Background Evidence exists that normal gestational length varies with ethnicity. This UK-based study compares gestational length amongst a cohort of white European, Black and Asian women. Methods The cohort comprised nulliparous women with singleton live fetuses at the time of spontaneous labour, giving birth in the former North West Thames Health Region, London, UK. Results The median gestational age at delivery was 39 weeks in Blacks and Asians and 40 weeks in white Europeans. Black women with normal body mass index BMI Meconium stained amniotic fluid, which is a sign of fetal maturity, was statistically significantly more frequent in preterm Black and Asian infants and term Black infants compared with white European infants. Conclusions This research suggests that normal gestational length is shorter in Black and Asian women compared with white European women and that fetal maturation may occur earlier. The estimated date of delivery EDD is calculated clinically early in pregnancy, reflecting its social and medical importance. It is calculated using the date of the last menstrual period LMP by adding days to the date of the first day of the LMP, giving a point estimate of 40 weeks for gestational length including the 2 weeks before conception occurs. This method sometimes known as Naegele’s rule, although his method of adding 7 days and subtracting 3 months from the date of the LMP can give a date up to 3 days different to the day method, because of the variation in the length of different months has to be relied upon in areas without ultrasound access for dating.
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