Age & Stage
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The age of an embryo or fetus is time elapsed since conception. In the past, the date of conception was almost never known, and the traditional method of dating a pregnancy is to start counting from the first day of the last period, which works when conception happens on the 14th day, right after the most frequent time of ovulation. "Menstrual" dating" is reported as gestational age (GA), which starts at 2 weeks. Average delivery at 40 weeks GA. Dividing the weeks by 4 gives you the month of the pregnancy. Ultrasound is the best way to determine age, when the exact date of conception is not known. There is very little variation in the way healthy embryoes and fetuses grow during the first half of pregnancy - all around the world - it's a basic human norm. Tthere are excellent correlations between fetal size and conceptual age, permitting conceptual age estimation with an accuracy of just a few days. Knowing the exact fetal age is important, because it enables prevention of postmaturity (pregnancy beyond 42 weeks GA). |
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Our preferred time for a prescheduled amnio is around 12 weeks GA for most patients, although about 4 % of patients at this time need to be rescheduled, because of an unfavorable uterine position. Contact us to discuss an optimal time. We like a 'get acquainted' look 8 to 10 weeks. Sometimes patients are sent to us for a "routine" exam 15 or 16 weeks GA, which is not a good idea, as more highly detailed views are possible earlier and later, because of fetal depth and position in the mid second trimester. Embryonic and fetal studies are mainly concerned with issues of anatomy, exams later in pregnancy include anatomy but tend to focus on growth, indications of distress, and the potential for premature delivery. |
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