The American College of Obstetricians and Gynecologists.
Berghella V, et al., Does transvaginal sonographic measurement of cervical length before 14 weeks predict preterm delivery in high-risk pregnancies?
The earlier age at delivery of multiple gestations is a reflection of the increased incidence of preterm labor and obstetric intervention for complications such as preeclampsia, abruptio placentae, fetal growth restriction, and increased risk for stillbirth that occurs as the number of fetuses increases [30-33]. Mongelli M, Wilcox M, Gardosi J.: Estimating the date of confinement: ultrasonographic biometery versus certain menstrual dates.
The tendency for multiple gestations to be delivered earlier than singleton pregnancies should not be interpreted that multiples should be assigned an earlier estimated due date.
The gestational age would, therefore, be at least 3 to 4 weeks at the time of a reliable h CG pregnancy test.
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).
In cases where the date of conception is known precisely, such as with in vitro fertilization, the EDD is calculated by adding 266 days to the date of conception. American College of Obstetricians and Gynecologists.
Number 9, October 1999 (replaces Technical Bulletin Number 188, January 1994).
The due date may be estimated by adding 280 days ( 9 months and 7 days) to the first day of the last menstrual period (LMP). 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 [5-7].
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].
Determining the Estimated Due Date The estimated due date (EDD or EDC) is the date that spontaneous onset of labor is expected to occur. Conceptional age, menstrual age, and ultrasound age: a second-trimester comparison of pregnancies of known conception date with pregnancies dated from the last menstrual period.