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GRAVIDITY AND PARITY
DETERMINATION
Pregnancy Assessment
Determining the gravidity
and parity of a woman
entails an understanding of
the definition of “gravida”
and “para/parity”.
Gravidity – refers to the
total number of pregnancies,
past and present irrespective
of the outcome.
Gravida (G)– is a woman who is pregnant
(present) or has been pregnant (past).
Nulligravida (G0) – is a woman who is not
pregnant now or has never been pregnant.
Primigravida (G1) – a woman who is having
her first pregnancy.
Multigravida (G2 to G5) – a woman who has
had two or more pregnancies.
Grandmultigravida (G6 or more) – a woman
who has had 6 or more pregnancies.
 Parity – refers to the total of number of
pregnancies in which the fetus or fetuses
have reached the age of viability and
subsequently delivered whether dead or
alive at birth.
 Age of viability – is the age at which the
fetus is sufficiently developed in order to
survive extrauterine life. The legal
definition of age of viability is “20 to “28”
weeks of gestational age.
 In the US and in more advanced nations
with highly sophisticated means and ways
to sustain life of very small and young
fetuses, any pregnancy carried to at least
20 completed gestational weeks or the
pregnancy ended in the delivery of an
infant weighing at least 500 g or more,
whether, born living or dead, it would be
included in the parity count.
 REMEMBER:
 a. The number of pregnancies is counted and
NOT the number of fetuses. Multiple
pregnancy therefore, DOES NOT increase the
parity. Twins and triplets would only be
considered as ONE delivery, therefore ONE
PARITY.
For example: Carla is pregnant for the first
time and is carrying twins.
She is presently
G1P0.
Granting that she has delivered her twins
reaching the age of viability (live or dead), she
would be considered
G1P1
 Abortion –is NOT included in the parity count.
 Abortion is the termination of pregnancy before
age of viability.
 Parity will only include all pregnancies carried
to age of viability, meaning beyond the period
of abortion.
 For example: Judy is pregnant for the second time
with her first pregnancy ending in abortion, Judy is
presently
 G2P0
 After Judy delivered fullterm or preterm, she
would be designated
 G2P1
 What if Judy’s second pregnancy did not reach the
age of viability and was aborted at 10 weeks?
 Then Judy would remain to be
 G2P0.
 Whether the fetus is born alive or still at
birth, after viability is reached, DOES NOT
AFFECT PARITY.
 For example: Susie is pregnant for the first
time
 (G1P0).
 After 41 weeks, she delivered a 6-lb-still
baby boy.
 This makes her a primipara
 (G1P1).
 Primipara (P1) – a woman who has completed
one pregnancy to age of viability and
subsequently delivered whether living or dead
at birth.
 Multipara (P2 to P5) – a woman who has
carried 2 or more pregnancies to age of
viability and subsequently born living or dead.
 Grandmultipara (P6 or more) – a woman who
has had 6 or more viable deliveries whether
dead or alive at birth.
 Gravidity
 -refers to the number of pregnancies, irrespective of the
outcome.
 Parity
 - refers to the number of pregnancies that has (1)
reached the age of viability, and (2) subsequently
delivered, dead or alive at birth.
 Age of viability
 -the fetus has reached 20 completed weeks or more or
 - the fetus has reached 500gms or more at birth
THANK YOU!!!!

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1.-GRAVIDITY-AND-PARITY-DETERMINATIONS.pdf

  • 2. Determining the gravidity and parity of a woman entails an understanding of the definition of “gravida” and “para/parity”.
  • 3. Gravidity – refers to the total number of pregnancies, past and present irrespective of the outcome.
  • 4. Gravida (G)– is a woman who is pregnant (present) or has been pregnant (past). Nulligravida (G0) – is a woman who is not pregnant now or has never been pregnant. Primigravida (G1) – a woman who is having her first pregnancy. Multigravida (G2 to G5) – a woman who has had two or more pregnancies. Grandmultigravida (G6 or more) – a woman who has had 6 or more pregnancies.
  • 5.  Parity – refers to the total of number of pregnancies in which the fetus or fetuses have reached the age of viability and subsequently delivered whether dead or alive at birth.  Age of viability – is the age at which the fetus is sufficiently developed in order to survive extrauterine life. The legal definition of age of viability is “20 to “28” weeks of gestational age.
  • 6.  In the US and in more advanced nations with highly sophisticated means and ways to sustain life of very small and young fetuses, any pregnancy carried to at least 20 completed gestational weeks or the pregnancy ended in the delivery of an infant weighing at least 500 g or more, whether, born living or dead, it would be included in the parity count.
  • 7.  REMEMBER:  a. The number of pregnancies is counted and NOT the number of fetuses. Multiple pregnancy therefore, DOES NOT increase the parity. Twins and triplets would only be considered as ONE delivery, therefore ONE PARITY. For example: Carla is pregnant for the first time and is carrying twins. She is presently G1P0. Granting that she has delivered her twins reaching the age of viability (live or dead), she would be considered G1P1
  • 8.  Abortion –is NOT included in the parity count.  Abortion is the termination of pregnancy before age of viability.  Parity will only include all pregnancies carried to age of viability, meaning beyond the period of abortion.
  • 9.  For example: Judy is pregnant for the second time with her first pregnancy ending in abortion, Judy is presently  G2P0  After Judy delivered fullterm or preterm, she would be designated  G2P1  What if Judy’s second pregnancy did not reach the age of viability and was aborted at 10 weeks?  Then Judy would remain to be  G2P0.
  • 10.  Whether the fetus is born alive or still at birth, after viability is reached, DOES NOT AFFECT PARITY.  For example: Susie is pregnant for the first time  (G1P0).  After 41 weeks, she delivered a 6-lb-still baby boy.  This makes her a primipara  (G1P1).
  • 11.  Primipara (P1) – a woman who has completed one pregnancy to age of viability and subsequently delivered whether living or dead at birth.  Multipara (P2 to P5) – a woman who has carried 2 or more pregnancies to age of viability and subsequently born living or dead.  Grandmultipara (P6 or more) – a woman who has had 6 or more viable deliveries whether dead or alive at birth.
  • 12.  Gravidity  -refers to the number of pregnancies, irrespective of the outcome.  Parity  - refers to the number of pregnancies that has (1) reached the age of viability, and (2) subsequently delivered, dead or alive at birth.  Age of viability  -the fetus has reached 20 completed weeks or more or  - the fetus has reached 500gms or more at birth