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First appt. with my OB

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AyaMiyaki

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Posted: 05-13-08 21:52pm

Week 3 of pregnancy: The egg/sperm have met and merged, and are traveling down the fallopian tube. This is the week implantation occurs. There is nothing to see on ultrasound - nothing at all.

Week 4 of pregnancy: There is a gestational sac and a yolk sac. The yolk sac can sometimes be seen on ultrasound, but that's it. This is also when you miss your period and when a pregnancy test will finally be positive.

If you had an ultrasound and they said you were 4 weeks along, you would have only just missed your period. Two weeks before that, when you claim to have tested positive, you would have been ovulating. There is no possible way you could have tested positive back then if you were 4 weeks along at your ultrasound. At two weeks pregnant, there is no baby, and therefore you can't possibly trigger a positive pregnancy test.

Do you understand where the confusion is coming from? You couldn't have gotten a positive pregnancy test and then been 4 weeks along at your ultrasound. It simply isn't possible.
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care_free

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Posted: 05-13-08 23:14pm

There is a difference between “gestational age” and “fetal age“.

Gestational age is the most common term and is, usually, counted from the first day of your last menstrual period, which is about 2 weeks* before ovulation(when the egg is released). After ovulation, the egg must be fertilized by the sperm within the next 48 hours or it will disintegrate. So, conception would take place between the release of the egg and the next 48 hours.

*note: In reality, this time greatly varies. Not every woman or every cycle will release an egg 14 days after the first day of the previous period.

Fetal age is the actual age of the fetus and is counted from the time of conception(when egg and sperm unite).

Fetal age is always 2 weeks less than gestational age.

See the difference?

There is a time between conception and implantation where the woman has conceived but cannot tell because no hcg hormone is being released. This hormone starts to release once the egg implants in the uterine wall(this happens 6-12 days after ovulation).

Very sensitive hpt’s can detect the hcg hormone as early as 3 days after the embryo implants in the uterus. This means that as early as 9 days after conception a woman could get a positive hpt.

If her due date is August 22nd, conception would have occurred around November 30th. If she got a positive hpt on December 9th, then that would be 9 days after conception and it would be possible to get a true positive.

Two weeks later would be a little more than 3 weeks after conception and the fetal age would be 3 weeks. However, gestational age would be 2 weeks more making her a little over 5 weeks.

Maybe the ultrasound tech who said this meant she conceived 3-4 weeks ago??? That would make her 5-6 weeks gestation at the time of the first ultrasound. Every embryo develops differently and at different rates.

Conclusion, the given due date is correct based on the given dates of the first positive pregnancy test.
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manuftw82

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Posted: 05-13-08 23:55pm

then the heartbeat would be detectable then and they wouldnt tell her that.
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care_free

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Posted: 05-14-08 00:25am

The heart begins to beat 22 days after conception/fertilization. If fertilization occured 9 days before the test and the ultrasound was done 14 days after the test, that would make the fetal age 23 days when the ultrasound was performed. Detecting a heartbeat the day after it started would be very rare and difficult.

At this time, the embryo would be the size of the period at the end of my sentence and the heart even smaller.

I would like to correct myself...

care_free wrote:
This hormone starts to release once the BLASTOCYST implants in the uterine wall(this happens 6-12 days after ovulation).

Very sensitive hpt’s can detect the hcg hormone as early as 3 days after the BLASTOCYST implants in the uterus. This means that as early as 9 days after conception a woman could get a positive hpt.
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manuftw82

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Posted: 05-14-08 00:55am

then if you go by that logic she would be 23 weeks right now..not 25.
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Ingi

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Posted: 05-14-08 09:45am

I wonder how she'd have tested postive 2 weeks prior to the ultrasound that dated her pregnancy at 3-4 weeks.
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care_free

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Posted: 05-14-08 10:49am

Thing is though, they COULDN'T accurately date a pregnancy 3-4 weeks gestation because there is NOTHING to be found. That would put the fetal age at 1-2 weeks and then it is still just a group of cells. And if NOTHING is found, how can you date it?
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care_free

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Posted: 05-14-08 10:51am

manuftw82 wrote:
then if you go by that logic she would be 23 weeks right now..not 25.


Yes, the fetal age would be 23 weeks but she would be 25 weeks gestation.
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manuftw82

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Posted: 05-14-08 11:24am

my head is spinning now lol.
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care_free

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Posted: 05-14-08 11:42am

sorry...I admit, it does get quite confusing Very
Happy
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krystineM

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Posted: 05-14-08 12:29pm

My OB said i am 24weeks and 5days now almost 25 weeks along.
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Ingi

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Posted: 05-14-08 12:52pm

krystineM wrote:
My OB said i am 24weeks and 5days now almost 25 weeks along.


