Methods for Estimating the Due Date

All pregnant women look forward to knowing their due date. The week countdown is a long period of wait, but they look forward to the day they can hold their little angels in their arms. Your gynaecologist would deduce the due date by making a simple calculation based on the last day of the last period. However, another way of predicting the due date is by a pregnancy ultrasound, which has become very helpful for obstetricians nowadays, especially when the menstrual history is unknown. It is a given that there will be a marginal difference in the prediction made with the help of ultrasound and the one based on the menstrual history. However, ultrasound gives a closer look into the development of the foetus which can also help calculate the expected date of delivery EDD , especially when the exact date of the last menstrual cycle is not known. But, how accurate is the prediction by ultrasound? We shall discuss this and some more factors concerning determining EDD in this article. Read on to know more. Pregnancy ultrasound does give an idea to the expecting mother about the tentative date of delivery.

Accuracy of Pregnancy Ultrasound to Predict the Due Date

Pregnancy lasts an average of days 40 weeks from the first day of your last menstrual period LMP. Read our report on the 13 best pregnancy iPhone and Android apps of the year here. If you have regular day menstrual cycles, there are two ways to calculate your due date.

Ultrasound was more accurate than LMP in dating, and when it was used the number of postterm pregnancies decreased. Crown-rump length of mm was.

Because the human egg is capable of fertilization for only 12 to 24 hours after ovulation the date of ovulation may be taken as being the date of conception. However, ultrasound determination of the date of ovulation has the same imprecision as does the ultrasound estimate of the gestational age and, therefore, a precise date of conception cannot usually be determined as with in vitro fertilization. In addition, although a woman is most likely to become pregnant if she has sex on the day of ovulation conception may also occur from live sperm still in her reproductive tract on the day of ovulation if she had sex for up to five days before ovulation [26,27].

The due date may be estimated by adding days 9 months and 7 days to the first day of the last menstrual period LMP. This is the method used by “pregnancy wheels”. The accuracy of the EDD derived by this method depends on accurate recall by the mother, assumes regular 28 day cycles, and that ovulation and conception occurs on day 14 of the cycle. Use of the LMP to establish the due date may overestimate the duration of the pregnancy, and can be subject to an error of more than 2 weeks [].

In cases where the date of conception is known precisely, such as with in vitro fertilization, the EDD is calculated by adding days to the date of conception. Ultrasound uses the size of the fetus to determine the gestational age the time elapsed since the the first day of the last menstrual period. The accuracy of the ultrasound estimate of the gestational age varies according to the gestational age.

Gestational age

Pregnancy math can be a little murky. After all, unless you went the IVF route, your physician has no way of knowing the exact time of conception. Because of this, pregnancy is calculated from the first day of your last menstrual period or LMP. From that day, weeks of pregnancy is officially counted, and your doc or midwife busts out the red pen and marks your due date on the calendar.

We performed a prospective comparison of 2 ultrasound policies involving 2); a certain LMP date was not, however, more accurate than an uncertain one (Fig.

Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. A Nature Research Journal. In conclusion, especially, large negative discrepancy was associated with increased risks of adverse perinatal outcomes.

Initially, the estimated date of delivery EDD is generally calculated based on the first day of the last menstrual period LMP and may later be modified when an ultrasound US scan is performed. According to the International Society of Ultrasound in Obstetrics and Gynecology, clinical decisions should preferably be based on the EDD by US 1 , and based on first trimester ultrasound, if performed. The most frequently used formula for pregnancy dating in Sweden today is based on fetal biparietal measurements during the second trimester US scan, and this formula can be used to predict the day of delivery with a standard deviation SD of 8 days 2 , 3 , 4.

A minority of clinics perform first trimester pregnancy dating, with increasing practice during the last decade 2 , 5. Before , the combined information from measurement of the biparietal diameter and femur length were generally used 5. Although the US-based method is superior to the LMP-based method in most pregnancies, some maternal and fetal characteristics, such as the sex of the fetus, may influence the precision of the US-based estimate, and this lack of precision may be associated with adverse perinatal outcomes 9 , 10 , 11 , 12 , The discrepancy between dating methods and its association with pregnancy-related outcomes has been investigated in a few studies, but these have included a small study size or a limited number of perinatal outcomes 9 , 10 , The aim of this large population-based Swedish register study was to assess whether the discrepancy between LMP-based and US-based EDD is associated with a series of adverse pregnancy, delivery, and neonatal outcomes.

Obstetric Ultrasound

Log in Sign up. Pregnancy All Pregnancy Antenatal health. Community groups Birth Clubs Labour and birth tips Twins or more Pregnant with second, third or more! I’m pregnant! See all Pregnancy groups. Home Pregnancy Antenatal health Antenatal scans.

The first day of your LMP is considered day one of pregnancy, even though you date estimated by the ultrasound differs by more than one week from the date Ultrasound measurements for estimating the age of a fetus are more accurate.

