Fundal height assessment is an inexpensive method for screening for fetal growth restriction. It has had mixed results in the literature, which is likely to be because of a wide variety of methods used. A standardised protocol of measurement by tape and plotting on customised charts is presented, which in routine practice has shown to be able to significantly increase detection rates, while reducing unnecessary referral for further investigation. Fundal height measurement needs to be part of a comprehensive protocol and care pathway, which includes serial assessment, referral for ultrasound biometry and additional investigation by Doppler as required.