G's and P's question-mom has had twins

Specialties Ob/Gyn

Published

OK, lady yesterday was coming in to our l&d via ems. ems called to give report. said she was g2p2. my first thought was huh? but then they say first pregnancy was twins, then this singleton pregnancy.

i know that gravida is number of pregnancies. that's not an issue. its the para. i thought that para was the number of DELIVERIES after 20 weeks, not the number of BABIES.

So i would have thought that the above woman was a g2p1. other nurses also said that she was g2p2. am i wrong? (not unlikely)

Specializes in LDRP.

I think she means interval delivery. NOt that i knew what that was either, but i googled it and figured out that its someone pregnant with twins, and one is delivered, but one is still in utero.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

ah well DUH on ME! Thanks.

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Sorry for the spelling error, and yes I did mean interval. We probably do 4 a yr and every time we have the G/P discussion. I voted for G1 P 1/2, but nobody else like that (HaHA)

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Specializes in L&D.

Gravida is pregnancies, Para is pregnancies (not babies) carried beyond 20 weeks. Unless you use TPAL--term, premature, abortions, living.

Second pregnancy, first premature twins would then be:

G2 P1

or

G2 P0102

If you want details, you'll have to write it out: born alive, now deceased; interval delivery 1st premature, second >36 weeks, term stillborn and living multiples. No system is perfect for all situations, but you do get a lot more information using TPAL rather than just GP

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Specializes in rehab-med/surg-ICU-ER-cath lab.

My OB says G=pregnancies P=live births as well as my OB Text. I was pregnant with a singlton after a complete live twin birth. My OB and the OB residents etc all stated I was G2P2 until I had the third child. Now I am G2/P3. If I had lost a twin at birth it would be G2/P2/SB1 etc., etc., etc.

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Specializes in nursery, L and D.

I came from a hospital that did the G=pregnancy and P=live births, and we didn't include the current live birth in the equation, KWIM? Like if she was had 3 previous pregnancies, with 2 live singletons, and live twins, plus current pregnancy, she would be a G4P4 until after d/c then she would be a G4P5, if that makes since.

Now, I am at a hospital that does GTPAL, and you include the current live birth when handing mom off to PP. So I always forget to "add" the current birth in the equation!

Man, this is confusing!

ETA: I do agree that the para should equal # of pregnancies beyond 20 weeks (as it was intended), we just didn't do it that way. It would be so much easier if everyone did stuff the same!

It is kind of funny to think of the woman after their first pregnancy with 4-5 babies would be (at my former hospital) a G1P5 or whatever.

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Specializes in Community, OB, Nursery.

Found this in Varney's Midwifery: (paraphrased)

Para is defined as # of pregnancies reaching 20 weeks (or 500 grams)

So if Mom has is a primigravida with triplets and delivers them at 27 weeks she is a G1P0103. (I think).

Link

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Specializes in nursery, L and D.

That sounds right to me, Arwen. That is the way it should be done.

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Specializes in postpartum, nursery, high risk L&D.

I don't know why but it drives me up a tree when I get report and the nurse says (of a twin mom) "she's a G2 P3 now..."

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Specializes in nursery, L and D.

Maybe they came from somewhere like I did Mrs.S. Get used to something like that and it is hard to forget! Where I am now, they say a woman is C/C/0, when fully dilated. Where I came from it was 10/100/0, and that is what I usually write, and have gotten fussed at more than once "we don't do that here", lol.

But for the para thing, my old hospital was doing it wrong, but it is still what I got used to. So it is hard to change back to the right way. Your people that are doing that might not even know there is a different way, maybe a reminder would help.

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Specializes in postpartum, nursery, high risk L&D.
Maybe they came from somewhere like I did Mrs.S. Get used to something like that and it is hard to forget! Where I am now, they say a woman is C/C/0, when fully dilated. Where I came from it was 10/100/0, and that is what I usually write, and have gotten fussed at more than once "we don't do that here", lol.

But for the para thing, my old hospital was doing it wrong, but it is still what I got used to. So it is hard to change back to the right way. Your people that are doing that might not even know there is a different way, maybe a reminder would help.

no it's not really a big deal, it's just one of those things that get under my skin. like when people say sonnameters.

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