The date of conception can't actually be determined, but the fetal growth usually reflects how far along the mother to be is , so i believe an ultrasound is pretty accurate.
It depends when in the pregnancy it is done. The earlier in pregnancy the more accurate it is. So at 7 weeks it is only going to be inaccurate by 3 or 4 days.
If you have your first U/s at 8 months it is not nearly as accurate as babies vary so much in size.
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