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Keywords:

  • Crown–rump length;
  • pregnancy dating;
  • singleton CRL charts;
  • twin pregnancy dating

Please cite this paper as: Dias T, Mahsud-Dornan S, Thilaganathan B, Papageorghiou A, Bhide A. First-trimester ultrasound dating of twin pregnancy: are singleton charts reliable? BJOG 2010;117:979–984.

Objective  The aim of this study was to assess the performance of validated singleton crown–rump length (CRL) formulae in dating twin pregnancies at 11–14 weeks of gestation.

Design  Retrospective cohort study.

Setting  Fetal medicine unit of a London teaching hospital.

Sample  Three hundred and eighty-four pregnancies with known dates of conception.

Methods  Retrospective analysis of 266 singletons and 118 twin pregnancies conceived by in vitro fertilisation (IVF), with a known date of conception. The gestation calculated from the date of conception was compared with the expected gestation from fetal size using a number of different CRL formulae.

Main outcome measures  Difference in gestational age computed from fetal size (CRL) of the bigger and smaller fetus in twin pregnancies and singleton pregnancies using three formulae.

Results  Two of the three studied CRL formulae systematically underestimated the mean gestational age and size of singleton IVF pregnancies (Robinson formula: gestation = 1.4 days, size = 2.7 mm). Twin CRL measurements straddled those of singletons, regardless of the CRL formula used (Robinson formula: larger twin gestation = 2.4 days, size = 4.7 mm; smaller twin gestation = 0.8 days, size = 1.7 mm). These underestimates in gestation and size for IVF singleton and twin pregnancies are well within the known limits of accuracy of first = trimester ultrasound measurements, and are of limited clinical significance.

Conclusions  Currently available CRL charts underestimate both the age and size of IVF singleton pregnancies by a clinically insignificant amount. This difference is similar for twin pregnancies, suggesting that singleton CRL charts can be used to date twin pregnancies accurately.