If a couple of trying for a baby and having sex every day, they can’t know which day was successful, so you go off a day you know for sure. That gives doctors a rough estimate of how far along the mother is, until they can do other tests to get a more accurate picture, such as ultrasounds.
Between the known date of their last period and visual evidence of the fetuses development, they can then make a pretty accurate guess on how far along the pregnancy is and when they expect the due date to be.
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