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"Ultrasound measurement of the embryo or fetus in the first trimester (up to and including 13 6/7 weeks of gestation) is the most accurate method to establish or confirm gestational age" [24].
The Society of Obstetricians and Gynaecologists of Canada recommends the earliest ultrasound with a crown rump length equivalent to at least 7 weeks (or 10 mm) should be used to determine the gestational age [28].
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The tendency for multiple gestations to be delivered earlier than singleton pregnancies should not be interpreted that multiples should be assigned an earlier estimated due date.
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The American College of Obstetricians and Gynecologists.
Berghella V, et al., Does transvaginal sonographic measurement of cervical length before 14 weeks predict preterm delivery in high-risk pregnancies?
