2026

New to ObCalc? Every calculator updates live as you type — there is no Calculate button. Number fields open a built-in number pad that does arithmetic and converts units: tap the tinted kg ⇄ badge to enter a value in pounds, feet & inches, or any other supported unit. Details are in Controls; every tool is covered in the Calculator Reference.

Getting started

The first time you open ObCalc, the Welcome screen lists every calculator.

  1. Browse the list, type in Search tools, or tap a collection chip (All, Obstetrics, Perinatology / MFM, General, Thrombophilia, Genetics) to narrow it down.
  2. Tap the calculators you use most — a check circle marks each selection.
  3. Tap Get Started. It shows how many tools you picked and needs at least one.

Your picks become your library on the My Tools home screen. You can change it any time.

Managing your library

To…Do this
Open a calculatorTap its row on My Tools.
Filter by collectionTap a chip at the top of the list. All shows everything; your last choice is remembered.
Add calculatorsTap + to open the Formulary, tap as many tools as you like, then tap Add (n). Tools already in your library are dimmed with a grey check.
Remove a calculatorSwipe its row left and tap Remove, or long-press it and choose Remove from Library.
Change preferencesTap the gear icon to open Settings.

Anatomy of a calculator screen

Most calculators share one layout, top to bottom:

  1. Result card — the headline answer, with a colored interpretation pill and often a band (see Results).
  2. Inputs — everything you enter.
  3. Details — secondary results, derived values, and interpretation notes.
  4. Disclaimer — how the tool should be used.
Toolbar iconWhat it does
BookOpens References. Linked citations open in your browser.
ResetClears every input back to its default.
ShareMaternal Sepsis Assistant only — exports a text summary.

Results recompute the moment an input changes. Until every required input is entered, results show “—”.

Controls

Number fields and the number pad

A number field is a row with a label on the left and its value on the right (a small shaded box when empty). Tap the value to open the ObCalc number pad; tap ⓧ beside a value to clear it.

CancelWeight
kg ⇄
ⓧ72.5
()⌫÷789×456−123+.0Done

Built-in unit converter

The feature most people miss. When a field supports more than one unit, the unit badge at the top of the pad is tinted and shows ⇄. Tap it to split the pad into two cards:

lbs ⇄
ⓧ160
Source — type here
kg ⇄
72.57
Field’s unit — live result
Field typeUnits you can enter
Adult / maternal weightkg, lbs, lbs + oz, g, oz
Infant / fetal weightg, lbs + oz, lbs, oz, kg
Height / lengthcm, in, ft + in, ft, mm, m
Hemoglobing/dL, mg/dL
Urine protein / creatininemg/dL, g/dL
Doppler velocitycm/s, m/s

Fields with a fixed unit — mEq/L, mmHg, %, and mm-based fetal biometry — show a plain grey badge with no ⇄. Every calculator computes in its own clinical base unit, and your entry is converted before the formula runs, so switching units never changes the result.

Feet & inches, pounds & ounces

When the unit is ft + in or lbs + oz, the pad shows two boxes, e.g. 5 ft 7 in. Tap a box to choose which part you are typing. Feet and pounds take whole numbers; inches and ounces accept decimals. The field then reads 5′ 7″ or 7 lb 6 oz.

Steppers

Rows with − / + buttons step the value by a fixed amount (e.g. 0.1 cm, 1 year) within the calculator’s limits. Tap the value itself to open the number pad — with unit conversion where supported — and type an exact value.

Gestational-age wheels

Shown as a row like Gestational Age · 28 wk 3 days ›. Tap the row to reveal weeks and days (0–6) wheels; tap again to collapse. Some tools only need whole weeks and show just the weeks wheel. The weeks range depends on the calculator.

Segmented selectors

A row of two to four buttons — tap one to choose it. Scoring tools such as APGAR and Bishop start with nothing selected on purpose, so the score stays “—” until every row has a real answer. Longer lists appear as a drop-down menu instead.

Menu and sheet pickers

Toggles

On/off switches for yes/no inputs. The grey hint under a label explains exactly what it covers.

Date pickers

Tap a date to open the calendar. An ⓘ beside a label explains what that date is for.

Results, pills, and bands

Settings

Tap the gear icon on My Tools.

SettingOptionsEffect
AppearanceSystem · Light · DarkApp theme; System follows your device.
Interface Accent Color11 presets plus a custom color pickerColors buttons, chips, and the number pad. Never changes result or interpretation colors.
Max Input Decimals0 – 4 (default 2)Most decimal places kept when you enter a value and shown in input fields.
Default UnitsSee belowUnits fields display by default.
Acknowledgements—The clinicians and authors who helped build ObCalc. The list downloads when you're online and is then kept for offline use.

