{"id":327,"date":"2015-06-12T02:49:16","date_gmt":"2015-06-12T02:49:16","guid":{"rendered":"https:\/\/depts.washington.edu\/usrad\/?page_id=327"},"modified":"2023-01-12T21:36:09","modified_gmt":"2023-01-12T21:36:09","slug":"biometry-guidelines","status":"publish","type":"page","link":"https:\/\/depts.washington.edu\/usrad\/guidelines\/obstetric\/biometry-guidelines\/","title":{"rendered":"Biometry Guidelines for Re-dating"},"content":{"rendered":"<p>As a routine, use date provided by the clinicians or patient\u2019s known LMP. Change dates only if there is a significant discrepancy between the clinical dates and the dates calculated by US (ALWAYS NOTE IN YOUR DISCUSSION IF YOU CHANGED DATES THAT WERE PROVIDED).<\/p>\n<p>Significant discrepancy for various gestational ages is as follows:<\/p>\n<p>1<sup>st<\/sup> trimester (up to 14 weeks) \u2013 &gt; 1 week<\/p>\n<p>2<sup>nd<\/sup> trimester (up to 27 weeks) &#8211; &gt; 2 weeks<\/p>\n<p>3<sup>rd<\/sup> trimester (&gt; 27 weeks) &#8211; &gt; 3 weeks<\/p>\n<p>After the 1<sup>st<\/sup> trimester, if the dates are discrepant and 1<sup>st<\/sup> trimester US is not available, change dates after discussion with the clinicians or make a note in the report that the dates were changed. As a rule do not change dates, in the third trimester unless instructed by the clinicians.<\/p>\n<p>2<sup>nd<\/sup> trimester dates can be used if 1<sup>st<\/sup> trimester US is not available, no clinical information is available and the dates are discrepant.<\/p>\n<p>Cerebellar size is more accurate in cases with discrepant growth and absent anomalies. Please make sure that the cerebellum is measured in all cases.<\/p>\n<p>DO NOT CHANGE DATES IN AN IVF PATIENT.<\/p>\n<p>If there is discrepancy between dates by US and clinical dates, please add the following to the impression:<\/p>\n<p><strong>\u201cThe dates obtained by US are discrepant with the dating suggested by LMP\/clinical dates.\u00a0 Re-dating should be considered.\u201d<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Authors:<\/p>\n<p>Manjiri Dighe, MD<\/p>\n<p>Tom Easterling, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a routine, use date provided by the clinicians or patient\u2019s known LMP. Change dates only if there is a significant discrepancy between the clinical dates and the dates calculated by US (ALWAYS NOTE IN YOUR DISCUSSION IF YOU CHANGED DATES THAT WERE PROVIDED). Significant discrepancy for various gestational ages is as follows: 1st trimester&#8230;<\/p>\n<div><a class=\"more\" href=\"https:\/\/depts.washington.edu\/usrad\/guidelines\/obstetric\/biometry-guidelines\/\">Read more<\/a><\/div>\n","protected":false},"author":1,"featured_media":0,"parent":205,"menu_order":12,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":"","iawp_total_views":147},"acf":[],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/pages\/327"}],"collection":[{"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/comments?post=327"}],"version-history":[{"count":2,"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/pages\/327\/revisions"}],"predecessor-version":[{"id":1696,"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/pages\/327\/revisions\/1696"}],"up":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/pages\/205"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/usrad\/wp-json\/wp\/v2\/media?parent=327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}