Because few women know the exact day they ovulated or conceived, an ultrasound done in the first trimester of pregnancy has been shown to the be the most accurate way to date a pregnancy. If an ultrasound date in the first trimester differs from your LMP date by seven days or more, we would go with the ultrasound.

Are due dates accurate by ultrasound?

As pregnancy progresses, the accuracy of an ultrasound for predicting due dates decreases. Between 18 and 28 weeks of gestation, the margin of error increases to plus or minus two weeks. After 28 weeks, the ultrasound may be off by three weeks or more in predicting a due date.