" A-DNA Orbit Animated" by Zephyris, used under CC BY SA 3.0/Cropped from original
The Estimated Due Date (EDD) is also known as the Estimated Date of Birth (EDB) or the Estimated Date of Confinement (EDC). Those families who conceived through assistance with reproductive endocrinology will know their due date based on the treatments they received (Intrauterine Insemination or Embryo Transfer dates). When a pregnancy is conceived naturally, we decide on an EDD beginning with the woman's Last Menstrual Period (LMP) using one of a couple types of methods.
RegisteredNurseRN.com (2016, December 15). Naegele's Rule Example with Practice Questions for Maternity Nursing NCLEX Review (Nagele's Rule). https://www.youtube.com/watch?v=N0iqVBX5F9s
The EDD can be determined by using Naegele’s Rule. This is calculated by taking the date of the woman's LMP, subtracting three months, adding seven days, and adding one year.
Naegele’s Rule = LMP – 3 months + 7 days + 1 year
Note: When adding the 7 days, remember to account for the number of days in a month (28 vs 30 vs 31). The image to the right shows a way to remember which months have 30 versus 31 days
"Knuckles" by IIVQ, used under CC BY SA 3.0/Cropped from original
Another tool to determine the EDD or what the gestational age is at any time during the pregnancy is the “pregnancy wheel.” This wheel rotates, and when set to the LMP, it will count forward 40 weeks and give the EDD. When set to the EDD, you can look back at the date on the calendar and determine the gestational age.
babymed.com (2023). The Interactive Pregnancy and Ovulation Wheel. https://www.babymed.com/interactive-pregnancy-wheel
" Ultrasound images of early pregnancy " by Nevit Dilmen, used under CC BY-SA 3.0/Cropped from original
Confirmation of Pregnancy and Due Date: The confirmation of pregnancy and due date is done by ultrasound. This ultrasound is often done between eight to ten weeks and confirms that the fetus has a heartbeat, is located in the uterus, and the size matches how big it is compared to what it should be. If this ultrasound matches the date within five days of what you expect, the EDD stays the same. If it measures outside the five days, the EDD would be changed to the date determined by the ultrasound. The ultrasound is most accurate in the first trimester and is less accurate as the pregnancy progresses. As the pregnancy progresses, an ultrasound done around 20 weeks will have a discrepancy of up to 10 days between the EDD and the measurements of the fetus. Any estimation of due date done in the third trimester will can have a difference of up to 21 days between measurements.
Calculate the Expected Date of Birth (EDB) for each of the following pregnant women using Naegele’s rule:
Answer: February 12, 2025
Begin with first day of Last Menstrual Period (LMP) - May 5, 2024
Subtract 3 months -> February 5, 2024
Add 7 days -> February 12
Add 1 year -> 2025
Answer: October 21, 2024
Begin with first day of Last Menstrual Period (LMP) - January 14, 2024
Subtract 3 months -> October 14, 2023
Add 7 days -> October 28
Add 1 year -> 2024
Answer: July 6 2025
Begin with first day of Last Menstrual Period (LMP) - September 29, 2024
Subtract 3 months -> June 29, 2024
Add 7 days -> July 6
Add 1 year -> 2025
American College of Obstetricians and Gynecologists (2017, May). Committee Opinion Number 700: Methods for Estimating the Due Date. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/05/methods-for-estimating-the-due-date
Edwards, K.I. & Itzhak, P. (2022, October 24). Estimated Date of Delivery. NIH StatPearls: https://www.ncbi.nlm.nih.gov/books/NBK536986/#:~:text=Clinical%20History%20and%20Physical%20Exam&text=Naegele's%20rule%2C%20derived%20from%20a,menstrual%20periods%2C%20and%20hormonal%20contraceptives.