Gravida/ para help!


Hi everyone,

I was wondering if anyone could help me since im getting confused. I had a patient in clinical who just had twins and was at full term. She has a two year old at home and had 1 miscarriage...i am getting confused because in the chart under pregnancy history it said Gravida 3 para 1 with no TPAL. Do you count the babies she just had??

Would it be G3 P1 with a TPAL of T2 P0 A1 L3

Thanks for your help


98 Posts

Has 6 years experience.

This probably varies from place to place but sometimes they'll wait to make sure the babies survive. At least I know this goes for when they are in the NICU but since yours sounded healthy and FT... I am not completely sure.


517 Posts

Specializes in Med/Surg, Rehab.

I would think the G3 P1 was just "left over" and being recopied from her earlier appointments. A lot of times the docs just recopy the PMH from previous notes.

rn/writer, RN

17 Articles; 4,168 Posts

If she has delivered full-term twins, she would be:

G 3 (three pregnancies)

P 2 (each pregnancy counts as one para, even if there are six babies :eek:)

T 2 (two term pregnancies assuming the 2 yo at home went at least 37


P 1 or 0 (depending on the gestational age of the miscarriage*)

A 1 or 0 (again, depending on the gestational age of the miscarriage)

L 3 (three live births)

It is very common for the SBAR sheet to reflect the patient's status upon arrival at the hospital, not after the delivery.

*Just a side note: keep in mind that while medical professionals refer to any pregnancy loss (spontaneous or elective) prior to 20 weeks as an abortion, this can be a loaded and unpleasant word, especially to a patient who has been trying to conceive and carry a very much wanted pregnancy.

For that reason, patients usually prefer to refer to an unplanned loss as a miscarriage. The problem with this is that there is no distinction in layman's terms between a loss that occurred before twenty weeks and one that took place later.

So, the non-medical terminology is gentler, but it doesn't denote the time frame. And the medical terminology gives more information but is hurtful to some of the patients.

This is why it's important to determine the gestational age of any "miscarriage."

Best wishes with your clinical. :up:


2 Posts

Thank you so much for your help!---your probably right that it was left over and thats why i was getting confused