so basically, for the concept.
POA=period of amenorrhea.
EDD=estimated delivery date
DOV=date of visit
let's say:
1) LMP=26/12/12
DOV=27/8/13
EDD=2/10/13 (just insert the formula from naegle's rule-LMP+(+7(d)-3(m) +1(y) ). seriously i don't think you guys will hv problem with this. simple maths calculation. :)
POA= ?
basically, they're two ways to calculate the POA.
a) LMP BASED
POA
= DOV-LMP
= 27/08/13 [DOV]
-26/12/12 [LMP]
1d 8m
convert to weeks:
=(8x4)w + 2w +5d + 1d
=34w+6d
and the final answer u'll get is POA=34w + 6d
b)EDD BASED
POA
-first, manually count the days from DOV to EDD; in which:
DOV[27/8/13] to EDD[2/10/13]=4d+30d+2d
=36d
convert to weeks/36d divide by 7
=5w 1d
=40w -(5w 1d)
=34w + 6d
-basically u'll hv 5w 1d from DOV to the estimated date of delivery(EDD). since usually EDD will be exactly 280 days or 40 weeks, thus, u can simply substract 5w 1d from 40w to get POA! this is so much simpler and highly recommended to use if the DOV is nearer to EDD, but of course, u can use either way, the one you found easier with better understanding.
-well, you might be asking why is the answer 34w+6d instead of 35w+1d. by right, you should get 35w+1d if you simply substract it using usual ordinary addition substraction methods. it's really hard to explain in words, but let me just give you another short example.
let say if your EDD (23/8/13) & ur DOV (20/8/13). By right, u'll get 3days from DOV to EDD. so, if you wanted to count the POA using the EDD BASED method with usual maths substraction step, you'll end up like this.
POA=40w-(0w +3d)
=40w+3d
-this is definitely wrong since the total EDD is only 40 weeks. the correct way is actually:
POA=40w-(0w+3d)
=39w+4d
-by logic, i'm sure you hv no problem figuring out how on earth i ended up putting 39w+4d as the answer,. OR BETTER, I always substract it like this.
using the example from above:
DOV[27/8/13] to EDD[2/10/13]=4d+30d+2d
=36d
convert to weeks/36d divide by 7
=5w 1d
=39w 7d - (5w 1d) ; instead of using 40 weeks, convert it to 39 w 7d
=34w + 6d
well then, i shall get my sleep now. remember, practice makes perfect. so just came up with any dates and try to calculate the EDD & POA and compare it with ur friends. trust me, this helps!
hope this helps. anything just comment below k:)
10 comments:
Hi! Thnks a lot! But can you explain about the 5days from lmp based. :)
pergh najwa kot...ajar aku naj aku pening
Hi doctor. I have some problem during calculating POA. Is it possible to have answer differently when we use both method? Sometimes i got different answer when i used both ways. For eg , using LMP based i got 8 weeks + 4 days, meanwhile for EDD based i got 9 weeks. Is it possible? So in this case which answer should i take ?
assalamualaikum adik2. im sorry for not replying. im actually not yet a doctor, a final year medical student i am. i promised to upload the pic on my notes i said earlier in a short time in sha Allah. for adik khairun nisa, to be exact if u were to use both method supposely the answer will be the same and if it's diff, it will only be +/- 1 day (based on my dr in hukm). for LMP based, act u hv to add up something i've not yet shown (cz i told i will summarized it in a pic lol but haven't done until now). that's probably why ur asnwer was quite far from each other considering u're using both methods/
anywayy thank you for reading tho. :)
Best regards
Thank you! Sangat membantu :)
Thank you somuch! it's very helpful
If there is no DOv,should we use the first method?
TERBAIK DR.!
We should keep the period in weeks , so that means its (x weeks + 5days)
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