When does pregnancy time start to be calculated?

Patient's question:

Doctor, I would like to ask that my period arrived on December 28, 2017. I had sex with my ex-boyfriend on the 7th and then got married. However, my period came on January 29. On January 7, I took birth control pills, and my period skipped a day, so I went to the hospital and they prescribed me progesterone capsules. My period only arrived on January 29. I met my current husband on February 5, and now my husband also had his period on February 27. But on March 27, my period didn't come. I want to ask if this baby has anything to do with my ex-boyfriend. I don't need to do a paternity test, but I'm very worried every day. After getting married on January 7, I haven't seen him again. Is this the ultrasound report for the pregnancy? Can you help me make a good guess? Thank you.
I had a cesarean section surgery on November 28, 2018. I heard that if I got pregnant, it would be counted from the last period as the due date, which would be February 27, 2018, right? Or should it be counted from the day I had sex with my ex-boyfriend on January 7, 2018? Does it matter? But I calculated that from February 27, 2018, to November 28, 2018, it's 274 days? How many days are there in total when you are pregnant?

Doctor's answer:

You had your last menstrual period after marrying your ex-boyfriend, so the child is not his. There is no need for a paternity test. Based on your last menstrual period, your estimated due date is December 4, 2018, which is 40 weeks, 280 days. You had a cesarean section on November 28, which was 39 weeks, 274 days. One week early labor is normal. Therefore, the child is your current husband's, and there is no need to worry. A two-week early or late due date is normal.

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