GTPAL question

[UF21]

Your pregnant client is making her first prenatal visit. She has 4 healthy children; a 8 year old son who was born at 38 weeks, 3 year old twin daughters who were born at 27 weeks, and a 1 year old son born at 35 weeks. She has had 3 pregnancy losses, one at 11 weeks, one at 22 weeks, & a twin pregnancy at 15 weeks. What is her GTPAL?

I think the answer is 18 but im not sure!

Thanks!

[donk]

I think you have to separate it into the GTPAL.... So not the total number but the number of each Holstein corresponding with gravida, term, pre term, abortion and living. For instance I have 3 living children (one pre term before 37 weeks) and 2 miscarriages so my GTPAL is 5/2/1/2/3

This is the way I was taught but I could be wrong

[donk]

Wow auto correct sucks lol!!! Holstein?! Lol!!!

[akulahawkRN, ADN, RN, EMT-P]

Holsteins aside... to the OP: you need to break it down to the components of Gravida, Term, Para (to viability), Aborted, and Living. The first 4 components deal with the uterus. The last is simply the living children as of when the woman comes into the hospital. All the info is there for you to be able to "fill out" the GTPAL terms! Take a crack at it or two, post it and we'll see how you do!

[rowdysmomma]

I will tell you that there is going to be one answer for the G, then another answer for the T, and another for the P, A also gets his own number, as well as L. :)

In all seriousness, the point of GTPAL is to give you a history of the mothers pregnancy past.

G= gravida. How many pregnancies?

T= Term. How many term pregnancies? (Full term is usually at least 38 weeks but some people I know say they were taught 37 weeks is full term)

P= Preterm. How many preterm pregnancies?

A= Abortions (Spontaneous, miscarriage, or surgical)

L= Living. How many living children are present?

These are tricky at first but they are like a fun puzzle after a while!

[dima-kh]

G7/T1/P3/A3/L4

[klone, MSN, RN]

Another issue that is in dispute (everyone has a different opinion) is how to count twins. My understanding from Williams' Obstetrics is that you only count twins in the last number (L). For all the other places, you're counting the *pregnancy* (not the number of fetuses in your uterus) as one "event". Also, any loss after 20 weeks is counted in the "P" (preterm birth), not "A" (abortion). And term is indeed equal to or greater than 37 weeks. 36w6days or less would be preterm.

I have the answer I think is correct, but I want to see what the OP comes up with.

[klone, MSN, RN]

I'm going to present this scenario today to the midwives with whom I work, and see if they come up with the same answer.

[Hidza]

G6-T1 -P3-A2-L4

Please let me know the correct answer

[loving2024, BSN, RN]

G is 7 because the patient is currently pregnant, you have to count that too. So it is

G7-T1-P3-A2-L4