Despite all the breakthroughs of science and modern medicine the
ability to pinpoint the beginning and end of a pregnancy is still not
well understood. Most people, for example, are shocked to find out that a
human pregnancy is not actually 40 weeks in duration. Here are some
common terms and abbreviations that you may run into during pregnancy
along with their definitions.
Gestation: From Latin, this refers to the period of development in the uterus from conception until birth.
Gestational
Age (GA): The duration of pregnancy starting from the first day of the
last menstrual period (LMP). GA pregnancy dating is based on the
assumption that the average pregnancy is 40 weeks from the first day of
the last menstrual period. GA pregnancy dating is widely used, but is
frequently inaccurate for the simple reason that a woman is not pregnant
on the LMP. Fetal age pregnancy dating is much more accurate.
Fetal
Age (FA): The fetal age is the duration of a pregnancy starting from
the time of conception. It is much more accurate to calculate the date
of delivery if the estimated time of conception (ETC) is known. FA
pregnancy dating assumes that a pregnancy will be approximately 38 weeks
from the time of conception, until the time of birth.
Last Menstrual Period (LMP): The first day of the last menstrual period.
Estimated Time of Conception (ETC): The date by which conception is thought to have occurred.
Estimated
Time of Arrival (ETA): The date on which it is expected that the baby
is due to be born. The term ETA is actually identical to the "estimated
date of confinement" (below), but is typically used when pregnancy
dating proceeds from a fairly well known estimation of the time of
conception (ETC).
Formula: ETA = ETC - 7 days + 9 months
Estimated
Date of Confinement (EDC): The EDC is the date on which it is expected
that the baby is due to be born. The term EDC is actually identical to
the "estimated time of conception" (ETC). The EDC is the most common
term used to indicate the "due date" for a pregnancy. It is typically
used when the date of the last menstrual period (LMP) is known, but the
estimated time of conception (ETC) is not known.
Formula: EDC = LMP + 7 days + 9 months (Naegele's Rule)
Hopefully,
this short article has clarified the correct use of terminology related
to pregnancy dating. Unfortunately, our understanding of the the events
of the menstrual cycle and pregnancy will probably continue to be
influenced by some very unscientific thinking. Addressing the mythology
of the 28 day menstrual cycle and the 40 week pregnancy, Dr. Bruno
Walter, back in 1977 most excellently noted that:
"From archaic
experience, women know that their 'monthlies' recur in approximately
four-weekly intervals. Philosophers and physician, however, translated
'four-weeks' into 28 days. By this legitimate trick, woman's
reproductive physiology got assorted with the cabala of numbers, 4 times
7 for the menstrual cycle and 10 times 28 for the duration of the
pregnancy. To the physician, the 28-day menstrual cycle, as well as the
280 days' duration of pregnancy became the static, orthodox diagnostic
criteria of woman's health and physical normalcy. For the philosopher,
the 28 days was the bridge to the mythology of the moon. The comparison
of the observed occurrence of high tides and the resolution of woman's
plethora in menstruation with the phases of the moon, produced the first
rational theory of the mystic process of periodic vaginal bleeding in
women" (Walter, 1977, p. 1).
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