Parity: Does Induced Abortion Count as a Birth? - Obstetrics and Gynecology

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Pregnancy parity issues?


If a minor has undergone induction of labor for a fetus approximately 16 weeks in size, is she considered a multiparous woman? Should subsequent pregnancies be counted as the first or second pregnancy? Will this have any impact on future deliveries? Thank you!

Qiu, 20~29 year old female. Ask Date: 2020/10/08

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a 16-week pregnancy is generally not considered the first pregnancy and usually does not have an impact.
Wishing you good health.

Reply Date: 2020/10/08

More Info


Understanding parity is essential in obstetrics, as it helps healthcare providers assess a woman's reproductive history and potential risks during pregnancy and childbirth. Parity refers to the number of pregnancies a woman has carried to a viable gestational age, typically defined as 20 weeks or more. However, the classification can vary based on different medical guidelines and practices.

In your case, if you underwent an induced abortion at around 16 weeks, it is important to note that this does not count as a birth in the context of parity. Parity is generally defined by the number of live births or stillbirths after 20 weeks of gestation. Therefore, an abortion at 16 weeks would not be included in your parity count, and you would be considered a nullipara (a woman who has never given birth) if you have not had any subsequent pregnancies that reached 20 weeks.

When it comes to subsequent pregnancies, if you become pregnant again after the abortion, that pregnancy would be considered your first pregnancy in terms of parity. If you carry that pregnancy to at least 20 weeks and deliver, you would then be classified as a primipara (a woman who has given birth for the first time).
Regarding the impact of a previous abortion on future pregnancies, research indicates that having a prior abortion does not significantly affect the outcomes of future pregnancies in most cases. However, individual circumstances can vary, and factors such as the method of abortion, any complications that may have arisen, and overall reproductive health can play a role. It is essential to discuss your medical history with your healthcare provider, who can offer personalized advice and monitor your health throughout future pregnancies.

In summary, an induced abortion at 16 weeks does not count as a birth and would not affect your parity classification. Your next pregnancy would be considered your first in terms of parity, and having had an abortion typically does not pose significant risks for future pregnancies. However, it is always advisable to maintain open communication with your healthcare provider regarding any concerns or questions you may have about your reproductive health and future pregnancies.

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