Gravida and Para Numbers, Naegele's Rule, and Prenatal Care

Gravida and Para Numbers (GTPAL)

• G (Gravidity)
  • Number of times a patient has been pregnant, regardless of the outcome.
• T (Term Births)
  • Term deliveries (past 38 weeks).
• P (Preterm Births)
  • Preterm deliveries (20-37 weeks).
• A (Abortions)
  • Abortions/miscarriages. Note: in medical terms, abortion can mean both deliberate and spontaneous pregnancy losses.
• L (Living Children)
  • Number of children currently living.

Gravida Terms

• Nulligravida: Never been pregnant.
• Primigravida: First pregnancy.
• Multigravida: Multiple pregnancies (two or more).
  • Example: