Handout #11 Consider the month in numeric terms.

EDD & AOG Computation eg. July – 7; August – 8

For the 1st 3 months of the year, add 12 to the
EXPECTED DATE OF DELIVERY & AGE OF GESTATION
numerical value
Once pregnancy is confirmed, it is important to next
Eg. Jan. : 1 + 12 = 13
determine the age of gestation & the expected date of
Feb.: 2 + 12 = 14
delivery.
March: 3 + 12 = 15
The clinically most appropriate unit of measure of
Naegele’s Rule: (Other way of Computation)
gestational age is weeks of gestation completed.
Two methods used are the:
Now use Naegele’s formula: Subtract 3 months and add
1. Menstrual age/Gestational age
7 days to the 1st day of the LMP.
2. Ovulatory age/Fertilization age 

Example: LMP is March 5-10, 2008. The numerical value

A. Last Menstrual Period
of March is 3.
 This involves calculating the length of time from
15 5
the last menstrual period up to the present.
-3 +7
Problems encountered w/ the use of the LMP are the
12 12 EDD: Dec. 12
following:
Mittendorf’s Rule:
1. Failure to record LMP
An alternative to Naegele’s Rule in determining the
2. Menstrual cycles may be irregular & variable
EDD.
3. Pregnancy may follow immediately w/o menstruation
a. Determine the 1st day of the LMP.
in between gestation
b. Categorize the woman as Caucasian or non-
4. Implantation bleeding may be mistaken as
Caucasian (race).
menstruation
c. Identify her gravidity: primigravida (G1) or
5. Ovulation that occurs after cessation of ovulation
multigravida (G2 or above)
inhibition method of contraception may be delayed
Mittendorf’s Rule:
Naegele’s Rule:
For primigravid Caucasian women:
Inquire for last menstrual period (LMP) & calculate for
Formula: LMP + 15 days (constant) – 3 months = EDD
expected date of delivery/confinement (EDD/EDC)
Example A: What is the EDD of Mrs. Smith, a G1
Example:
Caucasian w/ LMP of May 14?
Month Day Year
M D
LMP 4 (April) 3 2004
5 14
-3 +7 +1
- 3 + 15
EDC 1 (Jan) 10 2005
2 29 EDD: Feb 29
Mittendorf’s Rule:
For multigravid non - Caucasian women:
Formula: LMP + 10 days (constant) – 3 months = EDD
Example B: What is the EDD of Mrs. Peralta, a G2
Filipino woman (non-Caucasian) w/ LMP of Aug. 10?
M D
8 10
- 3 + 10
5 20 EDD: May 20
C. Quickening: Quickening usually occurs at 20 weeks in
primis & at 16 weeks in multis. Thus, if the woman
cannot remember her LMP, ask her when she 1 st felt the
fetus move. Usually on the average of at least 10 times
per day.
To get EDC for primigravida, add 22 weeks to the date
of quickening
To get EDC for multigravida, add 24 weeks to the date
of quickening
D. Ultrasound
When a woman cannot accurately point out her last
menstrual period, ultrasound must be made as early as
possible during pregnancy (age of gestation) for the
client.
The earlier the ultrasound is performed in pregnancy,
the more accurate is the EDC & AOG:
 1st trimester ultrasound gives
EDC +/- 5 days
 2nd trimester EDC +/- 10 days
 3rd trimester EDC +/- 3 weeks
E. Assessment of Fundic Height
Fundic height increases as the fetus inside the uterus
grows.
Thus, it should be measured every visit to help
determine fetal growth.
In addition, fundic height measurements will also help
estimate AOG & EDC.

E. Assessment of Fundic Height

The landmarks to be used in measuring the FH are the
top of symphisis pubis, the umbilicus & the xiphoid.
To ensure accuracy, the woman should empty her
bladder & the same examiner should perform the
measurement at every examination.
F. MC DONALD’S RULE is used to calculate AOG J. HAASE’S RULE is used to determine length of fetus
Fundic height (cm) X 2/7 = AOG in lunar months During the 1st half of pregnancy, square the number of
Fundic height in (cm) X 8/7 = AOG in weeks months
G. MODIFIED MC DONALD’S RULE During the 2nd half of pregnancy, multiply the number of
Simply remember the fundic height in cm. will months by 5
approximate the gestational age from 36-38 weeks +/- 3 K. Fetal Heart Sounds (rate)
weeks Can be detected at 12 weeks of gestation with a
H. BARTOLOMEW’S RULE is used to calculate AOG Doppler ultrasound
Height of fundus is used to determine AOG. Can be auscultated at 16 to 20 weeks with a fetoscope
Fundic height is determined by palpation & by relating Normal fetal heart rate (FHR) ranges from 120 to 160
to the different landmarks in the abdomen: umbilicus, beats/minute
symphisis pubis, & xiphoid process. ----End---
BARTOLOMEW’S RULE is used to calculate AOG
12 weeks – level of symphisis pubis
16 weeks – halfway between umbilicus & symphisis
pubis
20 weeks – level of umbilicus
24 weeks – 2 fingers above umbilicus
28-30 weeks – halfway between umbilicus & xiphoid
process
36 weeks – level of xiphoid process
40 weeks – at 34 weeks level due to lightening
Greater Fundic Height May Indicate:
Multiple pregnancy
Miscalculated due date
Polyhydramios
Hydatidiform mole
EXPECTED DATE OF DELIVERY & AGE OF GESTATION
Fetal weight may vary & this is due to:
Fetal weight may vary & this is due to:
The age-weight pattern of previous infants
An expected increase in weight of each successive
infant
Hereditary traits or acquired disorders may affect infant
size. These factors include: race, nutrition, DM,
preeclampsia, etc.
I. JOHNSON’S RULE is used to calculate fetal weight in
grams.
Fundic height (cm) – N X K = fetal weight
K = 155 (constant)
N = 12 if engaged (do leopold’s to find out)
N = 11 if not yet engaged