When an ultrasound should change the due date
Six days apart at an eight-week scan. ACOG puts the threshold at five days that early, so the ultrasound date replaces the period-based one.
Worked from fixed dates so the numbers stay put: 2025-03-04 as the scan date, read as of 2025-03-15. Use the form on the home page for your own dates.
Estimated due date
Ultrasound measurement. A reference point, not a prediction — most births are not on this day.
Gestational age on 2025-03-15
9w4d
Counted from the first day of the last period, not from conception.
Days to go
213
Trimester 1
Estimated conception
2025-01-21
An estimate, and not evidence of anything.
The ultrasound replaces the period-based date
- From the last period
- 2025-10-08
- From the ultrasound
- 2025-10-14
- Difference
- 6 days
- ACOG threshold at up to 8w6d
- > 5 days
The two estimates differ by 6 days. At a scan gestational age of 8w0d (up to 8w6d), ACOG supports redating when the discrepancy exceeds 5 days — so the ultrasound date is used here.
Milestones
- End of first trimester13w6d
Also the last point at which ultrasound dating is at its most accurate.
- Anatomy scan window opens18w0d
The detailed anatomy scan is usually done between 18 and 22 weeks.
- Anatomy scan window closes22w0d
After this the standard views become harder to obtain.
- End of second trimester27w6d
The third trimester begins the following day.
- Early term begins37w0d
ACOG classifies 37w0d to 38w6d as early term, not full term.
- Full term begins39w0d
Full term runs 39w0d to 40w6d.
- Estimated due date40w0d
A reference point, not a prediction. Most births are not on this day.
- Post-term begins42w0d
From 42w0d a pregnancy is classified post-term.
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Gestational age counts from the last period, not from conception
This is the most misunderstood fact in the subject. The 40-week clock starts at the first day of the last menstrual period, roughly two weeks BEFORE conception. So at 9w4d the pregnancy is about 7w4d since conception. Weeks 1 and 2 of a pregnancy are, by this convention, before there is a pregnancy.
What to do: When comparing against a known conception or transfer date, use that method instead — it does not go through the two-week offset.
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The due date is a reference point, not a prediction
Only a small minority of births happen on the estimated date. The useful output is the term windows — early term from 37w0d, full term from 39w0d — not the single day.
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Redated to the ultrasound (6 days apart)
The two estimates differ by 6 days. At a scan gestational age of 8w0d (up to 8w6d), ACOG supports redating when the discrepancy exceeds 5 days — so the ultrasound date is used here.
What to do: This follows ACOG Committee Opinion 700. Confirm with the clinician who did the scan — the guidance is a rule of thumb applied to a whole clinical picture.
Note
Not medical advice
This is arithmetic on the dates you supplied, not medical advice. It cannot see an ultrasound, a chart, or a person. Clinical dating is done by a qualified clinician, and an estimated due date is an estimate — most births do not happen on it. Nothing here should change what you do without talking to your own clinician.
Other ways to read this page
Available as markdown, or through the API and MCP server.
Related examples
Not medical advice and not a substitute for clinical dating by a qualified clinician. This is arithmetic on the dates you supply; it cannot see an ultrasound, a chart, or a person, and it does not know about multiples, irregular cycles beyond the length you enter, or any complication. Estimated dates are estimates — a small minority of births happen on them.