OK, I am extremely confused of the pregnancy codes that I learnt from class today - GTPAL (gravida, term, pre-term or parity, abortion, and live).
For example, G2P1 means the woman is currently pregnant and she has a living child. G4T1P1A1L1 means the woman is now pregnant; had one TA; had one stillbirth @ week 34; had one child died @ 6 months of age. Another one is G3T1P0A1L1 is the woman is having her third prenancy; has one living child born in term and she had one abortion.
I needed some help here. So when do I know if the P is for pre-term OR parity? In addition, would someone care to explain the examples that I provided above?
G9 (2 losses, 2 twin pregnancies, 5 term pregnancies = total 9 pregnancies)
T5 (pregnancies carried to term)
P2 (the twin pregnancies -remember you are counting pregnancies, not the number of babies resulting from them)
A2 (losses)
L9
This. The ONLY place that multiples are recorded as such is under the L of TPAL. It's usually still self-explanatory, unless a woman has more than one set of multiples, then you have to start asking more detailed questions.
Specializes in Nurse Leader specializing in Labor & Delivery.
7 hours ago, Linda Church said:
I disagree with Elvish's description of P in GTPAL. Twin pregnancies would count as 2 babies, not one. So the mother would be: G9T5P4A2L9.
L.Church MSN, CNM
Respectfully, that is incorrect. When you're using GTPAL (rather than just G P) the twin pregnancy is ONLY reflected in the L. The G, T, P, and A are "pregnancy events," not number of children.
Specializes in Nurse Leader specializing in Labor & Delivery.
I just got done working 12 hours. Don't make me think. Sometimes the GTPAL numbers don't explain the whole story by themselves, and you have to provide additional clarification. That's okay.
LLLovely, BSN, RN
102 Posts
This. The ONLY place that multiples are recorded as such is under the L of TPAL. It's usually still self-explanatory, unless a woman has more than one set of multiples, then you have to start asking more detailed questions.