Dating pregnancy late ovulation

The accuracy of the ultrasound estimate of the gestational age varies according to the gestational age.

Twins When a twin pregnancy is the result of in vitro fertilization determination of gestational age should be made from the date of embryo transfer. Clinical management guidelines for obstetricians-gynecologists. Number 55, September 2004 (replaces practice pattern number 6, October 1997).

The Society of Obstetricians and Gynaecologists of Canada recommends the earliest ultrasound with a crown rump length equivalent to at least 7 weeks (or 10 mm) should be used to determine the gestational age [28].

The American College of Obstetricians and Gynecologists recommends that ultrasound-established dates should take preference over menstrual dates when the discrepancy between ultrasound dating and LMP is "Because of the risk of redating a small fetus that may be growth restricted, management decisions based on third-trimester ultrasonography alone are especially problematic; they need to be guided by careful consideration of the entire clinical picture and may require closer surveillance, including repeat ultrasonography to ensure appropriate interval growth." [24]. Birth weight from pregnancies dated by ultrasonography in a multicultural British population.

Number 4, May 1999 (replaces educational bulletin Number 147, October 1990).

Number 9, October 1999 (replaces Technical Bulletin Number 188, January 1994).

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