Which Due Date Is More Accurate LMP Or Ultrasound?

by | Last updated on January 24, 2024

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Because few women know the exact day they ovulated or conceived, an ultrasound done in the

first trimester of pregnancy

has been shown to the be the most accurate way to date a pregnancy. If an ultrasound date in the first trimester differs from your LMP date by seven days or more, we would go with the ultrasound.

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Why is my ultrasound due date different?

As a woman’s pregnancy progresses, fetuses develop at different rates, which is why an estimated due date from an ultrasound measurement during the second trimester

is less accurate

.

What is the most accurate way to calculate due date?

The most common way to calculate your due date is

to start with the first day of your last menstrual period (LMP)

. Add 7 days, and then count backward 3 months. For example, if your last period started on March 20, you would add 7 days to get March 27. Then subtract 3 months to get a due date of December 27.

Is gestational age more than LMP?

A discrepancy between gestational age estimated by last menstrual period and biparietal diameter may indicate an increased risk of fetal death and adverse pregnancy outcome.

Is dating scan or LMP more accurate?

The study found that the earlier the ultrasound assessment in pregnancy (preferably between 10 and 12 weeks), the more accurate the prediction of date of birth. The results indicate that after 24 weeks of pregnancy, a

reliable LMP last

menstrual period provides better estimates.

Why do LMP and ultrasound dates not match?

An ultrasound is actually the most accurate way to date a pregnancy because

all fetuses grow at a consistent rate during the first trimester and early second

. In other words, if your baby measures 9 weeks 2 days when you have your ultrasound, that’s how far along you are, no matter when your last period was.

Can LMP be wrong?

SYNOPSIS: Clinical determination of EDD, 280 days after the last menstrual period (LMP) still plays a role but

may not always be accurate

due to variability in length of an individual woman’s cycle length or timing of ovulation.

Can the ultrasound due date be wrong?

Ultrasounds in Later Pregnancy

As pregnancy progresses, the accuracy of an ultrasound for predicting due dates decreases. Between 18 and 28 weeks of gestation, the margin of error increases to plus or minus two weeks.

After 28 weeks, the ultrasound may be off by three weeks or more in predicting a

due date.

How do I know my exact delivery date?

  1. First, determine the first day of your last menstrual period.
  2. Next, count back 3 calendar months from that date.
  3. Lastly, add 1 year and 7 days to that date.

How accurate is an ultrasound in determining age of fetus?

When the crown-rump length exceeds 84 mm (approximately 14 weeks and 0/7 days), the accuracy decreases, and full fetal biometry should be used to approximate the gestational age[1]. First-trimester ultrasound has an accuracy of

+/- 5 to 7 days

[1].

What is the difference between LMP and ultrasound gestational age?

Reported last menstrual period (LMP) is commonly used to estimate gestational age (GA) but may

be unreliable

. Ultrasound in the first trimester is generally considered a highly accurate method of pregnancy dating.

Do doctors use gestational age or fetal age?

While gestational age is measured from the first day of your last menstrual period,

fetal age is calculated from the date of conception

. This is during ovulation, which means that fetal age is about two weeks behind gestational age. This is the actual age of the fetus.

Are ultrasound measurements accurate?

It’s important to know there is a recognised 15% error in ultrasound fetal weight estimation. This means your baby can be either 15% smaller or 15% larger than the estimated weight given at your ultrasound.

Ultrasound scans are generally more accurate for assessing your baby’s size during

the first half of pregnancy.

Can ultrasound be wrong without heartbeat?

Miscarriages are predicted by doctors when a woman’s embryo or gestational sac seems too small, and when

an ultrasound shows no fetal heartbeat

. (In the cases included in the study, doctors had detected a gestational sac in the uterus, ruling out the risk of an ectopic pregnancy.)

When is the best time to have a dating scan?


Between 8 – 12 weeks of pregnancy

is a good time for a dating scan. A 2-D image of a baby at about 8-9 weeks.

Can a dating scan be wrong by 4 weeks?

It is very common when scanning an early pregnancy to find that the due date does not match the menstrual history. Sometimes the dates can be more than a week off and sometimes even

as much as 4 weeks

.

How accurate are ultrasound measurements at 38 weeks?

Scans done at 40 weeks and beyond were more accurate than those done preterm. Only

81% of the scans done between 34

and 37 weeks gestation fell within the accepted 15% margin of error between EFW and actual weight compared to 100% when the scan was done after 40 weeks.

Is the first ultrasound the most accurate?

Ultrasound measurement of the

embryo or fetus in the first trimester

(up to and including 13 6/7 weeks of gestation) is the most accurate method to establish or confirm gestational age.

How accurate is scan due date?

