Gradiva and para

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Q1. If a woman had one spontaneous and one elective abortion. She has a son born at 40 weeks of gestation (w) and a daughter born at 34 w, is she G4 P2?

Q2. If a woman has 8 kids in 2 pregnancies. The first pregnancy produced a full term boy, and the second one produced septuplets at 19 w, is she G8 P1?

Q3. are twins born full-term gravida 2, para 1?

Thanks!

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G/TPAL is a much easier way to think about it

G = gravida = # of times the woman has been pregnant

T = term = the # of term babies she has given birth to

P = preterm = the # of preterm babies she has given birth to

A = abortions = the # of abortions (including miscarriages)

L = living = the # of living children the woman has

Just gravida and para gives a poor indication of a women's obstetrical history, IMO. Para is just the # of births she has had and doesn't factor in the # of babies that were involved.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Sorry, I just saw https://allnurses.com/ob-gyn-nursing/new-ob-nurses-99737.html after I had posted this thread. If it is not approriate to post a question here, please help me delete this one. Thank you.

Q1. If a woman had one spontaneous and one elective abortion. She has a son born at 40 weeks of gestation (w) and a daughter born at 34 w, is she G4 P2? G4 P2 AB2

Q2. If a woman has 8 kids in 2 pregnancies. The first pregnancy produced a full term boy, and the second one produced septuplets at 19 w, is she G8 P1? G 2 P 8

Q3. are twins born full-term gravida 2, para 1? G1 P2

Thanks!

Gravid= pregnant Para= live births :)

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Specializes in critical care.

I like the typo in the title... gra-"diva" :)

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Specializes in OB, NICU, Nursing Education (academic).

Gravida = # of pregnancies (no matter the outcome)

Para = # of pregnancies (NOT fetuses) that are completed past week 20

Ab = # of pregnancies (again, NOT # of fetuses) that end before week 20

GTPAL is much the same.....T = term pregnancies (not # of fetuses) completed beyond 38 weeks

P = preterm pregnancies (not # of fetuses) completed between after week 20 and prior to 38 weeks.

A = pregnancies ended before 20 weeks

L= living children (this is where # of children come into the count)

Source:McKinney "Maternal-Child Nursing"

Really, you can find these definitions is most any OB nursing text.

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Specializes in OB, NICU, Nursing Education (academic).
Sorry, I just saw https://allnurses.com/ob-gyn-nursing/new-ob-nurses-99737.html after I had posted this thread. If it is not approriate to post a question here, please help me delete this one. Thank you.

Q1. If a woman had one spontaneous and one elective abortion. She has a son born at 40 weeks of gestation (w) and a daughter born at 34 w, is she G4 P2?

Q2. If a woman has 8 kids in 2 pregnancies. The first pregnancy produced a full term boy, and the second one produced septuplets at 19 w, is she G8 P1?

Q3. are twins born full-term gravida 2, para 1?

Thanks!

Question 1: Yes, she is G4 P2 (GTPAL would be 4-1-1-2-2)

Question 2: No. She is G2, P1, AB 1 (GTPAL would be 2-1-0-1-1)

Question 3: If this is a first pregnancy, she is G1, P1 (GTPAL would be 1-1-0-0-2)

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Specializes in OB, NICU, Nursing Education (academic).
G/TPAL is a much easier way to think about it

G = gravida = # of times the woman has been pregnant

T = term = the # of term babies she has given birth to

P = preterm = the # of preterm babies she has given birth to

A = abortions = the # of abortions (including miscarriages)

L = living = the # of living children the woman has

Just gravida and para gives a poor indication of a women's obstetrical history, IMO. Para is just the # of births she has had and doesn't factor in the # of babies that were involved.

This is incorrect. Other than the "L", GTPAL doesn't factor in #of babies involved either!

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Specializes in OB, NICU, Nursing Education (academic).
Gravid= pregnant Para= live births :)

Para does not always equal live birth. A woman who delivers a stillborn at 38 weeks in (for example) a first pregnancy would still be Gravida 1, Para 1

Para is defined as #of pregnancies that complete 20 or more weeks (no matter the outcome).

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Specializes in Nurse Leader specializing in Labor & Delivery.

All the numbers EXCEPT the "L" only counts number of pregnancies, NOT number of babies.

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This is incorrect. Other than the "L", GTPAL doesn't factor in #of babies involved either!

That's how my OB textbook defines it and that's how we were taught.

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Specializes in OB, NICU, Nursing Education (academic).
That's how my OB textbook defines it and that's how we were taught.

Can you cite which OB text? I think I have them all.

I'm not trying to be a "know it all"....but I have taught in an academic setting many years. I also teach for Kaplan.

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Specializes in pediatrics, public health.
I like the typo in the title... gra-"diva" :)

Believe it or not, I actually know someone named Gradiva! (I wouldn't describe her as a "diva" at all -- not sure what the origin of the name is).

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