If you are 24.5 weeks, your due date would be August 29, that pushes your EDD out another week. Which would correlate with the early ultrasound dating. However, that would put your conception date at December 7th. Which would mean you could not have tested positive on December 9th or 10th. Even with a blood test.
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care_free

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Posted: 05-14-08 13:03pm

There's a big difference between a due date of August 15th(based on you period) and August 29th(what it sounds like your OB is going by).

They shouldn't go by measurements taken later in pregnancy to give you a due date. After the 1st trimester, not just age affects the size of the fetus. Genetics, maternal health, uterine conditions, nutrition, life style, elevation and other factors also play a role now. Measurements taken during the first 12 weeks will give a more accurate due date. Did you have any other ultrasounds before 12 weeks?


Last edited by care_free on 05-14-08 13:05pm; edited 1 time in total
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krystineM

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Posted: 05-14-08 13:04pm

...she said at my first OB visit, last Tuesday, that my due date has changed to Aug.22nd. And that i would be 24weeks [and not 25 like i thought.]
We charted from when i was ovulating, around the 23rd and that is how she got the due date at Aug.22nd.
I guess it would make more sense if i had the wheel visable for everyone to see.
And i agree, there is no way i would have had an acurate reading from a test and blood test is i concieved on the 7th.
This is confusing now.
Why am i being told so many different things if there's something wrong with it all the time? If the baby was now developing right i would have been aware of it...
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aochriss

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Posted: 05-14-08 13:07pm

QUESTION: Dear Ms Ultrasound,
I can't remember the day of my last period so trying to figure out my conception date has been pretty hard for me. I just know that it was some time in November. My period had been irregular for about 2 months because I had just gotten off the pill. When I had an ultrasound back in March 23, 2004 after measuring the baby and everything I was told that I was 18 weeks pregnant and my due date was August 24, 2004 is that correct? When would my date of conception be then?

ANSWER: This is how a pregnancy is dated.... The medical community uses a 28 day cycle to figure out when conception happens. It is assumed that your period is day 1 and conception happens on day 14. This is for the average woman who has regular periods.

Having an ultrasound at 18 weeks would mean that the average woman would have conceived 16 weeks ago, not the 18 that most people think. The number of weeks starts from the first day of your last period, so on the day of conception, which is commonly about day 14, you are considered 2 weeks pregnant. (I know it's confusing.)

So, if you want to figure about when you got pregnant, count back to day 14 or week 2 and that will most likely be conception. From a March 23rd, 18 week ultrasound and a due date of August 24th, the chart we use shows a probable conception date of December 1.

Hope I haven't confused you too much! If you have any more questions just let me know.
-- Jane, RDMS
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Ingi

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Posted: 05-14-08 13:11pm

krystineM wrote:
...she said at my first OB visit, last Tuesday, that my due date has changed to Aug.22nd. And that i would be 24weeks [and not 25 like i thought.]
We charted from when i was ovulating, around the 23rd and that is how she got the due date at Aug.22nd.
I guess it would make more sense if i had the wheel visable for everyone to see.
And i agree, there is no way i would have had an acurate reading from a test and blood test is i concieved on the 7th.
This is confusing now.
Why am i being told so many different things if there's something wrong with it all the time? If the baby was now developing right i would have been aware of it...


Oh, you don't need a wheel. You can use this.

http://healthli nk.mcw.edu/article/923526833.html
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krystineM

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Posted: 05-14-08 13:15pm

http://healthli nk.mcw.edu/article/923526833.html

ok so i put in my estimated due date, Aug 22nd.
but its showing that my last menstrual period is nov.16th [but it was the 8th]
conception occured nov.30th
and on may 23rd i'll be 27weeks.
And in May 14th [today im 25weeks and 5 days pregnant.
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Ingi

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Posted: 05-14-08 13:17pm

I thought you were just spotting on the 8th. You had said your period wasn't due until the 13th or the 15th or something.
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krystineM

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Posted: 05-14-08 13:21pm

i thought it was spotting, but it was my period.
I was spotting when i had thought i was 6weeks. and that was why i went to the doctor to see if everything is ok and that was when they sent me for an u/s and that was when i found out that i was actually more like 3-4 weeks -because they could not see anything but said my uterus looks good- instead of 6weeks.
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Ingi

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Posted: 05-14-08 13:26pm

Then it sounds like you ovulated much later than you thought you did.
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