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Thus we generated a new reference chart, The Monash Chart, based on a line of best fit describing crown-rump length across 6 + 1 to 9 + 0 weeks of gestation (true gestational age) in the IVF singleton cohort.
The Monash Chart, but none of the existing charts, accurately determined gestational age among an independent IVF twin cohort (185 twin pairs).
Accurate dating of gestational age is central to good obstetric care.
It allows the clinicians to better time gestation-specific antenatal screening tests, reduces erroneous labelling of pregnancies as very preterm, preterm, and small-for-gestational-age, and decreases the risk of inappropriate induction of labour [1–5].
We assessed the performance of six existing ultrasound reference charts to determine gestational age in 1268 singleton IVF pregnancies, where “true” gestational age could be precisely calculated from date of fertilisation.
All charts generated dates significantly different to IVF dates ( all comparisons).
When applied to 3052 naturally-conceived singletons scans, The Monash Chart generated estimated due dates that were different to all existing charts ( all comparisons).
We conclude that commonly used ultrasound reference charts have inaccuracies.