Gravida and Para: Solution and Explanation to really tough questions

Problem no 6

A lady at 32 weeks of pregnancy has 3 kids, a pair of twins of 4 years age and one of age 7. What is the parity index.

Solution 6: G₃P₂L₃A₀

The lady has three kids. A pair of twin are the outcome of single pregnancy. A child elder to those makes another pregnancy. She is pregnant now. All this adds up to make her gravidity THREE. Two pregancies outcome was full term viable kids. Since Twin make only ONE in parity index. The net parity is TWO. However, there are 3 living kids.

In case if you have confusion in the definitions of para, gravida, living and abortion, follow the link.

Problem no 7

32 years lady has a 5 years child which she conceived after great efforts after having two unsuccessful pregnancies. One terminated at 13 weeks of gestation following inevitable abortion and another was a still birth. She thought she is currently pregnant but USG showed snow storm appearance in the uterus most probably hyaditiform mole. What is her parity index.

Solution 7: G₄P₂L₁A₁

She had one abortion, one still birth, one live birth and currently a H Mole. So her garvidity is 4 because garvidity is number of times a lady has conceived irrespective of the outcome, no matter whether it is alive, dead, ectopic or molar preganancy. She has a 5 years kid and one was a still birth. Still birth are those fetuses delivered after they have completed the period of viability. So her parity is two. Only one child is alive currently. She also had one spontaneous inevitable abortion at 13 weeks means it has not reached viability.

Are these questions really tough for you ? May be try some easy ones first.

Problem no 8

A Lady with blood group B negative and sub-clinical hypothyroidism  delivered a normal baby in 2007. She was again pregnant in 2009 however it terminated early, again in 2010 there was another episode of abortion. In 2013, there was no complication in the early pregnancy but later the child developed erythroblastosis fetalis at 32 weeks of gestation and the pregnancy was terminated with a cesarean section. However the child could not survive. With such a bad obstetrics history, she has again conceived. What is her parity index.

Solution 8: G₅P₂L₁A₂

She had a normal pregnancy in 2007, two pregnancies at 2009 and 2010, one cesarean at 2013 and is still pregnant. So her garvidity is 5. Since, only two fetuses were delivered, one normally and one following cesarean delivery at 32 weeks (Viable fetus), the parity is two. The child delivered via cesarean could not make it to life because of erythroblastosis fetalis, so only the first child is living. She had two ill fated pregnancies that could not make to age of viability and hence the abortion is  two.

Problem no 9

A mother of two children had underwent medical termination of pregnancy at 10 weeks of gestation as she had conceived unplanned.  She lost both her kids in a major disaster when they were just 4 and 6 years of age. She is again pregnant and luckily she has conceived two fetuses. What is her parity index 

Solution 9: G₄P₂L₀A₁

The first child were 4 and 6 at the time of disaster. She had one MTP. She is currently pregnant. So, she is 4 gravida. The twins are the product of single conception, so it is counted as 1. She delivered two viable fetus who lived a happy life of 4 and 6. So, the parity is 2. But, since the tragedy happened and they no longer exist the number of living child is zero. Her unplanned pregnancy she terminated at 10 weeks accounts for 1 abortion.

Problem 10

My grandmother had 15 children of which there were three sets of twin deliveries. Total of 7 uncle and 8 aunt are alive today. She had 2 kids who died within 3 days of birth of which one of the kid was from a twin delivery and 3 episodes of abortions in early stages. What was her parity index when she was pregnant with my youngest uncle.

                    

Solution 10: ??G15P12L14A3??
This is a very long and time consuming process to describe. May be I shall leave it to the reader to calculate my grand mothers parity index because I do not have enough vigor left to think and calculate after writing this 3 pages long article. In case if you happen to calculate the index please mention it in the comment below for our other viewers and if possible with explanation as well.

The most important point I want to discuss here is that if I had asked what is the parity index of my grand mother currently, we cannot mention her GRAVID because she is not pregnant currently.  So her parity index would have started from P_xL_yA_z.One can not be labelled Gravid until and unless she is pregnant. NEVER EVER FORGET THIS POINT.

In case you have found any flaw or mistake please kindly comment. Thank you.