Gestational age

Gestation is the period of time between conception and birth during which the fetus grows and develops inside the mother's womb.

Gestational age is the time measured from the first day of the woman's last menstrual cycle to the current date. It is measured in weeks. A normal pregnancy can range from 38 to 42 weeks.

Infants born before 37 weeks are considered premature. Infants born after 42 weeks are considered postmature. The gestational maturity rating is measured after the baby is born by the Ballard scale or Dubowitz exam.

Gestational age can be determined before or when the baby is born.

Prior to birth, growth is determined with ultrasound by measuring the size of the head, abdomen, and thigh bone.

Following birth, assessing an infant's weight, length, head circumference , condition of skin and hair, reflexes, muscle tone, posture, and vital signs can provide a developmental gestational age. This may not match the calendar gestational age. For example, an infant born with a gestational age of 36 weeks may actually have a developmental gestational age of 38 weeks, and therefore behave more like a full-term infant than a premature infant.

Determination of gestational age is important because it provides valuable information regarding expected or potential problems and directly affects the medical treatment plan for the baby


Review Date: 12/20/2009
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

 

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Nine days past her due date, Sara Howe was awakened at 3:00AM when her water broke. Thrilled that the long wait was finally over, Sara and her husband David packed up and headed to PeaceHealth Southwest Medical Center. By 5:00AM they were comfortably settled into one of PeaceHealth Southwest’s Labor Delivery Recovery and Postpartum rooms, ready for action. But four hours later, Sara contractions had still not progressed so her midwife started her on Pitocin. Soon the contractions kicked in and Sara was well on her way.

At around eight o’clock the next morning, it was time for Sara to start pushing. So she pushed. And she pushed, and she pushed, and she pushed. "The first few hours of pushing went by without me realizing the time," remarked Sara. "But around the fourth hour I started to wonder if I was still making progress. That is when the encouragement of my midwife, husband and the PeaceHealth Southwest nursing staff kept me going. It was like I had my own cheering section."

Unfortunately, even with all the support and encouragement, Sara’s labor was not progressing because her baby’s head was tilted in the birth canal. Neither Sara or her midwife wanted her to have a Cesarean section after all that work, so her midwife suggested an assisted delivery. Read more >

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