Obstet Gynecol. 2014 Oct;124(4):863-866. doi: 10.1097/01.AOG.0000454932.15177.be.
: Accurate dating of pregnancy is important to improve outcomes and is a research and public health imperative. As soon as data from the last menstrual period, the first accurate ultrasound examination, or both are obtained, the gestational age and the estimated due date should be determined, discussed with the patient, and documented clearly in the medical record. Subsequent changes to the estimated due date should be reserved for rare circumstances, discussed with the patient, and documented clearly in the medical record. When determined from the methods outlined in this document for estimating the due date, gestational age at delivery represents the best obstetric estimate for the purpose of clinical care and should be recorded on the birth certificate. For the purposes of research and surveillance, the best obstetric estimate, rather than estimates based on the last menstrual period alone, should be used as the measure for gestational age.
准确的妊娠日期对于改善妊娠结局至关重要,也是医学研究和公共卫生的迫切需要。一旦获得末次月经、首次准确的超声检查或两者的数据,就应确定胎龄和预产期,并与患者讨论,并在医疗记录中明确记录。随后对预产期的更改应保留给罕见情况,与患者讨论,并在医疗记录中明确记录。当根据本文件中概述的方法来确定预产期时,分娩时的胎龄是临床护理的最佳产科估计值,应记录在出生证明上。出于研究和监测的目的,应使用最佳产科估计值,而不是仅基于末次月经的估计值,作为胎龄的衡量标准。