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Posted By Maria on 01-20-2021, 06:13:33 in Ob-Gyn
Hello Melanie,

I have a patient that has a fetal demise, 20 4/7 weeks by dates, 16 4/7 by ultrasound.

Which date would be the correct one to use?

Thanks so much for all you do.

Maria
Comments (1)
Posted By Melanie Witt on 01-20-2021, 17:04:02
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 the patient's LMP date by seven days or more, the physician will go with the ultrasound result. Remember also that once fetal demise takes place, the fetus stops growing so the ultrasound result that set the initial values is till the best measure.
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