Normal Pregnancy

Normal Pregnancy

Gravidity, Parity, and Duration of Pregnancy

 

Gravidity: The total number of times a woman has been pregnant, regardless of the outcome.

  • Nulligravidity: No history of pregnancy
  • Primigravidity: History of one pregnancy
  • Multigravidity: History of two or more pregnancies

 

Parity: The number of pregnancies carried beyond 20 weeks of gestation that result in the birth of an Infant weighing more than 500 grams.

  • Nulliparity: No history of a completed pregnancy that reached beyond 20 weeks’ gestation or ended with a birth weight of more than 500 grams.
  • Primiparity: History of one completed pregnancy that reached beyond 20 weeks’ gestation or ended with a birth weight of more than 500 grams.
  • Multiparity: History of more than one pregnancy that reached beyond 20 weeks’ gestation or ended with a birth weight of more than 500 grams.

 

Fetal age:

  • Gestational Age: Estimated fetal age (in weeks and days) calculated from the first day of the last menstrual period.
  • Conceptional Age: The age (in weeks and days) of the fetus calculated from the day of conception (fertilization).

 

Duration of pregnancy

  • Normal duration of pregnancy: 40 weeks (280 days)
  • Postterm pregnancy: a pregnancy that extends beyond 42 weeks’ gestation or the estimated date of delivery plus 14 days
  • Periviable birth: live birth occurring between 20-25 weeks of pregnancy
  • Preterm birth: live birth before the completion of 37 weeks (<370/7) of pregnancy
  • Postterm birth: live birth after 42 weeks (>420/7) of pregnancy

 

Trimesters of pregnancy

  • First trimester (weeks 1-13)
  • Second trimester (weeks 14-26)
  • Third trimester (weeks 27-40)

 

Clinical Relevance

  • Assessment: Use gravidity and parity to assess obstetric history and manage risk factors.
  • Monitoring: Track fetal age to determine appropriate timing for prenatal tests and interventions.
  • Adjust management plans based on the duration of pregnancy and trimester-specific needs

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