Pregnancy Dating: Why Implantation Isn't Counted in Gestational Weeks
Gestational Age vs. Embryonic Age
Clinical pregnancy dating uses LMP (last menstrual period), not implantation.
Timeline
- Day 1: LMP (start of gestational week 1).
- Day ~14: Ovulation (in 28-day cycle).
- Day ~14-15: Fertilization (embryonic day 0).
- Day ~20-24: Implantation (embryonic day 6-10).
- Day ~28: Missed period → 4 weeks gestational age, 2 weeks embryonic age.
Why LMP Dating?
- Historical convention (observable event).
- Ovulation/implantation timing variable (cycle length, luteal phase).
- Standardizes communication across providers, research, records.
- Ultrasound dating (CRL) confirms/adjusts in 1st trimester (±5-7 days).
Key Distinctions
| Term | Definition | Duration |
|---|---|---|
| Gestational Age (GA) | LMP + 2 weeks | 40 weeks (280 days) |
| Embryonic/Fetal Age | From fertilization | 38 weeks (266 days) |
| Implantation | Blastocyst attachment | ~Week 3 GA |
