COMPUTING THE EDD, AOG, GTPAL

DEFINITION OF TERMS HEALTH ASSESSMENT DURING

1. Gravida PRENATAL VISITS
• A pregnant woman. SCHEDULE OF PRENATAL VISITS
• This refers to any pregnancy • Up to 28th week of pregnancy
regardless of duration. ➢ Every 4 weeks
2. Para • 28th – 36th week of pregnancy
• A woman who has delivered a viable ➢ Every 2 weeks
young (not necessarily living at • 36th week until Birth
birth). ➢ Every week
• Para is used with numerals to
METHODS OF ESTIMATING
designate the number of
EDD & AOG
pregnancies that have resulted in EDD
the birth of a viable offspring 1. Naegel’s Method
3. Nulligravida
• LMP – 3 months + 7 days + 1 year
• A woman who has never been
pregnant.
4. Nullipara
• A woman who has not delivered a
child who reached viability.
5. Primigravida
• A woman pregnant for the first time
6. Primipara.
• A woman who has delivered one
child after the age of viability. 2. Another method is by Adding 9 months
7. Multigravida. and 7 days (LMP from Jan – Mar only) to
• A woman who has been pregnant the first day of the last menstrual
more than once. period (LMP).
8. Multipara.
• A woman who has delivered two or
more fetuses past the age of
viability.
• It does not matter whether they are
born dead or alive.
9. Grandmultipara.
• A woman who has had six or more
births past the age of viability.
10. Viability.
• Refers to the capability of a fetus to
survive outside the uterus after the
earliest gestational age
(approximately 24 weeks gestation).
11. In utero.
• Refers to within the uterus
 COMPUTING THE EDD, AOG, GTPAL
3. Some women have cycles that are • Height of the fundus (cm) ÷ 3.5 = age
consistently longer than the average 28- of pregnancy in lunar months
day cycle. In these cases, a pregnancy • Typically, tape measurement from
wheel can still be used, but some simple the notch of the symphysis pubis to
calculations are necessary. over the top of the uterine fundus as
• The second half of a woman’s a woman lies supine is equal to the
menstrual cycle always lasts for 14 week of gestation in centimeters
days. This is the time from ovulation between the 20th and 31st weeks of
to the next menstrual period pregnancy (e.g., in a pregnancy of 24
• If your cycle is 35 days long, for weeks, the fundal height should be
example, then you probably 24 cm).
ovulated on day 21 (35 – 14 = 21)
AOG
• Once you have a general idea of
1. Bartholomew Rule of 4ths
when you ovulated, you can use an
• Bartholomew's rule of fourths does
adjusted LMP to find your due date
not use a numerical height value to
with a pregnancy wheel.
compute gestational age, but
• For example, if your menstrual cycle
landmarks
is usually 35 days long and the first
day of your LMP was November 1:
➢ Add 21 days (November 22
➢ Subtract 14 days to find
your adjusted LMP date
(November 8)
➢ After you calculate your
adjusted LMP date, simply
mark it on the pregnancy
wheel and then look at the
date where the line crosses.
That is your estimated due
date.
4. McDonald’s Rule (Fundal Height
Measurement)
• If LMP is not known.
• Palpate the fundus and relate the
height of the fundus with abdominal
landmarks.
• after week 24 of pregnancy the
fundal height for a normally growing
baby will match the number of
weeks of pregnancy — plus or minus
2 centimeters.
• for example fundal height 27 cm. =
27 weeks pregnant
 COMPUTING THE EDD, AOG, GTPAL
AOG PRACTICE QUESTIONS GTPAL PRACTICE QUESTIONS

OBSTETRICS HISTORY
• Comprehensive system of classifying
pregnancy status
o G ( gravida ) – total # of pregnancies
o P ( para) - number of deliveries that
reached viability, regardless of
whether the infant was born alive
▪ T = # of full-term infants
born at 37 weeks or after
▪ P = # of preterm infants born
before 37 weeks
▪ A = # of spontaneous or
induced abortions
▪ L = # of living children
▪ M = # of multiple
pregnancies.