Default units

CategoryChoicesDefaultApplies to
Length (Height & Dimensions)Centimeters, Inches, Feet & Inches, MeterscmHeight and general length fields — BMI, weight gain, VBAC, CPAM dimensions, crown-heel length
Fetal Length (Biometry)Millimeters, Centimeters, InchesmmFetal ultrasound length fields that support unit conversion
Adult WeightKilograms, Pounds, Pounds & OunceskgMaternal / adult body weight
Infant / Fetal WeightGrams, Pounds & Ounces, Pounds, Ounces, KilogramsgBirth weight, twin weights

Your default only sets how a field displays. You can always enter one value in a different unit with the number pad’s converter.

Calculator reference

Each tool lists its inputs — with a chip showing which control is used (tap a chip to jump to how that control works) — and what it returns. For sources and per-tool disclaimers, see the Medical Disclosure.

Obstetrics

Bishop Score

Predicts likelihood of successful labor induction from the cervical exam.

Inputs

  • Cervical DilationSegmentedClosed · 1–2 cm · 3–4 cm · ≥ 5 cm
  • Cervical EffacementSegmented0–30% · 40–50% · 60–70% · ≥ 80%
  • Fetal StationSegmented−3 · −2 · −1/0 · +1/+2
  • Cervical ConsistencySegmentedFirm · Medium · Soft
  • Cervical PositionSegmentedPosterior · Mid · Anterior

Results

Total Bishop Score — ≤ 4 45–50% failure · 5–9 10% failure · ≥ 10 0% failure. Nothing is pre-selected; the score stays “—” until all five rows are chosen.

Estimated Due Date

EDD, key dates, screening windows, and milestones from any dating method.

Inputs

  • Dating MethodSheet pickerLast Menstrual Period · Ultrasound · Known Due Date · Conception Date · Ovulation Date · 3-Day Embryo Transfer · 5-Day Embryo Transfer
  • DateDateLabel follows the method — LMP Date, Ultrasound Date, Transfer Date, …
  • Measured Gestational AgeGA wheelsUltrasound method only (4–42 wk + days)

Results

Estimated Due Date and current gestational age. Pregnancy Dates — LMP, conception, ovulation. Prenatal Screening windows — first-trimester bloodwork (10w0d–13w6d), nuchal translucency (11w2d–14w2d), quad screen (15w0d–20w0d), anatomy scan (18w0d–20w0d), GDM OGTT (24w0d–28w0d), antepartum testing (32w0d–34w0d), GBS (35w0d–37w0d). Key Milestones — anti-D (28w0d), cervical length (after 16w0d), elective delivery (39w0d). Based on a standard 280-day gestation.

Pregnancy Re-dating

Compares GA by LMP vs. ultrasound using ACOG Committee Opinion 700 thresholds.

Inputs

Results

A Recommendation — keep the LMP-based EDD or re-date by ultrasound — with rationale, plus the discrepancy in days, the cutoff for the window, and the GA window by LMP. Re-date when the discrepancy exceeds 5 days (< 9 0/7 wk), 7 (9 0/7–15 6/7), 10 (16 0/7–21 6/7), 14 (22 0/7–27 6/7), or 21 (≥ 28 0/7).

Pregnancy Weight Gain

Tracks gestational weight gain against IOM (2009) targets by pre-pregnancy BMI.

Inputs

Results

Status — Below Recommended / On Track / Above Recommended; pre-pregnancy BMI and category; weight gained so far; expected gain to date, recommended total gain, and recommended weekly gain (2nd/3rd trimester), each as a low–high range. Weights display in your preferred adult-weight unit.

Urine Protein Creatinine Ratio (UPCR)

Screens for significant proteinuria from a spot urine sample.

Inputs

Results

Protein-to-creatinine ratio and estimated 24-hour protein excretion. < 0.1 Normal · 0.1–0.249 Mild · 0.25–0.299 Moderate · ≥ 0.3 Significant proteinuria.

VBAC Calculator

Predicted probability of vaginal birth after cesarean — Grobman 2021 MFMU race-free model.

Inputs

  • Maternal AgeNumber pad15–50 years
  • HeightNumber pad + units
  • Pre-Pregnancy WeightNumber pad + units
  • Obstetric HistorySheet pickerNo previous vaginal delivery · Previous VD only before prior cesarean · Previous VBAC
  • Arrest Disorder IndicationTogglePrior cesarean for arrest of dilation or descent
  • Treated Chronic HypertensionToggleDiagnosed and pharmacologically treated before pregnancy

Results

Predicted VBAC success (%) on a likelihood gauge — Low < 60%, Moderate 60–89%, High ≥ 90%. BMI is shown for reference only (it is not a model input). Shows “—” until every required input is entered.

