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Some of the reasons for this uncertainty include oligomenorrhea, metrorrhagia, bleeding in the first trimester of pregnancy, pregnancy following use of oral contraceptives or intrauterine devices, and becoming pregnant in the postpartum period.Hertz and co-workers reported that menstrual history was considered reliable in only 18% of women.The National Domestic Violence Hotline 1-800-799-7233 (SAFE) org National Dating Abuse Helpline 1-866-331-9474 Overseas Domestic Violence Crisis Center International Toll-Free (24/7) 1-866-USWOMEN (879-6636) Child Abuse Hotline/Childhelp 1-800-4-A-CHILD (1-800-422-4453) Sexual Assault Hotline 1-800-656-4673 (HOPE) Suicide Prevention Lifeline 1-800-273-8255 (TALK) Center for Victims of Crime 1-202-467-8700 Human Trafficking Resource Center/Polaris Project Call: 1-888-373-7888 | Text: HELP to Be Free (233733) Network for Immigrant and Refugee Rights 1-510-465-1984 Coalition for the Homeless 1-202-737-6444 Resource Center on Domestic Violence 1-800-537-2238 Without Violence: The National Health Resource Center on Domestic Violence 1-888-792-2873 Center on Domestic Violence, Trauma & Mental Health 1-312-726-7020 ext.

Likewise, timing of repeat cesarean section requires accurate assessment of dates.

Similarly, the magnitude of increased optical density above baseline at 450 nm (delta OD 450) by amniotic fluid spectrophotometric measurement is used to predict the severity of fetal hemolytic disease in pregnancies complicated by rhesus isoimmunization.

Test results are interpreted based on Liley's zones relative to gestational age.

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Other factors include assessment of uterine size by bimanual examination in the first trimester, initial detection of fetal heart tones by Doppler (10–12 weeks) or auscultation (19–21 weeks), and uterine fundal height measurement.