A dating scan is an ultrasound examination which is performed in order to establish the gestational age of the pregnancy. Most dating scans are done with a trans-abdominal transducer and a fullish bladder. If the pregnancy is very early the gestation sac and fetus will not be big enough to see, so the transvaginal approach will give better pictures.

Dating scans are usually recommended if there is doubt about the validity of the last menstrual period. By 6 to 7 weeks gestation the fetus is clearly seen on trans-vaginal ultrasound and the heart beat can be seen at this early stage 90 to beats per minute under 6 to 7 weeks, then to beats per minute as the baby matures. Ultrasounds performed during the first 12 weeks of pregnancy are generally within 3 – 5 days of accuracy. The most accurate time is between 8 and 11 weeks gestation.

This is because the fetus is growing so quickly that there is a big difference in size from week to week. However, the accuracy of the ultrasound examination is always dependent on the skill of the sonographer and the quality of the equipment. The EDD from the early dating scan is used – if the last menstrual period is not known or is unreliable, or the dating scan differs from the last menstrual period dating by more than 5 days.

Ultrasound examinations from 12 to 22 weeks are regarded as being within 10 days of accuracy or up to 10 days earlier or 10 days later than the woman’s calculated due date. Ultrasounds performed after 22 weeks gestation cannot be used to estimate the due date of the baby because the size no longer reflects the age very well. Even average babies can differ by up to 2 to 3 “weeks of growth”;.

These scans are only used to estimate the due date of your baby if this is all you have to go on.

How accurate is my ‘due date’?

Throughout my pregnancy , I’ve received two different due dates — one came from my very first ultrasound, when my baby was barely the size of a blueberry, the date that was then subsequently stamped on my record as “the” due date. But then there was a second date, the one that showed up on my next couple of ultrasound scans. This date was a few days earlier. It’s also the date that I prefer, not only because I’m now 38 weeks pregnant and ready to get this baby out, but because it matched the date I’d calculated on my own using information I looked up.

And how much does it really matter? After all, as many moms know, due dates are just educated guesses.

Ultrasounds performed on the length is more accurate dating scan the same thing is who were all, you a few weeks of their lmp is called the first pregnancy dating. There is always cost money, business to myself, and different than actually.

Back to Pregnancy Reviews. The establishment of pregnancy dates is important not only for the mother who wants to know when to expect the delivery, it is also important for her carers, e. Various policies are applied whereby the LMP dates are used unless they have a discrepancy to the ultrasound dates of more than 7, 10 or 14 days. Reliance on LMP is fraught with various problems. But even if this date is accurate, the assumption that ovulation or conception occurs 14 days later is unfounded; there is a wide distribution with a positive skewness 3.

Ultrasound scan biometry does have error but it is smaller and of a normal distribution. Studies of scan accuracy in assisted reproduction technique ART pregnancies, i. Even in routine use across 23 NHS units, the confidence interval was only 8 days 8. Dating by ultrasound scan alone leads to a more accurate prediction of the birth date than dating by LMP alone or with a 14, 10 or 7 day ‘rule’ 9. Furthermore, the policy of using scan dates alone would result in fewer pregnancies considered ‘post dates’ than any of the policies based on LMP with or without scan There are currently no studies which have looked at the error of biometry dating at weeks.

Until such evidence emerges, dates derived from a scan during this interval are best reviewed again with the result of the week scan. Where results of an ultrasound dating scan before 22 weeks are available, the EDD should be derived from ultrasound biometry alone.

How to Calculate Your Due Date

Metrics details. Accurate estimation of gestational age is important for both clinical and public health purposes. Estimates of gestational age using fetal ultrasound measurements are considered most accurate but are frequently unavailable in low- and middle-income countries. The objective of this study was to assess the validity of last menstrual period and Farr neonatal examination estimates of gestational age, compared to ultrasound estimates, in a large cohort of women in Vietnam.

Data for this analysis come from a randomized, placebo-controlled micronutrient supplementation trial in Vietnam.

that ultrasound is a more accurate predictor of gestational age than LMP. If only LMP is available the estimated date of birth should be calculated as the first​.

Objective: To compare last menstrual period and ultrasonography in predicting delivery date. Methods: We used ultrasound to scan 17, nonselected singleton pregnancies at completed weeks. The last menstrual period LMP was considered certain in 13, and uncertain in cases. The duration of pregnancy from the scan to the day of spontaneous delivery was predicted by crown-rump length, biparietal diameter BPD , and femur length FL using linear regression models, and the results were compared with estimates based on LMP.

Results: At all gestational ages, ultrasound was superior to certain LMP in predicting the day of delivery by at least 1. When deliveries before 37 weeks were excluded, crown-rump length measurement of mm corresponding to After that time, BPD at least 21 mm showed a similar error 7. Femur length was slightly less accurate than crown-rump length or BPD.

Naegele’s Rule – How to Calculate Your Due Date