OB Help!

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scenario:

Nancy is pregnant. Her first pregnancy resulted in a stillbirth at 36 weeks, and her second pregnancy resulted in the birth of her daughter at 42 weeks. Describe her OB history in terms of G-TPAL:

My main question about this scenario is what does stillbirth count as?

Pre-term because it is passed 20 weeks? Or does it count as an abortion because it is a stillbirth?

HELP!

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Specializes in LTC, M/S, CCU, ER.

Preterm is 20-36 weeks, yes? Full term is 37-42. Therefore that birth would be a preterm birth. The fact that it was stillbirth would be reflected in the last number, living children.

Abortion is the pregnancy ending before 20 weeks, no matter the cause.

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Your patient is:

Gravida: 2

Term: 1

Preterm: 1

Abortion: 0

Living: 1

OB was never my strong point but I believe I am correct on the history.

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I always thought that it was an interesting flaw in TPAL system that miscarriages and medical abortions are not distinguished. That can tell you if a woman who is G10A10 should see a gynology specialist vs. a referal for a better method of contraceptive. I guess that it is up to the nurse to ask. I wonder if this was established purposefully to protect the privacy of the patient?

FYI: http://en.wikipedia.org/wiki/TPAL_(medicine)

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Specializes in LTC.

wouldn't she be g3, t1, p1, a0, and l1?

she's had 3 pregnancies(the g-counting the current one, 1 term baby, 1 preterm baby, no abortions or miscarriages, and has 1 living child)

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Specializes in LTC, M/S, CCU, ER.

Yes, she's G3. You always count a current pregnancy.

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Yes, she's G3. You always count a current pregnancy.

Yes, G stands for gravida..total number of pregnancies, including this one.

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