GTPAL L – Living children. This term

GTPAL is an acronym used by doctors and nurses to understand more detail about a woman’s obstetrical history.

Learn about what GTPAL means and practice with examples in this lesson.

Our Authors Write a Custom Essay
For Only $13.90/page!


order now

What Is GTPAL?

GTPAL looks like a very confusing term. What do those letters stand for, and how is it helpful to medical professionals who work in obstetrics? Here is the breakdown of what each letter stands for:

  • G – Gravida. This is the number of times a woman has conceived, including any current pregnancy.
  • T – Term births.

    This is the number of times a woman has carried a pregnancy to at least 37 weeks gestation and delivered.

  • P – Preterm births. This is the number of times a woman has delivered before 37 weeks gestation, but after 20 weeks gestation.
  • A – Abortions. This is the number of times a woman has lost a pregnancy, whether it was elective or spontaneous (miscarriage), before 20 weeks gestation.
  • L – Living children.

    This term states ‘living children,’ but what it really is referring to is live births.

This information is extremely helpful for doctors and nurses working with female patients. It provides a great deal of information about a woman’s reproductive history at a quick glance. This also helps health care professionals care for pregnant patients, and lets them know what complications a patient may be at risk for during or after delivery.

For example, a woman who has two or more term births is at a greater risk of postpartum hemorrhage than a woman having her first term birth.

GTPAL Examples

Let’s look at a few scenarios, so you can see how GTPAL is used:

  • Susie is 38 weeks pregnant. This is her second pregnancy. She delivered a healthy baby boy at 39 weeks with her first pregnancy.

    What is this woman’s GTPAL?

    • Right now, her GTPAL is G2, T1, P0, A0, L1 because she has not yet delivered her second baby. Once she does, she will be at G2, T2, P0, A0, L2.
  • Lucy has just delivered her fourth living baby. She has had five pregnancies. Her second pregnancy ended in a spontaneous loss at 24 weeks. All her pregnancies have been singletons (one baby), two born living at 38 weeks and two born living at 40 weeks.

    What is her GTPAL?

    • Lucy has been pregnant five times. She has had a total of four term births. She had a spontaneous loss at 24 weeks, which counts as a preterm birth because the pregnancy lasted more than 20 weeks. She has no abortions because all five of her pregnancies lasted more than 20 weeks. She has four living children.

Let’s look at a more difficult situation:

  • Martha has just delivered her third living baby. She has had four total pregnancies.

    Her first two pregnancies ended in miscarriages at seven and nine weeks. Her third pregnancy resulted in twins born at 36 weeks. This pregnancy she just had resulted in one baby girl born at 39 weeks. What is her GTPAL?

    • Martha has been pregnant four times so gravida is four. She has had one term birth. She has twins born at 36 weeks.

      The ‘P’ stands for preterm births, not preterm infants. This number is not affected by the number of babies, just the number of pregnancies. So, Martha’s ‘P’ is 1. She had two spontaneous miscarriages before 20 weeks, so her ‘A’ is 2.

      She now has three living children or live births, so ‘L’ is 3.

Lesson Summary

GTPAL is an acronym that stands for:

  • Gravida
  • Term births
  • Preterm births
  • Abortions
  • Living children

Gravida is the number of times a woman has been pregnant. Term births are the number of times a woman has delivered after 37 weeks gestation. Preterm births refer to the number of times a woman delivers before 37 weeks gestation.

Abortions is the number of times a woman loses a pregnancy before 20 weeks gestation. Living children is the number of children living or the number of live births a woman has had.This acronym is a helpful tool for healthcare professionals to see a woman’s obstetrical history at a quick glance. Knowing this history helps healthcare professionals plan appropriate care for their patients and to anticipate possible complications that may arise.

GTPAL Defined

medical, GTPAL, pregnancy
  • Gravida: The number of conceptions a woman has had, current or past.
  • Term Births: The number of pregnancies where the woman has carried for at least 37 weeks gestation and delivered.
  • Preterm Births: The number of pregnancies where a woman has carried for 20 weeks gestation, but has delivered prior to 37 weeks gestation.
  • Abortions: Whether it was voluntary or incidental, this number relates to the pregnancies that were terminated prior to 20 weeks gestation.
  • Living Children: The number of live births a woman has delivered.

Learning Outcome

After viewing this lesson, you should be able to define GTPAL and explain how it is used in the medical field.

x

Hi!
I'm Sigvald

Do you need a custom essay? How about ordering an essay here?

Check it out