Gravida

Definition

Gravida is the total number of pregnancies a woman has had, regardless of outcome (live birth, stillbirth, miscarriage, abortion, molar, or ectopic pregnancy). The current pregnancy is included.

Related Terms

• Nulligravida: Never pregnant
• Primigravida: First pregnancy
• Multigravida: 2+ pregnancies
• Grand multigravida: 5+ pregnancies

GTPAL

Gravida (total pregnancies), Term (≥37 weeks), Preterm (20 to 36 6/7 weeks), Abortions (before 20 weeks), Living. Example: A woman pregnant now (previously had 1 term birth and 1 miscarriage) is G3 T1 P0 A1 L1.

Clinical Significance

Obstetric history guides risk stratification for current pregnancy. Prior preterm birth increases preterm risk; multiple cesarean sections increase placenta previa/accreta risk.

NCLEX Relevance

GTPAL calculations are classic maternity questions.