II. Definitions: Gravida
- Gravida
- Number of pregnancies regardless of outcome (including current pregnancy)
- Each pregnancy counts as 1, regardless of the number of fetuses
- Nulligravida
- No prior pregnancies
- Primigravida
- Currently in first pregnancy
- Multigravida
- Two or more pregnancies (including current pregnancy)
III. Definitions: Parity
- Parity (or Para, Parous Events)
- Number of births after 20 weeks gestation
- Multiple Gestation (e.g. twin, triplet) births count as one
- Nullipara (or Nulliparous)
- No prior births after 20 weeks gestation
- Primipara (or Primiparous)
- One prior birth >20 weeks gestation
- Multipara (or Multiparous)
- Two or more births after 20 weeks gestation
- Grand Multipara (Grand Multiparity)
- Five or more births after 20 weeks gestation
IV. Documentation: GTPAL Recording System (most common system in U.S.)
- Parts
- G: Total number of pregnancies (Gravida)
- T: Number of FULL TERM deliveries (37-40+ weeks gestation)
- P: Number of PRETERM deliveries (20-36 weeks gestation)
- A: Number of ABORTIONS and Miscarriages before 20 weeks gestation
- L: Number of LIVING Children (this reflects Multiple Gestation births)
- Example
- G4 P2214 = 4 total pregnancies, 2 term deliveries, 1 preterm delivery (Twin Gestation), 1 Miscarriage, 4 living children
V. Documentation: GPA Recording System
- Parts
- G: Total number of pregnancies (Gravida)
- P: Number of births after 20 weeks gestation (Parity)
- A: Number of ABORTIONS and Miscarriages before 20 weeks gestation