Pedia.SuiteNeonatal Tools

NICU · Vascular Access

Umbilical Catheter Depth

UAC (high and low positions) and UVC insertion depth by birth weight or shoulder-umbilicus distance.

Birth weight

Placement targets

UAC HighT6–T9 (above diaphragm)
UAC LowL3–L4 (below renal arteries)
UVCJunction of IVC and right atrium
ConfirmChest/abdominal X-ray

Depth by weight

UAC High(3 × BW kg) + 9 cm
UAC LowBW (kg) + 7 cm
UVC(UAC High ÷ 2) + 1 cm

Depth by shoulder-umbilicus distance (Shukla & Dunn)

cm, shoulder tip to umbilical stump
UACSU × 1.0 + 1 cm
UVCSU × 0.5 + 1 cm

Enter a distance above to activate — used when available for greater accuracy.

Clinical decision support only. Always confirm catheter tip position with chest and/or abdominal radiograph before use. UAC high position targets T6–T9 vertebral bodies; UVC targets the IVC–RA junction. Measurement formulas are estimates. PediaSuite is not affiliated with any institution.

Reviewed by C. A. Leyva, MD, neonatologist · Last reviewed September 2026

References

  1. Shukla H, Ferrara A. Rapid estimation of insertional length of umbilical catheters in newborns. Am J Dis Child. 1986;140(8):786–788. doi:10.1001/archpedi.1986.02140220068034
  2. Dunn PM. Localization of the umbilical catheter by post-mortem measurement. Arch Dis Child. 1966;41(215):69–75. doi:10.1136/adc.41.215.69
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