Gravida, Para...

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Hi All,

I am just starting out my degree in medical transcription and I am doing a question about GP "codes".

Can someone please explain this to me...

para 1-2-1-3....

Thanks!!

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Specializes in L&D.

Triplets? wait, that doesn't make sense.. what order is it in?

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That's the order it gave me

Gravida 3, para 1-2-1-3

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I also have this one:

Gravida 1, para 0-2-0-2

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Specializes in NICU, L&D and ED.

T P A L

It is term, preterm, abortion (includes elective and miscarriage) and living

So the 0-2-0-2 would mean she had 2 preterm deliveries and 2 living children. They would have been pre term twins since she is G1

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Specializes in Nurse Leader specializing in Labor & Delivery.
That's the order it gave me

Gravida 3, para 1-2-1-3

That's actually impossible. The first two numbers after the P (the 1 and 2, which stand for term and preterm) refer to PREGNANCIES, not children. If she's pregnant with twins, you don't count it as 2 pregnancies. That's what the last number is for (the 3, which is the "L" in GTPAL, which stands for living children.

According to the Para numbers, she's had 1 term pregnancy, 2 preterm pregnancies, 1 abortion (either miscarriage or elective abortion) and she has 3 living children. If those numbers are correct, then her Gravida would be 4, not 3.

If she had preterm twins, then she would be G3 P1113.

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Specializes in Nurse Leader specializing in Labor & Delivery.
I also have this one:

Gravida 1, para 0-2-0-2

That one is also incorrect. You can never have Para numbers that exceed the gravida number. Assuming these were preterm twins, she would be G1 P 0102

It's something even a lot of OBs and midwives screw up.

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Specializes in NICU, L&D and ED.

Klone, yes! I forgot about that since transferring to the NICU. When I first transferred I tried to get others to document it the right way but stopped trying after nothing changed.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Gravida in pregnancy refers to the number of pregnancies you've got, no matter they're completed or not. Para refers to the number of deliveries, that is the number of pregnancies finally leading to live births.

YOur numbers do not make sense

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Specializes in Nurse Leader specializing in Labor & Delivery.
Gravida in pregnancy refers to the number of pregnancies you've got, no matter they're completed or not. Para refers to the number of deliveries, that is the number of pregnancies finally leading to live births.

YOur numbers do not make sense

Yes, thank you for completing my incomplete thought. T and P in GTPAL refer to PREGNANCIES, that lead to delivery, that take place AFTER 20 weeks (before 20 weeks would be in the A/Abortions category).

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So many medical professionals mess this up. I have to admit sometimes a woman's reproductive history can be confusing, which doesn't help.

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I don't know if they make sense or not, but I didn't make them up. This is a critical thinking exercise in my textbook.

This is the question I was given in my textbook:

The following phrases and styles are common in OB/GYN dictation. Describe what each phrase below means, including the numbers.

G4, P2, Ab1 gravida 3, para 1-2-1-3 gravida 1, para 0-2-0-2

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