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Obstetric story provides important information regarding the pregnancy chronicle of the patient . Various systems such as GPA and GTPAL are used to depict obstetric history .
Does Molar Pregnancy Count As Gravida?
Molar maternity is count asgravida , because gravida is the number of times a woman have pregnant even if there is an unviable pregnancy .
Molar pregnancy is a type of unviable maternity which indicates that the pregnancy will not lead in a viable fetus . This is due to the fact that this gestation is achieved by the fecundation of an ball which is innocent of genetic material . The fetus is not present and there is only placental growth . Although the pregnancy is not practicable , it is let in in the umbrella of gestation . Further , when the pregnancy do not accomplish full terminal figure , it is reckon an miscarriage or miscarriage . Even if the fetus is present in the molar gestation in the form of hydatidiform mole , there are severe genetical defect present , leading to the surcease of foetal maturation . This type of gestation is diagnose at the initial stagecoach of the pregnancy and is remove surgically from the uterus of the patient . Gravida is specify as a turn of fourth dimension a female get meaning . As molar pregnancy is also a course of pregnancy , it is counted in gravida regardless of the fact that it will not be able to achieve full full term . This will help the gynecologist in key out the obstetric history of the affected role in a more detailed manner and this inclusion body becomes more important in cases with recurrent molar maternity to take the appropriate rubber steps .
Obstetric History
Pregnancy is a sea of exciting feeling through which the women swim . But at times , it model certain dangers to both mother and the fetus . The risk can be partially foresee by knowing the obstetrical story of the patient . It is an important tool for examine the previous condition and position of char related to maternity . This allow digging important information to the woman’s doctor . The obstetrical history start with the number of children the patient has and whether they are born through normal or cesarian delivery . The next information is regarding the phone number ofabortions , abortion , and spontaneous abortion . The gynaecologist should be well cognisant regarding the weight and complications during the previous pregnancies . Also , the gynecologist should ask about any assisted reproductive proficiency used to reach previous pregnancies . This will help in foresee the potential complications during the term of pregnancy and pitch .
Various Systems For Depicting Obstetric History
Various systems are adopted for depicting the obstetric account of the patients regarding the pregnancy . These are :
GPA System . This organisation is termed as Gravida , Parity and Abortus scheme which determine the pregnancy chronicle of the affected role . Gravida intend the number of time a woman perplex significant while parity is the routine of pregnancies achieving more than 20 hebdomad . Abortion or stillbirth before 20 weeks is also show .
GTPAL . This organisation endure for Gravida , Term births , Preterm births , abortion , and live children .
Risk Factors For Molar Pregnancy
Genetic Mutation . genetical mutation are also a contributory factor in develop molar pregnancy . To genes regularise the process of development of oocyte . Any chromosomal mutation in these genes result in the unnatural development of the egg cell . When the sperm fertilize with these faulty eggs cadre , the result is a molar pregnancy .
eld . Age is considered as an authoritative factor for the occurrence of molar gestation . Women who had conceived at an early eld are at higher danger of reach molar maternity . Similarly , the women of long time above 40 eld are more prone to developing molar maternity .
Ethnicity . According to the research , the risk of molar pregnancy increases harmonise to the ethnicity of the women . woman in the Asiatic region are at higher risk as compare to the western human beings in developing molar pregnancy .
aesculapian History Of Molar Pregnancy . late molar pregnancy also adds the risk of molar maternity in the subsequent conception . Studies have indicated that adult female with previous molar maternity have 6 times increase the jeopardy of subsequent molar pregnancy .
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