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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. Page JM, The risk of stillbirth and infant death by each additional week of expectant management in twin pregnancies. Risk of late-preterm stillbirth and neonatal morbidity for monochorionic and dichorionic twins. The American College of Obstetricians and Gynecologists.
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. Determining the Date of Conception Because the human egg is capable of fertilization for only 12 to 24 hours after ovulation the date of ovulation may be taken as being the date of conception. However, ultrasound determination of the date of ovulation has the same imprecision as does the ultrasound estimate of the gestational age and, therefore, a precise date of conception cannot usually be determined as with in vitro fertilization. Number 4, May 1999 (replaces educational bulletin Number 147, October 1990). Number 9, October 1999 (replaces Technical Bulletin Number 188, January 1994).