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Consiglio Pro
Always document both the LMP date and the USS confirmation date with the method used (CRL, BPD). Write the EDD clearly as 'EDD [date] by [method]' in the notes. Any future care provider can then immediately know whether the dates are secure and reliable, which is critical when making decisions about delivery timing.
Lo sapevi?
Naegele's rule was named after Franz Karl Naegele, a German obstetrician who described it in 1812. However, the method was actually first described by Hermann Boerhaave a century earlier in 1744. Naegele himself noted that the 280-day estimate was approximate and that individual variation was substantial — a fact that remains equally true today, despite the precision that modern ultrasound dating adds to the estimate.
Riferimenti
- ›NICE Guideline NG201 — Antenatal care. 2021 (updated 2023).
- ›Hadlock FP et al. Estimation of fetal weight with the use of head, body and femur measurements: a prospective study. Am J Obstet Gynecol 1985.
- ›Robinson HP, Fleming JE. A critical evaluation of sonar crown rump length measurements. Br J Obstet Gynaecol 1975.
- ›ISUOG Practice Guidelines: performance of first-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2013.
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