PRIMIGRAVIDA

a woman who is pregnant for the first

time
PRIMIPARA
a woman who has given birth to one

child past age of viability or atleast 20

weeks live or dead

MULTIGRAVIDA
a woman who has had 2 or more

pregnancies

MULTIPARA
a woman who has given birth more

than once at 20 or more weeks of

gestation(woman who has carried two
or more pregnancies to viability)

NULLIPARA
a woman who has never completed a

pregnancy beyond a spontaneous or

elective abortion

NULLIGRAVIDA
a woman who has never been & is not

currently pregnant

GRAND MULTIGRAVIDA
a woman who has had six or more

pregnancies
GRAVIDITY
the total number of pregnancies,

past and present, irrespective of

the outcome

 Term infant an infant born

between 38 and 42 weeks of

gestation

Age of Viability- the earliest age

at which fetuses could survive if

they were born at that time(24
weeks)

Preterm an infant born before 38

weeks

 Abortion pregnancy that

terminates before the period

of viability (20 wks). Also
known as miscarriage

Live birth a live birth is

recorded when an infant born

shows sign of life

 Stillbirth infant born without signs of life

Early neonatal Death death of newborn within 7

days after birth

Late neonatal Death death of newborn between 7

to 29 days after birth

Low birth weight < 2500 grams

Normal Birth weight 2500 4000 grams
Large birth weight - > 4000 grams
Parturient a woman in labor
Puerpera a woman who just delivered (within six

weeks after delivery)

Antepartal/PrenatalPeriod
Period of pregnancy or period

before labor

PRENATAL CARE ( ANTEPARTUM

CARE)
Refers to the health care given

to a woman & her family

during pregnancy.

Purposes ofPrenatalCare
Establish a baseline of present health
Determine the gestational age of the fetus
Monitor fetal development and maternal well

being
Identify women at risk for complications
Minimize the risk of possible complications
by anticipating and preventing problems
before they occur
Provide time for education about pregnancy,
lactation and newborn care.

3 PHASES:
1.PRE-CONSULTATION
history taking, family, medical,

obstetrical history)
. 2. CONSULTATION
physical assessment

. 3. POST CONSULTATION
health teachings

Schedule ofVisits
Once a month up to first 32 weeks
Twice a month( every 2 weeks) from 32

to 36 weeks
Four times a month ( every week) from
36 to 40 weeks
In the presence of danger signals of
pregnancy, the mother should be
instructed to report promptly for
evaluation

Components
Of
Prenatal Visit

Pre-Consultation
A.InitialInterview
Establishing rapport
Gaining information about a womans

physical and psychosocial health

Obtaining a basis for anticipatory

guidance for the pregnancy

B.D em ographic D ata

Name
Age
Address
Telephone number
e-mail address
Religion
Health insurance information

C.ChiefConcern
Reason woman has come to the health

care setting
Date of last menstrual period (LMP)
Elicit information on early signs of
pregnancy
Document if pregnancy was planned

D .Fam ily Profi

le
Support people(educational level,age,

occupation
Sexual partner, marital status
History of family
illnesses(cardiovascular,renal disease,
blood disorders, genetically inherited
diseases or congenital anomalies

E.H istory ofPast Illnesses

Kidney, heart diseases
Sexually transmitted

infections(hepa,HIV)
Diabetes, thyroid disease, ashthma,TB
Childhood diseases
Chicken pox(varicella)
Mumps(epidemic parotitis)
Measles(rubeola
German measles(rubella)
Immunizations
Gynecologic

disorders(myomas.cysts,polyps)

F.G ynecologic H istory

menstrual history( menarche, length

& regularity of menses, interval

between periods, amount of flow,
dysmenorrhea)
Previous pregnancies, type and

outcome of birth , history of previous

miscarriage

G .O bstetric H istory
Preceding pregnancies and perinatal

outcomes:

GTPAL or GTPALM
A more comprehensive system for

classifying pregnancy status

provides greater detail a womans

pregnancy history. By this system, the

gravida classification remains the same