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Expert Q&A:
Which method is best for calculating my due date?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


Which method is best for calculating my due date?

Answer


This whole due date thing can be so confusing! The first thing you should know is that only about 5 percent of women give birth on their so-called due date. There was recently an article in one of the obstetric journals suggesting that we shouldn't even be telling women there is a single due date — it makes more sense to talk about an "assigned week."

Anyway, here's the rule for figuring out the due date (it's called Nagele's Rule): Take the first day of the last menstrual period. Subtract three months, then add seven days. That's your due date. So if your last period was February 1, you first subtract three months (November 1), and then add 7 days. You get November 8. That should be your official due date. But here's the problem. Sperm live a few days after intercourse, and the egg lives a few days, so you might have conceived on a different day than you think. Also, now that we have ultrasound, doctors can look inside the uterus and actually measure the fetus's head and abdomen. By comparing those measurements with a normal scale, they can estimate how "old" the fetus truly is. Sometimes that doesn't match up with the due date you were given.

In the end, a pregnancy is considered a "term" (not "preterm" or "premature") pregnancy anytime after 37 weeks. What really matters is that you give birth sometime between 37 weeks and 42 weeks of pregnancy in order to have the healthiest baby. Your "due date" is really only an estimation. Hope this clears up your confusion!
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