Naegele's rule
= LMP + 280 days (40 weeks)
Worked through with an LMP of 10 January 2026:
| Step | Date |
|---|---|
| Last menstrual period | 10 Jan 2026 |
| Add one year | 10 Jan 2027 |
| Subtract three months | 10 Oct 2026 |
| Add seven days | 17 Oct 2026 |
| Estimated due date | 17 Oct 2026 |
Adding 280 days directly to 10 January gives the same answer. The year-and-months version simply existed before anyone wanted to count 280 days by hand.
The three starting points
| Known date | Add | Why |
|---|---|---|
| Last menstrual period | 280 days | The standard method |
| Conception / ovulation | 266 days | Skips the pre-ovulation fortnight |
| IVF day-5 transfer | 261 days | Embryo already 5 days old |
| IVF day-3 transfer | 263 days | Embryo already 3 days old |
The assumption hidden in the formula
Naegele's rule assumes a 28-day cycle with ovulation on day 14. Real cycles range from about 21 to 35 days, and the variation sits almost entirely in the first half — the phase before ovulation.
| Cycle length | Likely ovulation | Adjustment to EDD |
|---|---|---|
| 24 days | Day 10 | 4 days earlier |
| 28 days | Day 14 | none |
| 32 days | Day 18 | 4 days later |
| 35 days | Day 21 | 7 days later |
A week is a meaningful difference near the end of pregnancy, when decisions about induction depend on gestational age — which is why an early scan matters more than the formula.
Why ultrasound takes over
A first-trimester scan measures the embryo directly, and at that stage growth is remarkably consistent between pregnancies. Accuracy is about ±5 to 7 days. If a scan disagrees with the LMP date by more than that margin, clinicians normally redate the pregnancy to the scan.
Accuracy declines as pregnancy progresses — by the third trimester, size reflects genetics and growth conditions as much as age, so a late scan is a poor dating tool. This is why the earliest scan is the one that sets the date, and later ones do not move it.
A date, not a deadline
Fewer than one baby in twenty arrives on the estimated date itself. Most come within two weeks either side, which is precisely why 37 to 42 weeks is treated as normal rather than a single target.
Related reading: how the weeks and trimesters are counted, and working backwards from a due date to conception.
Run your own numbers
FAQ
What is Naegele's rule?
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How is a due date calculated for IVF?
What if my cycle is not 28 days?
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Sources
Primary references used for the figures and rules on this page.