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Gravida/para/abortus

Discussion in 'Glossary and Definitions of Terms' started by AutumnMaple, Nov 9, 2009.

  1. AutumnMaple

    AutumnMaple Well-Known Member

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    Gravida indicates the total number of times a woman has been pregnant, regardless of whether these pregnancies were carried to term. A current pregnancy, if any, is included in this count. Para indicates the number of viable (>20 wks) births. Pregnancies consisting of multiples, such as twins or triplets, count as ONE birth for the purpose of this notation. Abortus is the number of pregnancies that were lost for any reason, including induced abortions or miscarriages. The abortus term is sometimes dropped when no pregnancies have been lost.
    Therefore, the history of a woman who has had two pregnancies (both of which resulted in live births) would be noted as G2P2.
    A woman who had 4 pregnancies, one of which was miscarried, is noted as G4P3A1. A woman who has had one pregnancy of twins with successful outcomes is G1P1.
  2. Amberora

    Amberora Active Member Plus! Member

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    I was thinking about this recently and had Lily Allen in my head as an example. She has had 1 live birth, 1 stillbirth, 1 miscarriage and is pregnant again. Would that be G4P2A1?
  3. iolaus

    iolaus RM and Head of Clinical Practice Staff Member Plus! Member

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    I think Lily Allen's lost baby wasn't technically a stillbirth (she was 23+ weeks)
  4. Iris

    Iris RM Staff Member

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    wouldn't a woman who has had twins following first pregnancy be G1P2?
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  5. Roo

    Roo Well-Known Member

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    That's how I'd write it.
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  6. subtlerevulsion

    subtlerevulsion Moderator Staff Member Plus! Member

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    I sat in on two hand overs at my local unit and they never mentioned abortus. Is this something only select trusts do, or should all stmw know about this?
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  7. iolaus

    iolaus RM and Head of Clinical Practice Staff Member Plus! Member

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    I'd write a woman who'd had twins in her first pregnancy as G1P2 (as I thought parity was registerable births and count 1 baby as 1 birth)

    That said I know there is disparity about it and only about 20% of those in the UK record twins as P1
  8. Azalea

    Azalea RM

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    I'd do the same...

    gravida = number of pregnancies including the current one

    parity = number of registerable births

    So... Lily Allen would be: G4 P2+1

    I'd be: G5 P5 if I fell pregnant again as I've had twins
  9. Roo

    Roo Well-Known Member

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    I've never heard of the Abortus part.

    We just do G2 P0+1 for any pregnancy lost up to 24 weeks. If its after 24 weeks it goes as a parity.
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  10. AutumnMaple

    AutumnMaple Well-Known Member

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    This was from such a long time ago, I am not even sure where I got it from! I really should have referenced it! So sorry :(
    In practice, I too have never heard of, or used the term abortus.
    Just wondering... if you write the parity for a stillbirth (say for a first pregnancy), how would you know looking at a woman's notes (with a second pregnancy) whether her first pregnancy resulted in a live birth or not? How is this noted?

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