Dating from ultrasound scans done later than about 20 weeks is

increasingly less accurate

. As the chart shows, a scan at 20-28 weeks compared to one at 11-14 weeks resulted in more babies being born apparently “post-term” and more being born apparently premature (22 days or more before the estimated date).

Will a sonographer tell you if something is wrong pregnancy?

An Incorrect Pregnancy Date

An ultrasound technician, known as a sonographer, will look for

certain features during

the different stages of a pregnancy to determine if things are proceeding as they should. If the technician is unable to find that feature, it may be the sign of a problem.

What is LMP in pregnancy?

Pregnancy lasts an average of 280 days (40 weeks) from the first day of

your last menstrual period

(LMP). The first day of your LMP is considered day one of pregnancy, even though you probably didn’t conceive until about two weeks later (fetal development lags two weeks behind your pregnancy dates).

When is third trimester ultrasound done?

During the third trimester of pregnancy the fetal ultrasound scan is performed with the help of the abdominal sensor

within pregnancy weeks 34-36

. At this stage of pregnancy the fetus has all vital organs fully developed and the period of fast growth and maturity continues.

Which week delivery is normal?

The length of a normal pregnancy can be anything from

37 weeks to 42 weeks

. So you have a five-week period when your baby could arrive at any time and it would be considered normal. If you give birth before 37 weeks of pregnancy, your baby is defined as premature and is likely to need extra care.

How do you calculate pregnancy weeks from LMP?

Gestation by LMP is calculated

from the first day of the last menstrual period

. Gestation by CRL is calculated: Weeks = 5.2876 + (0.1584 * Crown_Rump_Length) – (0.0007 * Crown_Rump_Length

2

). This will be gestation at time of ultrasound. Gestation by BPD is calculated using the formula: Days = 2 * BPD + 44.2.

How many days does it take to deliver a baby boy?

Pregnancy lasts for

about 280 days

or 40 weeks. A preterm or premature baby is delivered before 37 weeks of your pregnancy. Extremely preterm infants are born 23 through 28 weeks. Moderately preterm infants are born between 29 and 33 weeks.

How accurate is LMP for gestational age?

The number of women who underestimated GA using LMP compared to U/S ranged from 1.8 to 14.8%, with lower rates found when the sample was limited to a GA <63 days. Most women (90.5-99.1%) knew their LMP,

70.8-90.5%

with certainty.

What is the normal weight of baby at 36 weeks in KG?

By week 36 of pregnancy fetal weight is

approximately 2.7kg

and fetal length is around 47.5cm from crown to heel.

Is LMP and conception date same?


Most women do not know the exact date of conception

because it can be challenging to know exactly when ovulation occurs. Thus, their conception date is merely an estimate based on the first day of their last period.

Do doctors use LMP or ultrasound?

Ultrasound Dating

However, unless there is a great difference between what is seen on an ultrasound and what was reported as LMP,

doctors still use LMP to establish a due date

.

Can a growth scan be wrong?

No,

there’s not necessarily anything wrong

if your baby is small for dates. Babies grow at different rates and some are simply smaller than average. Measurements aren’t always accurate either. Your midwife may offer you a growth scan though, to be on the safe side.

What is the normal weight of baby for normal delivery?

The average birth weight for babies is around

7.5 lb (3.5 kg)

, although between 5.5 lb (2.5 kg) and 10 lb (4.5 kg) is considered normal. In general: Boys are usually a little heavier than girls.

Why do doctors use LMP?

LMP: Abbreviation for “

last menstrual period

.” By convention, pregnancies are dated in weeks starting from the first day of a woman’s last menstrual period (LMP). If her menstrual periods are regular and ovulation occurs on day 14 of her cycle, conception takes place about 2 weeks after her LMP.

What is the heart rate of a baby boy?

You may have heard that your baby’s heart rate can predict their sex as early as the first trimester. If it’s over 140 bpm, you’re having a baby girl.

Below 140 bpm, you

‘re carrying a boy.

Is no heartbeat at 8 weeks normal?

If you are past seven weeks pregnant, seeing

no heartbeat

may be a sign of miscarriage. 1 But there are many exceptions to the “heartbeat by seven weeks” rule. You’ve likely heard of people who were certain they had miscarried or were not pregnant, and then went on to have a normal pregnancy.

Can a baby grow without heartbeat?

This is called an

anembryonic pregnancy

, which is also known as a blighted ovum. Or it may be that your baby started to grow, but then stopped growing and they have no heartbeat. Occasionally it happens beyond the first few weeks, perhaps at eight weeks or 10 weeks, or even further on.

Maria LaPaige
Author
Maria LaPaige
Maria is a parenting expert and mother of three. She has written several books on parenting and child development, and has been featured in various parenting magazines. Maria's practical approach to family life has helped many parents navigate the ups and downs of raising children.