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0% (119 of 195), PPV 54.8%. Sensitivity, specificity, PPV and NPV percentages were all lower using AC. Only 40% of actual birthweight percentiles (405/1008) were within ±10 percentiles of their growth ultrasound EFW percentile. The performance of a routine third trimester ultrasound in women with BMI≥35kg/m suggests limited utility in helping identify aberrant fetal growth. This has important implications for the management of obese pregnant women. The performance of a routine third trimester ultrasound in women with BMI ≥ 35 kg/m2 sugg