VBAC at Admission

The same prediction made at delivery admission — Grobman 2024 MFMU model.

Inputs

Results

Predicted success (%) with the same Low / Moderate / High gauge, plus BMI for reference.

Perinatology / MFM

CVR (CPAM Volume Ratio)

Congenital pulmonary airway malformation volume-to-head-circumference ratio.

Inputs

Results

CPAM volume (L × H × W × 0.52) and CVR — < 1.6 Low Risk · ≥ 1.6 High Risk.

Extremely Preterm Birth Outcome

Survival and neurodevelopmental outcome estimates from the NICHD EPBO model.

Inputs

  • Gestational AgeSegmented22 · 23 · 24 · 25 wk
  • Birth WeightStepper401–1000 g — tap the value to type it
  • Female SexToggle
  • Singleton GestationToggle
  • Antenatal Corticosteroids GivenToggle

Results

Survival for actively treated infants with the hospital range (10th–90th percentile); survival and death for Actively Treated and All Infants; and neurodevelopmental outcomes among survivors — profound and moderate impairment, blindness, deafness, moderate cerebral palsy, cognitive impairment.

Fetal Biometry

Multi-panel biometry with z-scores, percentiles, Hadlock EFW, and long-bone soft-marker ratios.

Inputs

  • PanelSegmentedChip bar: EFW · Head · Thorax · Doppler · GI / Liver · Renal · Skeletal (scroll sideways for all)
  • GAGA wheels8–42 wk + days, shared by every panel
  • EFW panelNumber padBPD, OFD, HC, AC, FL (mm). EFW formula: HC + AC + FL · BPD + AC + FL · BPD + HC + AC + FL — or turn on Enter EFW directly and type grams
  • Head panelNumber padBPD, OFD, HC, TCD, binocular, mandible
  • Thorax panelNumber padTC, clavicle, AC
  • Doppler panelNumber padUA PI / RI / S/D, end-diastolic flow (Present · Absent · Reversed), MCA PI, DV PI / preload / PVI, IVC preload / pulsatility
  • GI, Renal, Skeletal panelsNumber padColon diameter; kidney length / AP, renal pelvis AP; humerus, radius, ulna, tibia, fibula, foot

Results

Percentile and z-score for every measurement (red below the 10th or above the 90th). On the EFW panel: an Estimated Fetal Weight card with percentile, and Proportionality — cephalic index (normal 70–86%), HC/AC, FL/expected FL (short femur < 0.92), HL/expected HL (short humerus < 0.90). Measurements carry across panels — AC entered on EFW also appears on Thorax.

IUT Transfusion

Packed-RBC volume and weight-based procedure medications for fetal intravascular transfusion.

Inputs

Results

RBC transfusion volume (Mandelbrot: fetoplacental volume × ΔHct ÷ donor Hct), with the Giannina cross-check (EFW × ΔHct × 0.002) and a warning if they differ by more than 25%. Procedure medications dosed by EFW: paralysis/sedation/analgesia (vecuronium, rocuronium, midazolam, fentanyl), emergency/resuscitation (atropine, epinephrine, calcium chloride, sodium bicarbonate, amiodarone, adenosine), and local anesthetic (lidocaine, flagged for protocol verification). Rescan if the EFW is more than 7 days old.

MCA Doppler

Middle cerebral artery peak systolic velocity MoM to screen for fetal anemia.

Inputs

Results

Expected MCA PSV for GA and MCA PSV MoM — < 1.5 Normal · ≥ 1.5 Elevated, possible fetal anemia.

Neonatal Morbidity

Estimated neonatal morbidity rates by gestational age.

Inputs

Results

Estimated rates (%) of respiratory distress syndrome, necrotizing enterocolitis, intraventricular hemorrhage, and sepsis, each with its own risk note — or Not Applicable beyond the model’s GA range.

Ponderal Index

Neonatal proportionality — symmetric vs. asymmetric growth restriction.

Inputs

Results

Ponderal Index (g × 100 / cm³) — ≤ 2.31 Low (asymmetric pattern) · 2.32–2.85 Normal · ≥ 2.86 High.

Insulin Dose Calculator

Weight-based starting insulin doses for gestational diabetes by trimester.

