Gradiva and para

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.

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

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.

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)

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!

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).

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

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.

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.

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).