Gravida in pregnancy describes the number of pregnancies you have actually got, no matter they’re finished or not. Para describes the variety of shipments, that is the variety of pregnancies lastly resulting in live births.
Gravida vs. Para
Among the most common concerns missed in the EMT and Paramedic OBGYN test include the terms Gravida and Para.
Nobody wishes to hear the paramedic yell over the radio and then to the ER staff that “this chick has actually been pregant 5 times; she had two kids, two miscarriages and an abortion.” So, since these are important aspects that need to be interacted in some OB calls, we use G/P/A.
Quick version: Gravida suggests pregnancies and Para implies live births. If your patient has actually had a miscarriage and two live births, you could say she was Gravida 3, Para 2 or merely G3 P2. If the patient has had an abortion, a 3rd notation (A) for Abortus can be used.
A more in-depth description of the rules and finer points thanks to Wikipedia:
- Gravida suggests the variety of times the mom has actually been pregnant, despite whether these pregnancies were reached term. A present pregnancy, if any, is consisted of in this count.
- Para shows the variety of feasible (>20 wks) births. Pregnancies including multiples, such as twins or triplets, count as ONE birth for the function of this notation.
- Abortus is the variety of pregnancies that were lost for any reason, consisting of induced abortions or miscarriages. The abortus term is often dropped when no pregnancies have actually 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. The obstetrical history of a female who has had four pregnancies, among which was miscarried, would be kept in mind as G4P3A1. That of a female who has had one pregnancy of twins with successful outcomes would be kept in mind as G1P1.