How due-date estimates work
Pregnancy is conventionally dated from the first day of your last menstrual period (LMP). The classic rule of thumb — Naegele's rule — is to add 280 days (40 weeks) to that date. It assumes a regular 28-day cycle and ovulation on day 14. We adjust for cycle-length variation when you provide it, and we also support conception-date and IVF-transfer dating, which skip the LMP-to-ovulation assumption entirely.
For most pregnancies, an LMP-based estimate is within ±5 days of the date confirmed by first-trimester ultrasound. ACOG's current guidance is to use the ultrasound date when it differs from the LMP estimate by more than 5–7 days in the first trimester. Once your obstetric provider confirms a due date, stick with that — adjustments later in pregnancy are unusual.
Trimester guide
- First trimester: weeks 1–12. Embryo organ development; first prenatal visit and dating ultrasound.
- Second trimester: weeks 13–27. Anatomy scan (around 18–22 weeks). Most pregnant people feel best in this window.
- Third trimester: weeks 28–40+. Fetal growth and positioning; weekly visits in the final month.
Source: American College of Obstetricians and Gynecologists. Methods for Estimating the Due Date. Committee Opinion No. 700. Obstet Gynecol. 2017;129(5):e150-e154.