Inputs

Results

Total Daily Insulin = weight × 0.7 (< 14 wk), 0.8 (14–27 wk), or 0.9 (≥ 28 wk). Basal / Bolus — glargine AM and PM (TDI ÷ 4 each), lispro with each meal (TDI ÷ 6). NPH / Regular — NPH AM (TDI × 4/9), Regular AM (TDI × 2/9), NPH PM and Regular PM (TDI ÷ 6 each).

Life-Limiting Skeletal Dysplasia

Screens biometry ratios and sonographic features suggesting a lethal skeletal dysplasia.

Inputs

  • Femur Length, Abdominal, Thoracic, and Cardiac CircumferenceNumber padmm — leave FL empty if not assessing FL/AC
  • Early severe micromelia (> 3 SD below mean)Toggle
  • Thoracic circumference < 5th percentileToggle
  • Bell-shaped / concave chestToggle
  • Poor bone mineralizationToggle
  • Hydrops fetalisToggle
  • Polyhydramnios at initial imagingToggle

Results

FL/AC (flag < 0.16), TC/AC (flag < 0.60), cardiac/thoracic ratio (flag > 0.50), and a screen result — No Features Flagged · Concerning (1 feature) · Concerning (multiple features).

Twin Discordance

Estimated fetal or birth-weight discordance between twins.

Inputs

Results

Discordance % = (larger − smaller) ÷ larger — < 18% Within Normal Limits · ≥ 18% Significant Discordance.

Umbilical Artery Doppler

Reference ranges for umbilical artery Doppler indices at a given GA.

Inputs

Results

50th and 95th percentile values for the S/D ratio, resistance index, and pulsatility index to compare your measurements against.

General

Anion Gap

Evaluates metabolic acidosis and mixed acid-base disorders.

Inputs

Results

Anion gap = Na − (Cl + HCO₃) — ≤ 7 Low · 8–12 Normal · ≥ 13 Elevated. Delta gap = AG − 12 — < 0 concurrent NAGMA · 0–6 pure HAGMA · ≥ 7 concurrent metabolic alkalosis.

APGAR Score

Neonatal assessment at 1, 5, and 10 minutes after birth.

Inputs

  • Appearance (Color)SegmentedBlue/Pale · Acrocyanosis · Pink
  • Pulse (Heart Rate)SegmentedAbsent · < 100 bpm · ≥ 100 bpm
  • Grimace (Reflex)SegmentedNone · Grimace · Cry/Cough
  • Activity (Tone)SegmentedLimp · Some Flexion · Active
  • RespirationSegmentedAbsent · Weak/Irregular · Strong Cry

Results

Total score — 0–3 Severely Depressed · 4–6 Moderately Depressed · 7–10 Excellent Condition.

BMI

Body mass index and ideal body weight.

Inputs

Results

BMI with WHO category (Underweight < 18.5 · Normal 18.5–24.9 · Overweight 25–29.9 · Class I / II / III Obesity from 30 / 35 / 40) and Ideal Body Weight (Devine) in your preferred weight unit.

CMQCC Sepsis Screen

Two-step CMQCC obstetric serious infection / sepsis screen.

Inputs

  • ContextToggleSuspected or confirmed infection · ≥ 20 wk and ≤ 72 h postpartum (pregnancy-adjusted criteria) · In labor (raises the lactate threshold to ≥ 4 mmol/L)
  • Step 1 — Initial Screen (≥ 2 of 4)Number padTemperature (< 36 or ≥ 38 °C), heart rate (> 110), respiratory rate (> 24), WBC (> 15,000 or < 4,000), bands (> 10%)
  • Step 2 — End-Organ Injury (any 1)Number padSpO₂ (< 92%), platelets (< 100), bilirubin (> 2), creatinine (≥ 1.2), plus toggles for altered CNS, supplemental O₂, oliguria, creatinine doubled
  • Lactate & ShockNumber padLactate, plus a toggle for vasopressor to keep MAP > 65 despite adequate fluids

Results

Appears once anything is entered: Screen Negative · Serious Infection · Elevated Lactate (in labor) · Sepsis · Septic Shock, with screen and EOI counts, the recommended action, and the list of criteria met. Each field’s threshold is shown as a hint under its label.

Gestational Age

Projects gestational age to any date from a measured GA and scan date.

Inputs

  • GA at scanGA wheels
  • Scan DateDate
  • Project GA toDateDefaults to today — pick a future date to project forward or a past date for a retrospective GA (tap ⓘ for help)

Results

GA in weeks + days as of the chosen date, and an interval card (days, weeks, months). Switch Measure from between Today and Scan Date to change the interval’s starting point.

Iron Deficit

Total iron deficit by the Ganzoni formula.

