Gravida / Para
Posted 11 August 2009 - 03:55 AM
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.
Posted 11 August 2009 - 04:11 AM
Posted 11 August 2009 - 04:16 AM
EDIT: chbare beat me to it.
Edited by Dustdevil, 11 August 2009 - 04:17 AM.
Posted 11 August 2009 - 11:53 AM
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).
Posted 11 August 2009 - 03:34 PM
Posted 11 August 2009 - 06:37 PM
Live births: only pertinent if still born carried full term or late term abortion (ie post 20 weeks) *note also make sure to include any children deceased in later years in this count !
Para: delivered babies in total
Gravida: how many times pregnant
So say you had a woman with a full term carried still born, 2 viable kids, and 2 abortions
I would count her as 2 Live birth, 3 Para, 5 Gravida
Posted 11 August 2009 - 10:49 PM
If birth is imminent, never mind, do what ya gotta do.
Posted 11 August 2009 - 11:18 PM
... The exact definition of para varies somewhat from source to source. However, most would agree that para is at least 20 or more weeks.
Well I came out at 24 ... (maybe it was 26) .... guess that's why I'm working on becoming a paramedic huh?
Edited by kiwimedic, 11 August 2009 - 11:18 PM.
Posted 13 August 2009 - 04:37 AM
Basically my EMT friend is in nursing school and was surprised to find she was being taught a different definition than what she'd been using when reporting to nurses all her time as an EMT. And the nurses who work at the hospital she's doing clinicals at have no idea EMTs/Paramedics are taught a different definition.
Posted 13 August 2009 - 05:28 AM
Maternal Newborn Nursing, Third Edition, Olds, London, Ladewig, 1988
I don't recall what my paramedic textbook said. I don't recall being surprised by any change in definition in nursing school though. But this is one of those things that is so briefly covered in medic school, and then so rarely used or reviewed, that a lot of medics probably just forget the fine details.
Para: Delivery after 20 weeks of gestation (pregnancy) regardless of whether the fetus is born alive or dead.
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