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20-Nov-2017 23:02

In the past gestational age was established by a combination of the historical information and the physical examination.Reliance was placed on the menstrual history and the maternal sensation of fetal movement (“quickening”).Gestational age, synonymous with menstrual age, is defined in weeks beginning from the first day of the last menstrual period (LMP) prior to conception.Accurate determination of gestational age is fundamental to obstetric care and is important in a variety of situations.Ultrasound assessment of gestational age is feasible in a majority of pregnancies and may be used to establish gestational age with greater accuracy than physical examination.In the first trimester, gestational sac mean diameter and crown-rump length measurements have become the primary means of evaluating gestational age.For example, antenatal test interpretation may be dependent on gestational age.Specifically, the level of α-fetoprotein in both amniotic fluid and maternal serum is related to gestational age and when dates are inaccurate test results will be incorrect and misleading.

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Ovulation induction with agents such as clomiphene citrate and Pergonal, also accurately predicts gestational age.

In another report, even among women with known LMP, neonatal age assessment differed markedly from that assigned by certain menstrual dates in 15%.



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