Inputs

Results

Iron deficit (mg) = weight × (target − actual Hb) × 2.4 + depot iron (500 mg, or 15 mg/kg under 35 kg) — ≤ 500 Mild · 501–1000 Moderate · > 1000 Severe.

Maternal Sepsis Assistant

qSOFA / Sepsis-3 classification, empiric antibiotics, first-hour bundle, and vasopressor escalation — SMFM Consult Series #67.

Inputs

  • Assessment tab — M1 qSOFANumber padSystolic BP, respiratory rate, plus an altered-mental-status toggle
  • Assessment tab — M2 ClassificationToggleSuspected infection, unexplained organ dysfunction, requiring vasopressors, adequate fluid resuscitation; optional serum lactate
  • Management tab — M3 AntibioticsSheet pickerSuspected source; follow-up questions appear per source (pneumonia acquisition, delivery route, complicated abdominal, necrotizing / GAS)
  • Management tab — M4 BundleToggleTap-to-check first-hour bundle with progress bar; vasopressor escalation questions when vasopressors are in use

Results

Classification card — Screen Negative · Sepsis Suspected · Septic Shock — with a time-critical banner for shock; qSOFA score out of 3; recommended antibiotic regimen(s) and coverage; active vasopressor tiers with dose and target; and an M5 Delivery Decision once a source is chosen. The Share button exports a text summary.

Peak Flow

Predicted peak expiratory flow rate (Leiner formula).

Inputs

Results

Predicted PEFR (L/min).

Thrombophilia

VTE Anticoagulation Dosing

Antepartum and postpartum thromboprophylaxis for inherited thrombophilia — ACOG Practice Bulletin 196.

Inputs

  • ThrombophiliaSheet pickerFactor V Leiden or prothrombin G20210A (heterozygous / homozygous), compound heterozygous, antithrombin, protein C, or protein S deficiency
  • Prior VTESegmentedNone · Single episode · ≥ 2 episodes
  • First-degree relative with VTEToggle
  • On long-term anticoagulationToggle
  • Additional postpartum risk factorsToggle

Results

The matching ACOG Table 3 row and summary; Antepartum and Postpartum (×6 weeks) cards with the dosing level — Surveillance · Prophylactic · Intermediate · Adjusted-dose. Where ACOG allows more than one level, a Clinician selects one control appears. Reference doses for LMWH and UFH follow. For protein C/S deficiency, a literature-conflict banner lets you choose high-risk (default) or low-risk. Acquired thrombophilia is out of scope.

Genetics

cfDNA PPV/NPV

Positive and negative predictive value of cfDNA (NIPT) screening by maternal age.

Inputs

  • Chromosome ConditionMenuTrisomy 21 · Trisomy 18 · Trisomy 13 · XXX · XXY · XYY · Monosomy X
  • Maternal AgeStepper15–50 years — tap the value to type it

Results

Estimated prevalence (1 in N); positive predictive value (true- and false-positive %); negative predictive value (true- and false-negative %).

Nuchal Translucency

First-trimester NT percentile for the measured CRL.

Inputs

  • Crown-Rump Length (CRL)Number padmm — valid for 40–85 mm (≈ 11–14 wk)
  • Nuchal Translucency (NT)Number padmm

Results

Estimated GA by CRL, expected (median) NT, and NT percentile for CRL. NT interpretation — < 3.0 mm below counseling threshold · 3.0–3.4 borderline · 3.5–4.4 increased · 4.5–5.4 moderately · 5.5–6.4 markedly increased · ≥ 6.5 very large.

Tips & FAQ

Where is the Calculate button?

There isn’t one — results update as you type. If you see “—”, a required input is still empty or a scoring row hasn’t been chosen.

How do I enter a height in feet and inches when the field shows cm?

Tap the field, tap the cm ⇄ badge, then tap the left card’s badge until it reads ft + in. Type feet, tap the inches box, type inches, and tap Done. To always use feet and inches, set Settings → Default Units → Length to Feet & Inches.

Can I do quick math in a field?

Yes — the number pad accepts + − × ÷ and parentheses, e.g. (2.1 + 2.3) ÷ 2.

Why was my value rounded?

Entries are rounded to Settings → Max Input Decimals (default 2). Increase it for more precision.

Why can’t I convert units on some fields?

Conversion is offered for weights, lengths, hemoglobin, urine concentrations, and Doppler velocity. Other fields use a single clinical unit and show a grey badge without ⇄.

Does changing units change the result?

No. Each calculator computes in its own base unit; your entry is converted before the formula runs.

Where do the numbers come from?

Tap the book icon on any calculator for its references, or see the Medical Disclosure page.

Still have a question?

Reach us through Support — reports of a formula that doesn’t match your protocol or source get priority.