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The blue line is the mean, and the green area delimits the 5th and the 95th percentiles. [2] A: Gestational sac, B: Crown-rump length of embryo, C: Amniotic sac, D: Yolk sac. The mean sac diameter [3] can effectively estimate the gestational age [4] between 5 and 6 weeks, with an accuracy of about +/- 5 days. [5]
An ultrasound showing an embryo measured to have a crown-rump length of 1.67 cm and estimated to have a gestational age of 8 weeks and 1 day. Crown-rump length (CRL) is the measurement of the length of human embryos and fetuses from the top of the head (crown) to the bottom of the buttocks (rump).
With obstetric ultrasonography the gestational sac (intrauterine fluid collection) can be visualized at 4.5 to 5 weeks gestation, the yolk sac at 5 to 6 weeks gestation, and fetal pole at 5.5 to 6 weeks gestation. Ultrasound is used to diagnose multiple gestation, which cannot be diagnosed based on the presence of hCG in urine or blood. [15]
The sex of the fetus may be discerned by ultrasound as early as 11 weeks' gestation. The accuracy is relatively imprecise when attempted early. [15] [16] [17] After 13 weeks' gestation, a high accuracy of between 99% and 100% is possible if the fetus does not display intersex external characteristics. [18]
[2] There are two distinct measurements: the size of the nuchal translucency and the thickness of the nuchal fold. Nuchal translucency size is typically assessed at the end of the first trimester, between 11 weeks 3 days and 13 weeks 6 days of pregnancy. [3] Nuchal fold thickness is measured towards the end of the second trimester.
It is usually identified at six weeks with vaginal ultrasound and at six and a half weeks with abdominal ultrasound. [1] However, it is not unheard of for the fetal pole to not be visible until about 9 weeks. The fetal pole may be seen at 2–4 mm crown-rump length (CRL).
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For example, if there is a gestational age based on the beginning of the last menstrual period of 9.0 weeks, and a first-trimester obstetric ultrasonography gives an estimated gestational age of 10.0 weeks (with a 2 SD variability of ±8% of the estimate, thereby giving a variability of ±0.8 weeks), the difference of 1.0 weeks between the ...