Pregnancy Weeks: How Are They Calculated? - Obstetrics and Gynecology

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Gestational age


The calculation of the pregnancy week is typically based on the first day of the last menstrual period (LMP), not the date of conception.
In your case, if the doctor stated that your girlfriend is six weeks pregnant, it means that it has been approximately six weeks since the first day of her last menstrual period.
Since you mentioned that you had intercourse on February 19 and had no prior sexual activity, it is possible that the conception occurred shortly after that date, but the pregnancy is dated from the LMP, which may have been earlier.
It's important to consult with the healthcare provider for more accurate information regarding the specific timing of the pregnancy.

Weiwei, 20~29 year old female. Ask Date: 2020/03/02

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is possible that conception occurred on February 19.
If you have any questions, you can consult your obstetrician.
Wishing you good health.

Reply Date: 2020/03/02

More Info


Understanding pregnancy weeks can indeed be confusing, especially when considering the various methods of calculation. In general, pregnancy is typically measured in weeks from the first day of the last menstrual period (LMP). This method is standard practice in obstetrics and is used to estimate the gestational age of the fetus.

To break it down, the calculation begins with the first day of your last menstrual period. For example, if your last period started on December 6, and you have a regular 28-day cycle, ovulation would likely occur around December 20. If conception occurred shortly after ovulation, you would be considered approximately two weeks pregnant at that point, even though the embryo has just begun to develop. This is because the medical community counts the weeks of pregnancy starting from the LMP, which includes the two weeks before conception.

In your case, if you had intercourse on February 19 and the doctor indicated that your girlfriend is six weeks pregnant, this means that the doctor is likely calculating from the LMP, which would have been around January 8 if we assume a typical 28-day cycle. This would place the estimated date of conception around January 22, which aligns with the six-week mark when the doctor assessed the pregnancy.

It's important to note that while the LMP method is widely used, it may not always accurately reflect the exact timing of conception, especially in cases of irregular cycles or if ovulation occurs later than expected. In such cases, doctors may use ultrasound measurements to determine the gestational age more accurately.

Regarding your concerns about the timing of the pregnancy and the potential for complications, it's understandable to feel anxious, especially if there have been previous pregnancy issues. If your girlfriend is experiencing a healthy pregnancy so far, that is a positive sign. However, it is always advisable to consult with a healthcare provider for personalized guidance, especially if there are concerns about the pregnancy's viability or if there are any symptoms of distress.

If you are considering traveling, especially if it involves long distances, there are several factors to keep in mind. Generally, traveling during the first trimester is considered safe for most women, but it is essential to take precautions. Ensure that your girlfriend stays hydrated, takes regular breaks to stretch her legs, and avoids any strenuous activities. Additionally, it is wise to have access to medical care at your destination in case of any emergencies.

In conclusion, pregnancy weeks are calculated from the first day of the last menstrual period, and while this method is standard, individual circumstances may vary. If there are any uncertainties or concerns, it is always best to consult with a healthcare professional who can provide tailored advice based on your girlfriend's specific situation.

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