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Before the advent of routine ultrasound in pregnancy, medical personnel estimated a baby’s due date by the date of the last menstrual period and by feeling the uterus and determining the size to see if it matched the given due date.

With transvaginal ultrasound, checking for embryonic development known to occur within a certain time frame more accurately dates a pregnancy.

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You may have calculated the length of your pregnancy from the first day of your last menstrual period (LMP).

However, conception doesn't actually occur until around 14 days after your LMP, or later if your cycle is longer than 28 days. Multiple pregnancy: antenatal care for twin and triplet pregnancies CG129.

It records high-frequency sound waves that create an image (see Reference 4).

Normally, ultrasounds before until week 4 of pregnancy shows nothing in the uterus and serve no purpose.

This depends on whether you have agreed to have the screening and when the scan takes place.

You may need to have a full bladder for this scan, as this makes the ultrasound image clearer.

You can ask your midwife or doctor before the scan if this is the case. Find out more about what happens during a pregnancy ultrasound scan.

This is the period of time which provides the most accurate assessment.

Generally, ultrasounds which are performed in the first trimester are within 3-5 days of being accurate in terms of assessing gestational age.

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