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Gravida / Para


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21 replies to this topic

#1 AnthonyM83

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Posted 11 August 2009 - 03:55 AM

I was recently told that the common EMS definitions of all pregnancies versus live births (Gravidity vs Parity) seen in many textbooks is not consistent with what hospitals and other healthcare providers (like L&D nurses) use. Apparently, hospitals use Parity to mean how many times she has been pregnant over 20 weeks (or similar time period...24 weeks, etc) regardless of stillborns or miscarriages.

I think the common EMS definition I've heard from several places is useful to use, but it's inappropriate to report GP to a receiving nurse/doctor using a different definition (even if they're going to eventually ask patient themselves...in some emergent conditions it might not be possible right away).

Maybe someone who works both in EMS and hospital environment can clear things up for me.... Thanks.
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#2 chbare

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Posted 11 August 2009 - 04:11 AM

This is a topic that often causes confusion. Gravida simply means the number of times you had a bun or buns in the oven. Twins only count once. Para can be a bit more on the complicated side. Para means that you were able to carry that bun or buns long enough to be considered viable. The exact definition of para varies somewhat from source to source. However, most would agree that para is at least 20 or more weeks.

Take care,
chbare.
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#3 Dustdevil

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Posted 11 August 2009 - 04:16 AM

Someone mixed up their definitions. The 20-week thing is the definition of para, not gravida. Gravida applies to any conception. However, they are not considered para until 20 weeks of gestation, regardless of whether born alive or stillborn.

EDIT: chbare beat me to it.

Edited by Dustdevil, 11 August 2009 - 04:17 AM.

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#4 AnthonyM83

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Posted 11 August 2009 - 11:53 AM

I think we're all on the same page as far as which one is Para and which Grava (unless I'm having a semi-dyslexic moment?).
What concerns me is that EMS books (including my Bledsoe's Brady book) are giving an incomplete definition of Para (live births instead of viable pregnancies).
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#5 spenac

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Posted 11 August 2009 - 03:34 PM

In the field and even in our hospitals para is used for live births. Then abortion is used for any miscarriage (spontaneous abortion ) or intentional abortion. So I get a patient that is G9P6A2, breaks down as, 9 pregnancy's, 6 live births, 2 abortions of some sort, and 1 in the oven.
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