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Discussion

OB terminology

Hi,

I am a nursing student and I have a not-so-deep question about OB patient charts.

Here is what it reads:

G5, P2, T1, P1, A2 E0, M0, L2

So.. Gravida 5, Para 2, 2 abortions? zero miscarriages?

Please help!

Thanks:confused:

Featured Replies

Hi,

I am a nursing student and I have a not-so-deep question about OB patient charts.

Here is what it reads:

G5, P2, T1, P1, A2 E0, M0, L2

So.. Gravida 5, Para 2, 2 abortions? zero miscarriages?

Please help!

Thanks:confused:

I've never seen the E and the M before, but I have heard of "GTPAL" which is Gravida, Term, Premature, Abortion (therapeutic or spontaneous) and Living children.

Hi,

I am a nursing student and I have a not-so-deep question about OB patient charts.

Here is what it reads:

G5, P2, T1, P1, A2 E0, M0, L2

So.. Gravida 5, Para 2, 2 abortions? zero miscarriages?

Please help!

Thanks:confused:

Etopic (or elective) and Multiples, maybe???? I have never seen it like that.

Maybe the E is elective abortions and m is multiple--but yes, most places I have seen stick w/ GTPAL !

  • Expert

We use GTPAL.

In the above situation it seems like your patient has had

5 pregnancies (G5);

2 deliveries past 24 weeks (that's para 2);

1 of those was term (T1)

1 was preterm (P1)

2 abortions

2 living children

Being that the e&m were stuck in with the abortions I was thinking that e = elective and m = miscarriage. But she's had 2 ABs, so it doesn't really make sense that way.

The "E" is for Ectopic Pregnancies.

The "M" is for any Multiple Births (twins?)

At OHSU we use this, here is an example.

G (Gravida)5

P (Para) 3

T (Term)3

P (Preterm

SOB 1 (SOB is Spontaneous Abortion, a miscarriage)

TAB 1 (TAB is Therapeutic or Medically Indicated Abortion)

A 2 (Abortions, all together)

E (Ectopic Pregnancies) 0

M (Multiple Births) 1

Living 3

So, the above mentioned patient has been pregnant five times, has had three live births, one miscarriage, one medically induced abortion, one set of twins and one other pregnancy that was carried to term and delivered. A lot of it seems repetetive but thats just the way our charting program has it in the chart. We still just say, "Shes a G5 P3" in the end after al of that. :chuckle

Hope this helps! :loveya:

  • Expert

I think this has been hashed over before, and I'm not trying to be nitpicky, but I think a twin birth still counts as only 1 birth. You count the actual # of kids when you count the L. So if she's had 5 pregnancies and 3 living kids including the twins, she's a G5P2L3.

I'll look for some sources on that one, because it's always a big argument between nurses where I work. Not the end of the world but still good to know.

http://en.wikipedia.org/wiki/Gravida/para

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