To establish the gravidity, parity, and abortion status for Abebech based on the provided information, we can use the following definitions:
- Gravida (G): The total number of times a woman has been pregnant, regardless of the outcome.
- Para (P): The number of pregnancies that have reached viable gestational age (typically considered to be 20 weeks gestation), regardless of whether the infants were born alive or stillborn. This is often classified in the format of P(Twin births are counted as 1), where T = Term births, P = Preterm births, A = Abortions, L = Living children.
- Abortion (A): Any pregnancy loss before 20 weeks of gestation.
From Abebech's history:
- She is currently pregnant (this counts as 1)
- She has given birth 5 times.
- One of her infants died during birth due to obstructed labor (this counts as one stillbirth, so it’s included in her para status).
- Two of her births were twins, but they would still count as a single birth in terms of para status.
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Gravidity (G):
- Current pregnancy + previous pregnancies = 1 + 5 = 6
-
Parity (P):
- Total live births = 5 (including both the single births and the twin birth counts as one)
- Since one baby was stillborn, we count the viable births (4 live births) as:
Total unless otherwise stated:
- 4 live births (the twins count as 1).
- 1 stillbirth.
Therefore, her parity is 4 (live births) + 1 (stillbirth) = 5.
-
Abortion (A):
- There is no mention of any abortions in her case, so 0.
Putting this all together, Abebech’s gravidity, parity, and abortion status is:
- Gravida (G): 6
- Para (P): 4 (with one stillbirth)
- Abortions (A): 0
Summary: G6P5A0